Sticky Exercises

Introducing digital tours to improve patient experience

Half of rehabilitating patients do not do their physical therapy exercises, or not. In the transition from short-term treatment (assisted rehabilitation) to long-term (self-employed), this number will increase even further. For disorders such as, for example, hereditary spastic paraparesis (HSP), loss of mobility can lead to earlier loss of independence because use of a wheelchair becomes necessary. The time between two botuline injections to reduce spasticity also decreases. This in turn leads to more expensive care for this patient. Patients with a click prosthesis follow a rehabilitation program, which in case of insufficient progress after the first weeks is extended with a second period. Patients with Neuralgic Amyotrophy benefit from rapid recovery from a pain attack. Parallels can be drawn for other more common syndromes. In the guidelines of the Royal Dutch Society for Physiotherapy (KNGF) the importance of good and consistent performance of exercises is clearly substantiated. Increasing patient compliance appears to be a challenge and it is unlikely that it will be solved with a single intervention.
In patient interviews with Radboudumc REshape, patients consistently indicate that they do not want to feel a patient. All the activities they do on account of their illness make them feel patient. This also applies to doing exercises. That confronts them with being patient and also costs time. This time, for example, the patients can also spend on social activities. Because no negative effects are noticeable in the short term, patients often skip the exercise in favor of direct benefits. “Being busy” are referred to patients as an important reason for not doing exercises. Other frequently heard arguments are “does not fit in the daily routine”, “forgotten” and “pain”. In order to minimize the experienced time load, the idea arose to have exercises performed briefly, spread over locations and in time.
Touchless Sticky Exercise Home solution

With the knowledge and support from physiotherapists, Touchless’ developed an application called Sticky Exercises, where stickers of the size of a creditcard are placed in people’s homes. By simply tapping or scanning these stickers a video showing the patient’s video will pop up, reminding the patient the correct exercise has to do. To ensure these excercises are sustainably performed over time, patient’s get reminders and have a visual performance board integrated in their personal app as well.

Video afspelen

Case at RadboudUMC Reshape center and in more than 20 people’s homes
With interest from diverse physiotherapists as well as patients, more than 1000 exercises were performed at home.

 

Links to more info:
https://www.nfu-ehealth.nl/projecten/alle-projecten/sticky-exercises/
https://www.nfu-ehealth.nl/nieuws/sticking-to-your-exercises-patienten-willen-er-nauwelijks-voor-hoeven-kieze/