Pain during a home exercise programme

Setting: Musculoskeletal clinic

Liam Scott, 33, wants to return to tennis. The exercise sheet prescribes five supported sit-to-stands from a firm chair once daily; he reports ten repetitions twice daily and subsequent knee discomfort.

Task

Confirm prescribed five supported sit-to-stands once daily versus actual ten twice daily.
Explore knee discomfort and the tennis goal.
Reassess before increasing or changing the programme.
Demonstrate and check the agreed version after reassessment.

Pain during a home exercise programme consultation plan

The prescribed exercise is a supported sit-to-stand from a firm chair: five repetitions once daily, as demonstrated at the previous appointment. The patient reports doing ten repetitions twice daily and experiencing knee discomfort.
The therapist will reassess the reported response before changing the programme.
No increase in repetitions is authorised in this conversation.
The therapist will demonstrate the agreed version and check the patient’s understanding after reassessment.
Liam Scott, 33, wants to return to tennis. The exercise sheet prescribes five supported sit-to-stands from a firm chair once daily; he reports ten repetitions twice daily and subsequent knee discomfort.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.