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Graded Exposure to Feared Movement exercise demonstration
Exercise library

Graded Exposure to Feared Movement

Gradually reintroducing a movement the patient has been avoiding, in small confidence-building steps, per graded exposure principles.

Area
General
Stage
Return to function
Equipment
No equipment

Typical dose: 1 set × 8 reps · twice a day · slow and relaxed. This is a general starting point, not a plan matched to your condition or stage.

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How to do it

No equipment needed - just a bit of space.

Choose one everyday movement you have been avoiding because you expect it to hurt - for example bending to the floor, reaching overhead, or twisting to look behind you. Work somewhere you feel safe and unhurried.

  1. Break the movement into a ladder of small steps, from a version that feels easy up to the full movement.
  2. Rate how worried you feel about each step from 0 to 10.
  3. Start with a step you rate around 3 or 4 - challenging but manageable.
  4. Repeat that step calmly several times until your worry about it drops.
  5. When a step feels routine, move up to the next one on your ladder.
  6. Practise little and often rather than in one long session.

Form cues

  • You are working at a level that feels challenging but not frightening.
  • Some extra pain during the movement is expected and settles afterwards - hurt does not always mean harm.
  • Your confidence with each step grows as you repeat it.

Common mistakes

  • Jumping straight to the hardest version before the earlier steps feel comfortable.
  • Holding your breath and bracing hard through the movement - let it be as relaxed as you can.
  • Avoiding the movement for days after a small flare instead of easing back one step.

Safety: Stop and message your physio if you get a sudden sharp giving-way, or new numbness, pins and needles, or weakness in an arm or leg.

Part of these recovery programmes

This exercise is one step in a staged plan for the conditions below. Each link opens the full programme and shows where this exercise fits.

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