What PIPT component involves gradually increasing activity to build capacity?

• A. Graded Activity
• B. Focus on Function
• C. Pacing Reinforcement
• D. Management of Fear Avoiding Behaviors

Answer: (A)

Graded activity focuses on gradually increasing activity to build capacity. In this approach, tasks are added in small, manageable steps based on what the patient can safely tolerate, with progress tied to functional goals rather than pain alone. This helps rebuild endurance, improve confidence, and reduce avoidance by providing a clear, structured path to higher activity levels. Over time, with consistent progression, the person can handle more complex or longer activities without flaring up, which is exactly how capacity is expanded in PIPT settings.

This differs from focusing on function alone, which emphasizes meaningful outcomes without necessarily detailing a progressive plan; pacing reinforcement concentrates on balancing activity with rest and rewards; and management of fear-avoidant behaviors targets beliefs about pain rather than the stepped activity progression itself.