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Table 2 Home Exercise Program

From: EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol

Exercise selection

 Key prescription factors

• Patient goals

• Patient preferences

• Activity limitations

 Body region

• At-least 1 exercise targeting the knee extensors

• At-least 1 exercise targeting the trunk

 Amount of exercises

• Minimum of 2 and Maximum of 4 exercises (initially)

 Equipment used

• Patient surroundings, i.e. furniture, outdoor environment, access to any other exercise equipment such as a bike

• Theraband® elastic band colour green

Exercise dosage

 Approximate intensity

• According to patient tolerance and symptomatology to exercise

 Rated Perceived Exertion (RPE)

• At-least 5/10 RPE (hard)

 Repetitions

• 8–15

 Sets

• 2–3

 Rest between sets

• 2–3 min

 Frequency

• Three days per week (non-consecutive days)

 Time period

• 3 months

 Total consultation

• ≥5 consultations out of 8 offered

 Familiarisation period

• Initial two weeks

Modifications

 Alternative

• Alternative dosage (if appropriate)

- Isometric (30–60 s total hold time)

- Endurance (15–25 repetitions)

 Progression

• When the patient consistently over-performs above the prescribed dosage

• Only one change at a time made when progressing

 Simplification

• When the patient consistently underperforms below prescribed dosage (at least three consecutive sessions)

 Examples of progression or simplification

• Adding or removing an exercise

• Replacing an existing exercise

• Changing the level of resistance band

• Increasing or reducing isometric pauses

• Modify surroundings or body position