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PHYSIOPEDIA
Rehab Science · Chapter 12

Training & Programming Guidelines

Rules for adjusting any exercise—pain, next-day response, range of motion, load, tempo, stance and variation—and default programming for frequency, sets, reps, rest and sport-specific goals (endurance, power, strength).

You will learn to
  • ✓ Apply the 3/10 rule and the 24-hour response rule
  • ✓ Use the modification hierarchy (load → range → tempo → stance → variation/phase)
  • ✓ Prescribe default sets, reps, holds and rest
  • ✓ Adapt programming for endurance, power and strength
1.

The 3/10 rule

📖 Rehab Science

A little of your familiar pain (up to 3/10) is fine—it means you are challenging the tissue. At 4/10 or more, modify: reduce load, range or volume, swap the variation, or move the exercise to the next phase. This applies to every type of exercise, from self-massage to strength work.

Diagram · Pain scale and the 3/10 ruleOriginal illustration
012345678910mild 1–3 · acceptable during exercisemoderate 4–7 · modifysevere 8+< 3 → start Phase 2> 3 → start Phase 1Next-morning resting pain higher than baseline (e.g. 2 → 4) = too much; rest, then reduce load, reps or range.
Start phase 1 above 3/10, phase 2 below 3/10. During exercise, up to 3/10 of your familiar pain is acceptable; 4/10 or more → modify. Judge the response over 24 hours. — Based on concepts in Rehab Science Ch 11 (PDF pp. 204–205) & Ch 12 (PDF pp. 210–212).
Source: Rehab Science · Ch 12 · PDF pp. 210, 211show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

2.

The 24-hour response rule

📖 Rehab Science

Judge pain over 24 hours. If your resting pain is higher the next morning (say 2/10 → 4/10), you did too much: rest a few days until you are back to baseline, then reduce load, reps or range of the culprit exercise. Keep a log to spot what caused it.

Source: Rehab Science · Ch 12 · PDF pp. 211, 212show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

3.

Range of motion modifications

📖 Rehab Science

If pain or loss of control appears at a certain point, work only up to that point (partial reps) and extend it over time. Once you can, prioritise full range—it builds the most strength and control.

Source: Rehab Science · Ch 12 · PDF pp. 212, 213show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

4.

Choosing the right load

📖 Rehab Science

Choose a weight that leaves only 2–3 reps "in the tank" by the end of the set, without more than mild pain or poor form. Too easy? Add load or go single-leg/single-arm. Too hard? Shorten the range, slow down, or stay with the phase 2 version.

Source: Rehab Science · Ch 12 · PDF pp. 213, 214show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

5.

Tempo

📖 Rehab Science

Move slowly enough to stay stable and controlled. Faster movement means more force and less control. Save full speed for the last stage of healing.

Source: Rehab Science · Ch 12 · PDF pp. 214, 215show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

6.

Stance, posture and variations

📖 Rehab Science

Adjust foot and hand positions to what feels comfortable, keep the spine in a stable "neutral zone", and if an exercise still hurts after other changes, swap it for one with the same movement pattern—forward lunge to reverse lunge or split squat, for example.

Source: Rehab Science · Ch 12 · PDF pp. 215, 216, 217· 2 original research citationsshow sources ▾
Also cited by the book on these pages:
  1. [Ch 12·1] Schoenfeld BJ, Vigotsky A, Contreras B, et al. Differential effects of attentional focus strategies during long-term resistance training. Eur J Sport Sci. 2018;18(5):705-712. find original ↗
  2. [Ch 12·2] Calatayud J, Vinstrup J, Jakobsen MD, et al. Importance of mind-muscle connection during progressive resistance training. Eur J Appl Physiol. 2016;116(3):527-533. find original ↗

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

7.

Where to focus your attention

📖 Rehab Science

Early on, think about the working muscle (a mirror helps). Later, shift focus to the movement as a whole—moving the bar, not squeezing the muscle.

Source: Rehab Science · Ch 12 · PDF pp. 217, 218· 2 original research citationsshow sources ▾
  1. [Ch 12·1] Schoenfeld BJ, Vigotsky A, Contreras B, et al. Differential effects of attentional focus strategies during long-term resistance training. Eur J Sport Sci. 2018;18(5):705-712. find original ↗
  2. [Ch 12·2] Calatayud J, Vinstrup J, Jakobsen MD, et al. Importance of mind-muscle connection during progressive resistance training. Eur J Appl Physiol. 2016;116(3):527-533. find original ↗

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

8.

How often to train

📖 Rehab Science

Self-massage, stretching, isometric and mobility work: every day. Resistance exercises: at least three times a week with a rest day between—four if you have no pain or soreness. Take extra rest if sore or flared.

Source: Rehab Science · Ch 12 · PDF pp. 218, 219show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

9.

Default sets, reps, holds and rest

📖 Rehab Science

Soft-tissue work: 1–2 minutes per area, pausing 5–10 s on tender spots. Nerve and mobility drills: 3 × 10–15. Stretches: 2–4 reps of 30–60 s. Isometrics: 4–5 reps of 30–45 s. Rest 30–60 s between sets (15–30 s for stretches and holds); heavier phase 3 work may need 2–3 minutes. Most rehab uses 3 sets of 10–15 reps.

  • Mobility 3 × 10–15 · Stretch 2–4 × 30–60 s · Isometric 4–5 × 30–45 s
Source: Rehab Science · Ch 12 · PDF pp. 219, 220show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

10.

Making it sport-specific

📖 Rehab Science

Late in rehab, match sets and reps to your goal. Endurance: 3–5 × 12–20+ at under 65% of max, 30–60 s rest. Power: 3–5 × 1–3 at 80–85%, 2–4 min rest, stop when speed drops. Strength: 3–5 × 1–5 above 85%, 2–5 min rest. All 2–4 times a week.

Source: Rehab Science · Ch 12 · PDF pp. 221, 222· 1 original research citationshow sources ▾
  1. [Ch 12·3] Huygaerts S, Cos F, Cohen DD, et al. Mechanisms of hamstring strain injury: interactions between fatigue, muscle activation and function. Sports (Basel). 2020;8(5):65. find original ↗

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.

Check your understanding

1. Pain rises to 5/10 during an exercise. What should you do?
2. Default isometric dosage?
3. How many reps in reserve should a resistance set leave?