Clinical Trials Logo

Clinical Trial Summary

Our objective is to develop an IBEHR (Image-Based Electronic Health Record) to show patients how to reproduce at home the exercises prescribed by their physical therapist (PT) in clinic. The IBEHR can also record home exercise sessions for review by and feedback from the PT. The HEALTH CARE BENEFITS of the IBEHR for patient self monitoring are: improved transfer of physical therapy exercise from clinic to home, increased adherence to the exercise prescription, and recording home exercise to assist PT decision making.


Clinical Trial Description

Our objective is to develop an IBEHR (Image-Based Electronic Health Record) to help patients to transfer and reproduce at home the exercises they were prescribed by their physical therapist (PT) in clinic. More than 17 million (M) patients are diagnosed with conditions that may benefit from PT in the U.S. each year. Adherence to home exercise is the most important factor in functional recovery, and feedback from the exercise prescriber is the most important factor in achieving patient adherence. However in current practice the patient only gets feedback at clinic visits which may be weeks apart.

The proposed IBEHR will give patients visual feedback in real time comparing their performance at each repetition at home with a recording of themselves performing the exercise correctly in the clinic under the PT's supervision. The visual graphics show the patient how to better position his/her body and extremities. Such feedback is likely to improve adherence with the treatment regimen in terms of frequency, duration, and correctness of exercise, and thus facilitates transition of care between clinic and home.

The IBEHR is also a telemedicine tool because the patient can transmit recordings of home exercise to the PT for rapid review and feedback.

A third benefit of the IBEHR is to improve health care decision making by the PT. In current medical practice, it is difficult for a PT to determine why a patient fails to recover as expected. By recording the exercise performed at home, the IBEHR provides monitoring data that informs the PT whether the patient adhered poorly to prescribed exercise frequency or duration, the patient performed the exercise incorrectly, or the PT prescribed the wrong exercise.

Our Specific Aims are to 1) develop the IBEHR software, 2) perform alpha testing of device accuracy and beta testing of user interface ease of use, and 3) perform preliminary evaluation of the efficacy of the IBEHR to improve adherence.

The HEALTH CARE BENEFITS of the IBEHR for patient self monitoring are: improved transfer of physical therapy exercise from clinic to home, increased adherence to the exercise prescription, and recording home exercise to assist PT decision making. ;


Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label


Related Conditions & MeSH terms


NCT number NCT01781325
Study type Interventional
Source University of Washington
Contact
Status Withdrawn
Phase N/A
Start date January 2015
Completion date December 2015

See also
  Status Clinical Trial Phase
Recruiting NCT00166777 - Effect of Hip Adduction Combination With Knee Extension Exercise on Morphology of Quadriceps Muscles, Pain and Functional Outcomes in Patients With PFPS Phase 1
Not yet recruiting NCT05303610 - Effects of Tissue Properties of the Superficial Anterior Myofascial Chain on the Development of Patellofemoral Pain Syndrome
Completed NCT04173468 - Mobilization With Movement Versus Mulligan Knee Taping Technique on Patellofemoral Pain Syndrome. N/A
Terminated NCT01007643 - Use of Wii Fit (TM) to Increase Compliance With Home Exercises in Treating Patellofemoral Syndrome N/A
Recruiting NCT06131710 - Effects of Proximal Strengthening Exercises in Patellofemoral Pain Syndrome Among Basketball Players N/A
Completed NCT04752501 - Maladaptive Psychosocial Beliefs and Adolescents With Patellofemoral Pain N/A
Completed NCT04480528 - Strength Training in Female Runners With Patellofemoral Pain N/A
Completed NCT02514005 - Manual Therapy and Dry Needling in Patellofemoral Syndrome N/A
Completed NCT01767246 - The Evaluation of a Novel Treatment Algorithm for Patients With Patellofemoral Syndrome N/A
Completed NCT04323267 - Digital Home-Exercise Therapy Application For Patients With Non-Surgical Knee Injuries N/A
Completed NCT05995210 - Comparing the Effectiveness of Kinesio Taping and Knee Orthosis in Patients With Patellofemoral Pain Syndrome N/A