DeconditioningActive referenceUnder clinical review

Frailty Foundation

Mobility, strength, and balance plan for older adults with frailty markers. Conservative loading with built-in fatigue gating.

Condition: Frailty Syndrome · ICD-10 R54

Minutes / session

Weeks

Phases

Outcome measures

Under clinical review

At least one module, condition, or outcome record is not marked approved. Treat this page as educational reference material, not an individualized prescription.

Safety rules and escalation

Review these module-specific checks before considering any exercise phase.

Non-bypassable platform pain rules

Pain at or above 6/10 requires an exercise substitution.
Pain at or above 8/10 stops the workout and surfaces emergency-stop guidance.

Red-flag screening

Have you fallen in the last 30 days?
Require Clearance · Recent falls require clinician evaluation before progressing balance work.
Have you had a recent collapse, blackout, or unexplained loss of consciousness?
Urgent Care · Please see a clinician for cardiac/neurological screening before exercise.
Are you severely short of breath with minimal exertion (e.g. walking across a room)?
Urgent Care · Please see a clinician before starting an exercise programme.

Clearance and monitoring checks

How many hours were you out of bed and active yesterday?
Monitoring · Inform

Phases and exercise prescriptions

Phase 1 · T0

Daily Mobilisation

4 weeks

Goals

Stand 5 times daily
Walk 5-10 min/day

Precautions

Always have support nearby
Stop if dizzy

Adductor Stretch (Butterfly)

Mobility · T0 · Beginner

2 sets · 10 reps · 90 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Alphabet (ABCs)

Activation · T0 · Beginner

2 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Weight Shifts (Front/Back, Side/Side)

Balance · T0 · Beginner

2 sets · 15 reps · 60 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Alphabet (ABCs)

Mobility · T0 · Beginner

2 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Circles

Activation · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Circles

Mobility · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Dorsiflexion Rock (Knee-to-Wall)

Activation · T0 · Beginner

2 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Dorsiflexion Rock (Knee-to-Wall)

Mobility · T0 · Beginner

2 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Pumps

Activation · T0 · Beginner

2 sets · 30 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Pumps

Mobility · T0 · Beginner

2 sets · 30 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Arm Circles

Activation · T0 · Beginner

2 sets · 15 reps · 0 sec · 20 sec rest

Recorded pain ceiling: 4/10

Arm Circles

Mobility · T0 · Beginner

2 sets · 15 reps · 0 sec · 20 sec rest

Recorded pain ceiling: 4/10

Child's Pose with Reach

Activation · T0 · Beginner

2 sets · 3 reps · 30 sec · 15 sec rest

Recorded pain ceiling: 4/10

Phase 2 · T1

Build Strength & Balance

6 weeks

Goals

Sit-to-stand x10 in 30s
Single-leg stance 5s each side

Precautions

Use chair within reach
Skip session if RPE > 6

Band 4-Way Ankle

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Clock Taps (Simple)

Balance · T1 · Beginner

2 sets · 2 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Band Dorsiflexion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Foam Pad Balance (Double to Single Leg)

Balance · T1 · Intermediate

2 sets · 1 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10

Band Eversion (Peroneals)

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Marching in Place

Balance · T1 · Beginner

2 sets · 1 reps · 45 sec · 30 sec rest

Recorded pain ceiling: 4/10

Band Face Pull

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Single-Leg Balance on Foam

Balance · T1 · Intermediate

2 sets · 10 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10

Band Inversion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Single-Leg Stand

Balance · T1 · Beginner

2 sets · 10 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10

Band Plantarflexion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Single-Leg Stand (Eyes Open)

Balance · T1 · Beginner

2 sets · 1 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10

Phase 3 · T2

Sustain & Stay Active

2 weeks

Goals

Walk turns without staggering
Climb 1 flight without rail

Precautions

Hydrate before sessions
Track fatigue daily

90/90 External Rotation

Strength · T2 · Intermediate

2 sets · 12 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Clock Reaches

Balance · T2 · Intermediate

2 sets · 8 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

90/90 External Rotation

Endurance · T2 · Intermediate

2 sets · 12 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Ankle Eversion Walk

Strength · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10

Hip Airplane

Balance · T2 · Advanced

2 sets · 6 reps · 0 sec · 60 sec rest

Recorded pain ceiling: 4/10

Ankle Eversion Walk

Endurance · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10

Ankle Inversion Walk

Strength · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10

Hip Airplane (Assisted)

Balance · T2 · Intermediate

2 sets · 5 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Ankle Inversion Walk

Endurance · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10

Band Resisted Hip IR/ER (Standing)

Strength · T2 · Intermediate

2 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Lateral Step-Down (Balance)

Balance · T2 · Intermediate

2 sets · 8 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Band Resisted Hip IR/ER (Standing)

Endurance · T2 · Intermediate

2 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Banded Ankle Walks

Strength · T2 · Intermediate

2 sets · 20 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Pallof Press

Balance · T2 · Beginner

2 sets · 10 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Banded Ankle Walks

Endurance · T2 · Intermediate

2 sets · 20 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Bear Hold

Strength · T2 · Intermediate

2 sets · 1 reps · 20 sec · 45 sec rest

Recorded pain ceiling: 4/10

Side Plank

Balance · T2 · Beginner

2 sets · 10 reps · 20 sec · 30 sec rest

Recorded pain ceiling: 4/10

Bear Hold

Endurance · T2 · Intermediate

2 sets · 1 reps · 20 sec · 45 sec rest

Recorded pain ceiling: 4/10

Outcome measures

These are the measures linked to this module's current public record.

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence: Baseline
Scale: 0–10 score
Scoring direction: Lower Better

Pain Numeric Rating (0-10)

Simple · Optional

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence: Weekly
Scale: 0–10 score
Scoring direction: Lower Better

Timed Up & Go (seconds)

Functional · Optional

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence: End Of Phase
Scale: 0–60 seconds
Scoring direction: Lower Better

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence: End Of Program
Scale: 0–10 score
Scoring direction: Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence: Baseline
Scale: 0–10 score
Scoring direction: Lower Better

Weekly Session Count

Simple · Optional

Under clinical review

Sessions completed in the last 7 days.

Cadence: Weekly
Scale: 0–14 sessions
Scoring direction: Higher Better

Functional Limitation (0-10)

Simple · Optional

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence: End Of Phase
Scale: 0–10 score
Scoring direction: Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence: End Of Program
Scale: 0–10 score
Scoring direction: Lower Better

Timed Up & Go (seconds)

Functional · Required

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence: Baseline
Scale: 0–60 seconds
Scoring direction: Lower Better

Borg Rating of Perceived Exertion

Simple · Optional

Under clinical review

Patient-reported exertion during a typical session.

Cadence: Weekly
Scale: 6–20 RPE
Scoring direction: Lower Better

Timed Up & Go (seconds)

Functional · Required

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence: End Of Program
Scale: 0–60 seconds
Scoring direction: Lower Better

Fall Efficacy (FES-I short)

Prom · Required

Under clinical review

Short FES-I 7-item fall efficacy score.

Cadence: Baseline
Scale: 7–28 score
Scoring direction: Lower Better

Fatigue Assessment Scale

Prom · Optional

Under clinical review

10-item Fatigue Assessment Scale total score.

Cadence: Weekly
Scale: 10–50 score
Scoring direction: Lower Better

Fall Efficacy (FES-I short)

Prom · Required

Under clinical review

Short FES-I 7-item fall efficacy score.

Cadence: End Of Program
Scale: 7–28 score
Scoring direction: Lower Better

Guide questions

What is the Frailty Foundation guide?

Mobility, strength, and balance plan for older adults with frailty markers. Conservative loading with built-in fatigue gating.

Is this an individualized treatment plan?

No. This page is a public educational reference. Individualized use belongs in the authenticated safety-screening and clinician workflow.

Does this module require medical clearance?

Yes. The Frailty Syndrome record requires medical clearance before the interactive workflow can progress.

Has this guide completed clinical review?

No. One or more of the module, condition, or listed outcome measures is not marked approved, so this page is labelled under clinical review.

How is this rehabilitation pathway organized?

The current record contains 3 phases, a typical session length of 20 minutes, and an overall duration of 12 weeks.