What is a key principle of progressive overload in rehab?

• A. Gradually increase load, repetitions, sets, and intensity; allow adequate recovery
• B. Jump to maximal load immediately
• C. Never increase load
• D. Only increase load after 6 months

Answer: (A)

Progressive overload in rehab means gradually increasing the training stimulus as healing allows, with adequate recovery between sessions. This approach lets tissues adapt, rebuild, and gain strength without overloading them. Start with a manageable level that respects pain and tenderness, then steadily advance by small increments—adding a bit more resistance, a extra repetition or set, or a slight increase in intensity—while monitoring how the tissue responds. Recovery remains essential, so plan rest days and avoid pushing through significant pain or swelling. Jumping straight to the heaviest load or never increasing load would either risk injury or stall progress, and waiting six months to progress ignores the body's capacity to adapt and heal.