Patellofemoral Syndrome Clinical Trial
Official title:
Patient Self Monitoring to Transfer Physical Therapy Exercise From Clinic to Home
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.
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.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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