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The timing of exercise relative to learning was manipulated by administering exercise either before or after perceptual training.
A certified Allied Health Assistant, trained in administering exercise programmes, delivered the intervention after initial assessment of the participant by a physiotherapist.
Physiotherapists are a logical choice to be trained to deliver a PCST intervention as they already have expertise in administering exercise for knee OA and are cognisant of the need for a biopsychosocial approach to management.
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They also administered exercise tests and performed muscle biopsies to measure physical fitness, confirming that the men who reported higher levels of exercise were in fact more fit.
We examined supine resting HRV in 373 post-menopausal women (45 75 y) after 6-months of randomly assigned and double-blinded administered exercise training exercise training at 50 %, 100 and 150% of the NIH Consensus Development Pandl's recommended minimal physical activity level.
Patients in the intervention group are referred to a physiotherapist who is trained to administer exercise therapy according to the study protocol.
A selection of these exercises is shown in Additional file 1. Physiotherapists are instructed to administer exercise therapy as they usually do in patients with hip OA, taking into account the limitations set by the study protocol.
Physiotherapists are allowed to administer exercises and home exercises of their choice.
First, the traditional on-site intervention model requires a neuropsychologist supervising the procedure, to administer exercises and cues, based on patient performance.
Because the patients suffered predominantly from CLBP we expected this period of self administered exercises to be necessary for the patients to experience the full effect of the intervention.
Briefly, the Exercise component of the Exercise Plus Program is a home based exercise intervention administered by exercise trainers which incorporates an aerobic exercise program using a Stairstep (Yu-Yahiro et al 2001; Resnick et al 2007), a comprehensive strengthening program that covers all muscles groups, and stretching exercises which are part of the warm up and cool down periods.
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