Which sequence correctly represents a standard ROM progression?

Which sequence correctly represents a standard ROM progression?

• A. Immobilization, PROM, AROM, Isometric, Eccentric, Concentric
• B. Immobilization, AROM, PROM, Isometric, Eccentric, Concentric
• C. Immobilization, AROM, Isometric, PROM, Eccentric, Concentric
• D. Immobilization, AROM, PROM, Isometric, Concentric, Eccentric

Answer: (B)

Progression after injury or surgery follows a logical order: protect the healing tissue, re-establish control, then gradually load. Immobilization keeps the repair safe at first. Once healing allows, initiating active range of motion helps the patient re-educate muscles to move and regain voluntary control. After active motion is underway, adding passive range of motion further improves joint mobility and stretches structures without requiring muscle activation. With ROM restored, isometric contractions strengthen muscles and stabilize the joint without moving it. As tolerance grows, loading progresses to eccentric contractions, which build strength during controlled lengthening and often tolerate higher forces with lower joint stress. Finally, concentric contractions are introduced to develop power with muscle shortening during movement. This order aligns with protecting healing tissues first, then rebuilding neuromuscular control, and finally progressively strengthening through eccentric followed by concentric work.

Progression after injury or surgery follows a logical order: protect the healing tissue, re-establish control, then gradually load. Immobilization keeps the repair safe at first. Once healing allows, initiating active range of motion helps the patient re-educate muscles to move and regain voluntary control. After active motion is underway, adding passive range of motion further improves joint mobility and stretches structures without requiring muscle activation. With ROM restored, isometric contractions strengthen muscles and stabilize the joint without moving it. As tolerance grows, loading progresses to eccentric contractions, which build strength during controlled lengthening and often tolerate higher forces with lower joint stress. Finally, concentric contractions are introduced to develop power with muscle shortening during movement. This order aligns with protecting healing tissues first, then rebuilding neuromuscular control, and finally progressively strengthening through eccentric followed by concentric work.