Which sequence represents the components of the described management approach?

• A. Adjust (Mobilize) → Stretch (Inhibit) → Strengthen (Activate)
• B. Stretch (Inhibit) → Adjust (Mobilize) → Strengthen (Activate)
• C. Activate (Recruit) → Stretch (Inhibit) → Adjust (Mobilize)
• D. Strengthen (Activate) → Stretch (Inhibit) → Adjust (Mobilize)

Answer: (A)

The best sequence emphasizes restoring mobility first, then addressing tissue length and neural inhibition, and finally building strength. Starting with mobilization sets the stage by re-establishing joint and tissue mobility, which is essential before you can effectively stretch and lengthen tissues or activate muscles in a functional pattern. If you try to stretch or strengthen before mobility is restored, you may encounter limited range, pain, or compensatory movements that undermine outcomes. After mobility is improved, applying a stretch to reduce protective muscle guarding and improve tissue length helps prepare the system for activating muscles with proper control. Only after mobility and length have been re-established does strengthening come in to retrain neuromuscular control and stabilize movement. The other sequences skip or reverse this progression, potentially reducing effectiveness and increasing risk of compensation or pain.