Table 1.
FIRST consultation (30 min) | SECOND Consultation (30 min)- approximately 10–14 days later | |
---|---|---|
Assessment |
Introduction and outline aim of sessions is strengthening exercises Review pre-consult survey- choose a question for reassessment at second consult Obtain subjective information as relevant Functional observation: walking, squatting, sit to stand, single leg standing balance, anything else as relevant |
Review… - knee pain - progress with strengthening program - any problems with any particular exercises? - too easy? Too hard? Reassess pain and a functional question from the pre-consult survey Re-assess sit to stand and any other functional tasks as relevant |
Strengthening exercises |
Prescribe a program of 5–6 exercises from the participant exercise booklet: -2 quadriceps -1 hip/gluteal -1 hamstring/gluteal -1 calf -1 optional other from the booklet Individualise the dosage of each exercise in terms of sets/repetitions, noting the whole program must be performed three/week. Prescribe exercise band colour for each exercise (can be different colour for different exercises) Watch participant perform a set of each exercise and ensure it is at a hard to very hard level Discuss how to manage pain/flare-ups with exercise |
Review exercise program and modify/progress/change exercises as needed Watch patient perform a set of entire exercise program and ensure it is at a hard to very hard level Discuss with the participant how to modify & progress the exercise program over the next 24 weeks, noting the whole program must be performed three/week Advise participant to continue exercise program for next 24 weeks |