Table 2 Multidisciplinary team (MDT) residential intervention – components of treatment

Group exercise

Strengthening exercises, active range of motion exercises, functional balance drills, gait drills, progressive co-ordination drills, non-weight-bearing aerobic/endurance exercise, minor team games.

Restore strength of deep hip stabilisers, improve core strength, increase joint range of motion, improve balance and neuromotor control, improve muscle endurance, promote group cohesion and social support.

12 (30–45 min)

Individual physiotherapy^a

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.

5 (30 min)

Hydrotherapy/swimming

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, promote enjoyment and variety of treatment.

3 (60 min)

Individual occupational therapy^b

Relaxation techniques, postural re-education, cognitive behavioural therapy (CBT) techniques, self-help coping strategies, pain management.

Induce relaxation, promote behavioural change, control pain, correct/improve poor posture.

3 (60 min)

Patient education

Coping with pain, benefits of exercise, joint protection, anatomy and pathology of hip pain, nutrition.

Activity modification, reduction of pain, promotes behavioural change, weight management, improve knowledge of treatment options, improve ability to relax, improve knowledge of self-help techniques.

2 (60 min)