Key characteristics and time allocation of the rehabilitation domains
| Domain | Key characteristics | Time spent per session (minutes) | |
| Outpatient component | Home component | ||
| Strengthening | Strengthening exercises performed in standing, sitting or lying with a focus on lower limb extensors and trunk muscles. Intensity of training based on a protocol designed for individuals with multiple sclerosis, with participants performing 3–5 sets of 6–12 repetitions at 6–15 repetition maximum.54 There will be a focus on maintaining correct movement patterns and eccentric control during all exercises. Physiotherapist-facilitated movement will be used if participants have insufficient muscle strength. | 35 | 15 |
| Postural control | Physiotherapist-facilitated and independent performance of selective pelvic, trunk and scapular movements, as well as rotational control in the hydrotherapy pool. Upper limb movement with postural control will be included. | 20 | 10 |
| Functional mobility | Practice and part-practice of functional movements, such as walking and lying to sitting. The hydrotherapy pool will be used for dynamic walking practice, including turning and stopping. | 20 | 10 |
| Balance training | Dynamic and static standing for ambulant participants and dynamic and static sitting balance for non-ambulant participants. Differing surfaces (foam, wobble board, exercise ball or balance disc) used to add balance challenge.19 This domain will be completed on land and in the hydrotherapy pool. | 20 | 15 |
| Coordination and control | Eccentric movement control in combination with whole-body movements17 and physiotherapist-facilitated movements of the lower limbs. | 15 | 5 |
| Sensory stimulation, mobilising and stretching | Sensory stimulation provided through active and passive foot and ankle mobilisation.55 Standing exercises will be completed barefoot to enhance somatosensory feedback. Passive mobilising and stretching provided and incorporated immediately into active and functional training. | 10 | 5 |