Session | Education/advice (30 min) | Exercise (1 h) |
---|---|---|
1 | Introduction to exercise Pool orientation Induction to gym programme Demonstration of gym exercises | Gym exercise: Gentle warm up – walking and stretches Brief gym circuit Cool down |
2 | Group discussion on goal setting Provision of individual home exercise programme HEP created by physiotherapist based on patient’s individual goals | Hydrotherapy Warm up Gentle aerobic and buoyancy assisted and resisted exercises |
3 | Understanding pain Group will be shown the YouTube video ‘understanding pain in 5 minutes’ followed by a group question/answer session | Hydrotherapy Warm up Aerobic, strengthening exercises and informal pool games |
4 | Group discussion about physical activity, introduction to pacing and principles of graded exposure Time to answer any questions from participants | Hydrotherapy Continuation of above and gentle progression of exercises |
5 | Group discussion on pacing and graded exposure including potential challenges that may be arising regarding putting principles into practice | Hydrotherapy Continuation of above and gentle progression of exercises |
6 | Continued group discussion on progress and problem solving | Gym session – participants are free to perform exercises from their individualised exercise programme or other exercises of their own choosing under the guidance of the physiotherapist |
7 | Group discussion on progress and problem solving. Introduce topic of maintaining behaviour change | Gym session Continuation of above and progression of exercise under guidance of physiotherapist |
8 | Wrap-up session including preparation for maintaining an active lifestyle and managing setbacks | Gym session Continuation of above and progression of exercise under guidance of physiotherapist |