Which item is NOT part of Step 5?

• A. Set the duration of the mobilization sessions according to the patient’s responses.
• B. Thoracic mobility exercises.
• C. Active, active assist, or PROM exercises.
• D. Breathing control exercise, coordinate with body movements.

Answer: (A)

Step 5 centers on applying targeted mobility and breathing coordination as part of advancing functional activity. Thoracic mobility exercises help loosen the chest wall and improve rib cage expansion, which supports better breathing during movement. Active, active-assisted, or passive range of motion exercises preserve joint ROM and muscle length, enabling safer and more effective mobilization. Breathing control exercises coordinated with body movements teach the patient to sync respiration with activity, reducing the work of breathing and improving endurance. The duration of mobilization sessions set according to the patient’s responses is not a direct Step 5 intervention; it’s a planning and pacing consideration based on tolerance and safety, while the three listed interventions are the actual tasks performed in this step.