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Consultation 2 – strengthening exercise

Watch this example of an exercise progression in the PEAK program by a physiotherapist for the management of knee osteoarthritis
5.9
SPEAKER 1: Righty-o. Now, exercises for you. You are doing exercise Q3, is that right?
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SPEAKER 2: Um.
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SPEAKER 1: [INAUDIBLE]
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SPEAKER 2: No no, not yet. Q3, HA 1 and HG 9.
21.9
SPEAKER 1: All right, and HG 9, that’s right. Now, just at the moment, for Q3, so the first one you do, think about how hard are your legs working at the end of that tenth rep. Tenth rep.
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SPEAKER 2: Probably about a four.
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SPEAKER 1: Right.
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SPEAKER 2: From the last [INAUDIBLE] I did the other, when was it, yesterday morning.
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SPEAKER 1: Yeah.
50.9
SPEAKER 2: [INAUDIBLE] Yeah. I’d say about a four.
53.7
SPEAKER 1: OK, so we need to make that a little bit harder than what we’re already doing. So what I might suggest for this week, this fortnight–
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SPEAKER 2: Yeah.
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SPEAKER 1: I’m going to give you two options. I’m going to talk you through option one first.
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And you’re going to have a go at. But option one is to upgrade that to exercise Q4.
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SPEAKER 2: Right.
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SPEAKER 1: And I’m going to share screen, we do a lots of share screen when we’re online, like this, and show you what that looks like.
91.2
SPEAKER 2: Uh huh.
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SPEAKER 1: Exercise Videos, Q4, it is chair stands with weight a bit more on one leg than the other. So for you, so for this fellow here, he’s got his left leg back. So he’s going to have more weight on his left leg. [ELECTRONIC CHIME]
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SPEAKER 2: Yeah.
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SPEAKER 1: Sorry about that, emails. For you, you’re going to have your right leg back. And then it’s exactly the same as you’ve been doing. You just stand up from the chair and sit down, while having your feet offset like that, weight on one side more than the other.
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SPEAKER 2: OK.
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SPEAKER 1: OK. So let’s have a little go at that.
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SPEAKER 2: OK, I’ll just swap chairs. [RUSTLING]
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SPEAKER 1: All right. I’m just going to stop sharing so I can see you clearly. Thank you for swapping chairs. All right. Right leg a bit further back, that’s it. That’s perfect. Yes, thank you. That’s great. And standing up, good. And sitting down slowly, that’s good too. So standing up, two, pause. And then down, two, pause. Perfect. That’s two. Up, two, pause. Down, two, that’s nice and slow. Three, go again. Up, two, pause. Down, two, yeah. That’s four. Up, two, pause. Down, two, that is five. A bit slower on the way down. Up, two, pause. Down, two, that is six. That was good. Up, two, pause. Down, two, that is seven. Up, two, pause. Down, two, eight. Up, two, pause.
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Down, two, nine. Up, two, pause. Down, two, that is 10. So how hard was your right leg working there, do you reckon?
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SPEAKER 2: Quite hard there.
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SPEAKER 1: Quite hard, yeah.
234.4
SPEAKER 2: Yes.
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SPEAKER 1: OK, so definitely more than a five.
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SPEAKER 2: Yeah definitely more than a five. Probably about a seven there. Yeah.
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SPEAKER 1: Oh wow, OK, good. So that’s your new quad strengthening. So you’re going to do Q4. So if you write in your red book–
249.1
SPEAKER 2: Yeah.
249.7
SPEAKER 1: New plan on page four, no–
252.8
SPEAKER 2: Yep.
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SPEAKER 1: –page five, even. Page five, because you’re up to the second week.
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SPEAKER 2: Yep.
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SPEAKER 1: You’re going to do Q4, three sets of 10–
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SPEAKER 2: Yep.
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SPEAKER 1: –three times a week.
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SPEAKER 2: Yep.
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SPEAKER 1: Now if it gets too much, just drop back to feet level, exercise Q4.
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SPEAKER 2: OK.
273.1
SPEAKER 1: OK, so if it’s getting a bit too much, over this fortnight, that’s your backup option.

This short clip shows a segment of a real consultation, during the PEAK clinical trial, via videoconferencing, and recorded via Zoom. Sound and picture quality may thus be less than ideal.

What did you take away from this video? Are there any other considerations that might change your usual strengthening program modifications to suit a telehealth consultation?

Comment below to share your answer, and see what others have shared. Once you’re happy with your contribution, click on the ‘Mark as Complete’ button to check the Step off.

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Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis (PEAK)

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