Table 4

Components of treatment for residential rehabilitation intervention

Treatment modalityTreatment contentTreatment goalsFrequency per week (duration)
Group exerciseStrengthening exercises, active range of motion exercises, functional balance drills, gait drills, progressive coordination drills, non-weight-bearing aerobic/endurance exercise and 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 and 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 and promote normal walking gait.5 (30 min)
Hydrotherapy/swimmingNon-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 and promote enjoyment and variety of treatment.3 (60 min)
Individual occupational therapy†Relaxation techniques, postural re-education, cognitive–behavioural therapy (CBT) techniques, self-help coping strategies, pain management.Induce relaxation, promote behavioural change, control pain and correct/improve poor posture.3 (60 min)
Patient educationCoping with pain, benefits of exercise, joint protection, anatomy and pathology of hip pain, nutrition.Activity modification, reduction of pain, promotes behavioural change, weight management, improve knowledge of treatment options, improve ability to relax and improve knowledge of self-help techniques.2 (60 min)
  • *Exercise dosage, progression and intensity will be governed by the physiotherapist and tailored to the needs of each individual patient.

  • †Occupational therapy referrals will be individually prescribed to selected patients.