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Table 7 Pre-operative total knee replacement exercise programme delivery: Importance ratings summary

From: Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

Pre-operative total knee replacement exercise delivery itema % Important or Very Important rating
Round 1 (n = 60) Round 2 (n = 57) Round 3 (n = 55)
4.1.1 Delivered using an individual instruction session 52 53 44
4.1.2 Delivered using supervised exercise sessions 73 79 89
4.1.3 Delivered using unsupervised exercise sessions 58 72 91
4.1.4 Delivered using telephone-delivered sessions 5 9 5
4.1.5 Delivered using a booklet or other written format 87 93 93
4.2 Delivered using a combination of more than one format 87 96 91
4.3.1 Take place in the patient’s own home 53 46 36
4.3.2 Take place in a clinical setting 52 47 47
4.3.3 Take place in a community setting 52 40 33
4.4.1 Include high intensity exercises 33 14 22
4.4.2 Include low to moderate intensity exercises 75 91 98
4.5 Tailored to the patient’s ability 93 96 96
4.6 Be progressive 82 91 87
4.7 Each session should last a minimum of 15 min 63 63 80
4.8 Involve a minimum of 2 sessions per week 78 79 84
4.9 Ideally be performed for a minimum of 6 weeks 80 88 89
4.10 Tailored to each patient’s needs N/A 88 93
4.11 Provide an opportunity for peer support N/A 65 75
4.12 Include goal setting N/A 79 87
  1. N/A Not applicable because the item was not included in Round 1
  2. a Consensus was defined as at least 70% of respondents rating an item as ‘Important’ or ‘Very important’. Items in italics did not reach consensus in Round 3 and hence were excluded from the final list of recommendations. Items in plain text were prioritised as ‘Important’
  3. Additional Files 2 and 7 provide the exact wording of each item