What is the recommended approach to improving range of motion (ROM) in rehabilitation?

• A. Aggressive stretching to push ROM quickly
• B. Pain-free, controlled stretching with gradual progression
• C. Only static stretching before activity
• D. Do not include ROM activities in daily routine

Answer: (B)

Improving range of motion in rehabilitation is best achieved with pain-free, controlled stretching that progresses gradually. Pushing ROM aggressively can cause microtrauma, inflammation, and rebound stiffness, undermining gains and risking reinjury. When we stay within a comfortable, tolerable stretch, the tissues lengthen safely as they adapt, allowing gradual increases in flexibility over time. ROM should be incorporated consistently through warm-ups, therapy sessions, and daily activities, with slow, progressive increases in intensity and duration—not by relying on a single static stretch before activity or by omitting ROM work altogether. This approach minimizes pain and risk while promoting lasting improvements in mobility.