Which of the following is an indication for stretching related to loss of extensibility such as adhesions?

• A. Bony block limits motion
• B. ROM limited due to loss of extensibility: adhesions, contractures, scar tissue formation
• C. Acute inflammatory process
• D. Shortened soft tissues provide support and/or enable functional skills

Answer: (B)

When soft tissues lose their ability to stretch because of adhesions, contractures, or scar tissue, stretching is used to restore length and improve range of motion. The key idea is that the ROM limitation is due to a decrease in tissue extensibility, so applying a controlled stretch can lengthen the collagen, reduce adhesions, and increase how far the joint can move comfortably.

In contrast, a bony block is a structural limitation from bone, not soft-tissue extensibility, so stretching won’t address it. An acute inflammatory process often calls for avoiding aggressive stretching to prevent worsening pain or tissue damage. And if shortened tissues exist mainly to provide support or enable functional skills, there’s no need to stretch them, since their shortening serves a beneficial function.