Table 2 Components of generic in-patient rehabilitation programme
Treatment modality | Treatment content | Treatment goals | Typical number of sessions per week |
|---|---|---|---|
Individualised Exercise: led by ERI (45–60 min) | Strengthening exercises, active range of motion exercises, functional balance drills, gait drills, progressive coordination drills, non-weight-bearing aerobic/endurance exercise | Restore strength of major muscle groups of the lower-limb, improve core strength, increase joint range of motion, improve balance and neuro-muscular control, and improve muscle endurance. | 3–4 |
Individualised physiotherapy (30–60 min) | Manual therapy techniques, muscle activation and timing patterns, active and passive range of motion exercises, advice on home exercise, gait re-education training | Improve quality and timing of movement, improve muscle strength, reduce pain, increase joint range of motion, induce relaxation, promote normal walking gait. | 1–3 |
Group Exercise: led by ERI (45–60 min) | Group based circuit training that primarily involves high repetition muscular strengthening exercises targeting the whole body. May also include minor team games, recreational therapy, foam rolling, stretching, motor control, running re-education, cv | The same as the Individual exercise sessions, but also the promotion of group cohesion and social support | 12 |
Hydrotherapy/swimming (30/45Â min) | Non-weight-bearing aerobic exercise, strengthening exercises, active range of motion exercises, self-paced recreational swimming, progressive/assisted weight-bearing exercise and activity | Improve muscle strength, improve aerobic capacity, increase joint range of motion, improve confidence in weight bearing, induce relaxation, and promote enjoyment and fun. | 1 hydro 3 swim |
Individualised occupational therapy session (30–60 min) | Relaxation techniques, postural re-education, cognitive behavioural therapy techniques, self-help coping strategies, pain management. | Induce relaxation, promote behavioural change, control pain, correct/improve poor posture | 0–3 |
Patient education (60Â min) | Coping with pain, benefits of exercise, joint protection, anatomy and pathology of their lower-limb injury, nutrition. | Goal setting, activity modification, reduction of pain, promote behavioural change, weight management, improve knowledge of treatment options, improve ability to relax, improve knowledge of self-help techniques | 4 |