Outpatient (IP) Protocol | Residential (MDT) Programme |
---|---|
Session 1 (45–60 mins)a | Day 1 |
• Subjective and objective assessment (20–25 mins) | • Admission MDT clinic and baseline measures |
• Patient education (5-mins) | Day 2 |
• 1–2 manual therapy techniques (5–10 mins) | • Group-based introduction to treatment goal 1 |
• Teach target exercise from treatment goalsc 1 and 2 (15–20 mins) | • Group-based introduction to treatment goal 2 |
• Confirm home-exercises (5-min) | • Individual therapy appointments in accordance with patient timetable (PT/OT)b |
Session 2 (45–60 mins) | Day 3 |
• Subjective and objective re-assessment (10-mins) | • Group-based introduction to treatment goal 3 |
• Patient education (5-mins) | • Group-based introduction to treatment goal 4 |
• Manual therapy techniques (15–20 mins) | • Group-based education topic 1 (‘about hip pain’) |
• Teach revised home exercises; check log-book (15–20 mins) | • Individual therapy appointments in accordance with patient timetable (PT/OT) |
Sessions 3 to 8 (30–40 mins) | Day 4 |
• Subjective and objective re-assessment (5-mins) | • Group-based introduction to treatment goal 5 |
• Manual therapy techniques (15-mins) | • Consolidate individual patient exercise programme |
• Patient education & advice (5-mins) | • Group-based education topic 2 (‘activity modification’) |
• Progress home-exercises; check log-book; address adherence issues (15-mins) | • Individual therapy appointments in accordance with patient timetable (PT/OT) |
Day 5 | |
• Group-based exercise targeting individual patient priorities | |
• Group-based education topic 3 (‘benefits of exercise’) | |
• Individual therapy appointments in accordance with patient timetable (PT/OT) | |
Day 6 | |
• Group-based exercise targeting individual patient priorities | |
• Group-based education topic 4 (‘pain management’) | |
• Individual therapy appointments in accordance with patient timetable (PT/OT) | |
Day 7 | |
• Confirm individual home-based exercise programme; issue log book; | |
• Discharge clinic with multi-disciplinary team | |
Follow-up period | Follow-up period |
• 4 to 6 home exercises, 3-times per week | • 4 to 6 home exercises, 3-times per week |