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rehab-programme-design

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Design a rehabilitation programme the patient will actually do — dosed and progressed against stated criteria, built around their week rather than an ideal one, and with the progression rule written down so it does not depend on being remembered. Use when asked to design a rehab programme, prescribe exercises, progress a rehabilitation plan, or when a patient is not doing their exercises. Produces the programme by phase, the dosage and progression criteria, the adherence design, the reassessment schedule, and the patient-facing version. A structuring framework for a licensed clinician; it prescribes nothing for any individual patient.

plugins/pm-physio/skills/rehab-programme-design/SKILL.md

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# Rehabilitation Programme Design

The best-designed programme in the notes is worthless if the patient does two of the six exercises twice. Adherence is a design property, not a patient characteristic: how many exercises, how long it takes, whether it fits the actual week, and whether the patient understands what each one is for. This designs for that first, then dose and progression — with the criteria to advance written down rather than left to feel.

## What This Skill Produces

- **The programme by phase** — what each phase is for, and the criteria to enter and leave it
- **Dosage** — sets, repetitions, load, frequency, and the intended difficulty, stated rather than implied
- **Progression criteria** — the specific conditions to advance, so progression does not depend on recall
- **Adherence design** — the number of exercises, the time it takes, and where it fits in the patient's week
- **The regression plan** — what to do on a bad day, which prevents abandonment
- **The patient-facing version** — plain language, with what each exercise is for and what it should feel like

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