Calculation of the expert competence coefficient (K)
| Participants | Kc* | Ka** | K*** |
|---|---|---|---|
| E1 | 0.9 | 1 | 0.95 |
| E2 | 0.8 | 1 | 0.9 |
| E3 | 0.9 | 1 | 0.95 |
| E4 | 1 | 1 | 1 |
| E5 | 1 | 1 | 1 |
| E6 | 0.9 | 0.9 | 0.9 |
| E7 | 0.9 | 0.9 | 0.9 |
| E8 | 0.9 | 1 | 0.95 |
| E9 | 0.7 | 0.9 | 0.8 |
| E10 | 0.7 | 0.8 | 0.75 |
| E11 | 0.8 | 0.8 | 0.8 |
| E12 | 0.9 | 1 | 0.95 |
Summary table of responses to the second round of the Delphi study
| 2nd round | Participant response/(Percentage answers) | |||||
|---|---|---|---|---|---|---|
| Question | Strongly agree | Agree | Neutral | Disagree | Strongly disagree | Consensus reached |
| 1 | 5 (45.45%) | 3 (27.27%) | 3 (27.27%) | 72.72% | ||
| 2 | 8 (72.72%) | 3 (27.27%) | 100% | |||
| 3 | 4 (36.36%) | 3 (27.27%) | 4 (36.36%) | 63.63% | ||
| 4 | 3 (27.27%) | 2 (18.18%) | 2 (18.18%) | 3 (27.27%) | 1 (9.09%) | 45.45% |
| 5 | 2 (18.18%) | 1 (9.09%) | 4 (36.36%) | 4 (36.36%) | 18.18% | |
| 6 | 3 (27.27%) | 3 (27.27%) | 3 (27.27%) | 2 (18.18%) | 54.54% | |
| 7 | 5 (45.45%) | 3 (27.27%) | 1 (9.09%) | 2 (18.18%) | 72.72% | |
| 8 | 6 (54.54%) | 4 (36.36%) | 1 (8.33%) | 90.90% | ||
| 9 | 5 (45.45%) | 5 (45.45%) | 1 (8.33%) | 90.90% | ||
| 10 | 8 (72.72%) | 3 (27.27%) | 100% | |||
| 11 | 3 (27.27%) | 4 (36.36%) | 1 (9.09%) | 3 (27.27%) | 63.63% | |
| 12 | 8 (72.72%) | 1 (9.09%) | 1 (9.09%) | 1 (9.09%) | 81.81% | |
Summary table of the protocol agreed upon by the experts through a Delphi study_ An early, intensive, and complementary aquatic rehabilitation protocol after arthroscopy rotator cuff repair
| Initial valuation | _ ROM (passive) | Valuation at the beginning of the first session | |
|---|---|---|---|
| Beginning of the protocol | _Start on the 2nd or 3rd week * after surgery | * According to the decision of the surgeon and healing of the incisions. Possibility to start earlier with waterproof dressings to prevent contact with water with surgical incisions prior to complete healing | |
| Duration of the protocol | _Three weeks | ||
| Sessions | Aquatic sessions:
| Land-based sessions:
| |
| Targets | First week of aquatic therapy |
| Remind the patient to perform the exercises and guidelines given by the hospital / medical center rehabilitation service at home |
| 2nd and 3rd week of aquatic therapy |
| ||
| Work instructions |
|
| |
| Final valuation | _ ROM (passive) | Valuation at the end of the last session (session 9) | |
Summary table of responses to the 1st wave of the Delphi study
| 1st wave | Participant response / (Percentage answers) | |||||
|---|---|---|---|---|---|---|
| Question | Strongly agree | Agree | Neutral | Disagree | Strongly disagree | Consensus reached |
| 1 | 7 (58.31%) | 4 (33.32%) | 1 (8.33%) | 91.63% | ||
| 2 | 5 (41.65%) | 6 (49.98%) | 1 (8.33%) | 91.63% | ||
| 3 | 6 (49.98%) | 3 (24.99%) | 2 (16.66) | 1 (8.33%) | 74.97% | |
| 4 | 3 (24.99%) | 5 (41.65%) | 3 (24.99%) | 1 (8.33%) | 66.64% | |
| 5 | 4 (33.32%) | 5 (41.65%) | 3 (24.99%) | 74.97% | ||
| 6 | 2 (16.66%) | 7 (58.31%) | 2 (16.66%) | 1 (8.33%) | 74.97% | |
| 7 | 10 (83.33%) | 1 (8.33%) | 1 (8.33%) | 91.63% | ||
| 8 | 3 (24.99%) | 3 (24.99%) | 3 (24.99%) | 2 (16.66%) | 1 (8.33%) | 49.98% |
| 9 | 10 (83.33%) | 2 (16.66%) | 100% | |||
| 10 | 10 (83.33%) | 2 (16.66%) | 100% | |||
| 11 | 6 (49.98%) | 2 (16.66%) | 2 (16.66%) | 2 (16.66%) | 66.64% | |
| 12 | 3 (24.99%) | 2 (16.66%) | 2 (16.66%) | 5 (41.65%) | 41.65% | |
| 13 | 6 (49.98%) | 5 (41.65%) | 1 (8.33%) | 91.63% | ||
| 14 | 6 (49.98%) | 5 (41.65%) | 1 (8.33%) | 91.63% | ||
| 15 | 9 (74.97%) | 3 (24.99%) | 100% | |||
| 16 | 9 (74.97%) | 2 (16.66%) | 1 (8.33%) | 91.63% | ||
| 17 | 10 (83.33%) | 2 (16.66%) | 100% | |||
| 18 | 5 (41.65%) | 6 (49.98%) | 1 (8.33%) | 91.63% | ||
| 19 | 9 (74.97%) | 2 (16.66%) | 1 (8.33%) | 91.63% | ||
| 20 | 5 (41.65%) | 4 (33.32%) | 2 (16.66%) | 1 (8.33%) | 74.97% | |
| 21 | 9 (74.97%) | 2 (16.66%) | 1 (8.33%) | 91.63% | ||
| 22 | 9 (74.97%) | 3 (24.99%) | 100% | |||
| 23 | 5 (41.65%) | 6 (49.98%) | 1 (8.33%) | 91.63% | ||
| 24 | 10 (83.33%) | 1 (8.33%) | 1 (8.33%) | 91.63% | ||
| 25 | 7 (58.31%) | 5 (41.65%) | 100% | |||
| 26 | 12 (100%) | 100% | ||||
| 27 | 2 (16.66%) | 8 (66.64%) | 2 (16.66%) | 83.30% | ||
Summary of the answers to the socio-demographic questionnaire of the participants in the Delphi study
| Participants | Socio-Demographical Questions | |||||
|---|---|---|---|---|---|---|
| Age | Gender | Education – main studies | Current professional job | Years dedication water rehabilitation/investigation Average: 20.27/SD: 9.80 | Specialized course in water rehabilitation | |
| P1 | 65 | Male | Degree | CEO Aquatic therapy company | 42 | Bath hydrotherapy and Valens aquatic therapy course |
| P2 | 53 | Fem | Master | Physical therapist | 16 | Aquatic Therapy University Aquaticist |
| P3 | 41 | Fem | PhD | Physiotherapist rehabilitator and university teacher | 20 | Therapeutic swimming, Specific water therapy, Halliwick, Watsu TCSA, Water therapy in ASD |
| P4 | 34 | Fem | Master | Injury rehabilitator and physical trainer at the pool and gym | 10 | Teaching specialized courses in the recovery of injuries in the aquatic environment |
| P5 | 62 | Fem | PhD Candidate | Director of hydrotherapy department | 40 | Several: Advanced Hydrotherapy, Watsu, halliwick, Bad Ragaz, neurology, Pediatrics… |
| P6 | 57 | Fem | PhD | Physiotherapist in hospital | 20 | Several in: IATF and GIFA-APFISIO |
| P7 | 40 | Fem | PhD | Physiotherapist | 21 | Halliwick |
| P8 | 48 | Fem | Degree | PTA | 6 | Certification from Aquatic Therapy University |
| P9 | 63 | Male | PhD | Teacher | 35 | No. I’ve created a method of a aquatics therapy |
| P10 | 40 | Fem | Degree | Physiotherapist | 15 | Several (Bad ragaz, halliwick, ai-chi, therapeutic swimming, watsu, expert technician in aquatic therapy |
| P11 | 41 | Fem | Degree | Physiotherapy | 20 | No |
| P12 | 57 | Fem | PhD | Invited teacher, physioterapist on hospital | 20 | Several: in switzerland and Portugal. I’m IATF member |