Multidisciplinary team residential hip rehabilitation programme—components of treatment
| Treatment modality | Treatment content | Treatment goals | Frequency per week (duration) |
|---|---|---|---|
| Group exercise | Strengthening exercises, active range of motion exercises, functional balance drills, gait drills, progressive coordination drills, non-weight-bearing aerobic /endurance exercise, minor team games | Restore strength of deep hip stabilisers, improve core strength, increase joint range of motion, improve balance and neuromotor control, improve muscle endurance, promote group cohesion and social support | 12 (30–45 min) |
| Individual physiotherapy* | Manual therapy techniques, muscle activation and timing patterns, active and passive range of motion exercises, advice on home exercise, gait re-education training | Improve quality and timing of movement, improve muscle strength, reduce pain, increase joint range of motion, induce relaxation, promote normal walking gait | 5 (30 min) |
| Hydrotherapy/swimming | Non-weight-bearing aerobic exercise, strengthening exercises, active range of motion exercises, self-paced recreational swimming, progressive/assisted weight-bearing exercise and activity | Improve muscle strength, improve aerobic capacity, increase joint range of motion, improve confidence in weight bearing, induce relaxation, promote enjoyment and variety of treatment | 3 (60 min) |
| Individual occupational therapy† | Relaxation techniques, postural re-education, cognitive–behavioural therapy techniques, self-help coping strategies, pain management | Induce relaxation, promote behavioural change, control pain, correct/improve poor posture | 3 (60 min) |
| Patient education | Coping with pain, benefits of exercise, joint protection, anatomy and pathology of hip pain, nutrition | Activity modification, reduction of pain, promote behavioural change, weight management, improve knowledge of treatment options, improve ability to relax, improve knowledge of self-help techniques | 2 (60 min) |
*Exercise dosage, progression and intensity were governed by the physiotherapist and tailored to the needs of each individual patient.
†Occupational therapy referrals were individually prescribed to selected patients.