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Fig. 2 Overview of the content for the CHAIN intervention, week-by-week

From: CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of hip osteoarthritis

Week

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Education session (30 min)

Introduction

Review of last session

Review of last session and activity diary

Review of last session and activity diary

Review of last session and activity diary

Review of last session and activity diary

Review of last session and activity diary

Review of last session and activity diary

Aims of programme

Introduction to activity diary

Complementary therapies

Pacing

Nutraceuticals and supplements

Oral analgesics

Self-management tips and planning

Summary of previous sessions

Introduction to osteoarthritis (OA) and the hip joint

Introduction to Home Exercise Programme (HEP)

Assistive devices and footwear

Manual therapy, manipulation and stretching

Alternative exercise options

Topical treatments

Injections and surgical options Part I

Injections and surgical options Part II

Benefits of exercise for OA Part I

Benefits of exercise for OA Part II

Diet, nutrition and weight loss

Thermotherapy

Electrotherapy and acupuncture

Non-steroidal anti-inflammatory drugs (NSAIDs)

Post programme exercise planning

Post programme exercise and support networks

Cycling technique Part I

Cycling technique Part II

Cycling technique Part III

Cycling technique Part IV

Cycling technique Part V

Cycling technique Part VI

Cycling technique Part VII

Cycling technique revision

Static Cycling Session

30 min

30 min

30 min

30 min

30 min

30 min

35 min

40 min

Home Exercise Programme (HEP)

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week

Daily HEP

2 × 30 min cycling per week