Which item is described as part of the second step's elements?

• A. Secondary load management (late stage rehab)
• B. Focus on simple functional movements
• C. Desensitize the pain generator
• D. Micro load management through localized tissue loading

Answer: (A)

Understanding rehabilitation progression, the second step emphasizes advancing how you load tissues rather than just the type of movements. Secondary load management in late-stage rehab means carefully tuning and escalating the external load and activity demands placed on the body, to build tissue tolerance and functional capacity without overloading it. This stage moves beyond tiny, localized loading to more structured, progressive loading strategies that reflect real-world tasks and sport- or work-specific demands.

The other ideas fit earlier or different focuses: starting with simple functional movements is typical of initial reconditioning; desensitizing the pain generator relates to addressing pain processing and sensitivity early in rehab; micro load management through localized tissue loading corresponds to very small, controlled loading appropriate for initial tissue adaptation, not the broader late-stage progression.