From consultation till hospital stay
- Hospital registers a patient for moveUP
- Patient receives an email with instructions on how to install the app on their smartphone or tablet. He/she also fills out a form to agree with the moveUP pricing and orders a compatible step counter.
- The physiotherapist of the patient’s choice gives a full presentation and explanation of all the mobile application’s functions and carries out the medical history. The physiotherapist provides the patient with all the necessary preoperative information. This preoperative education includes answering questions from the patient.
- 14 days before the operation the patients starts to use the moveUP app on a daily basis. He/she fills out medical and daily questionnaires and syncs his/her step counter.
- The mobile moveUP application provides the patient with information on the intervention, guidelines to prepare for it and for returning home.
During hospital stay
- A healthcare provider in the hospital adds the data of the intervention (type of implant, anaesthesia, …) to the patient’s profile.
- From day 0, after waking up from anaesthesia, the patient’s rehabilitation starts with basic mobilisation exercises and the first pain observations.
After discharge from hospital
Daily patient follow-up by the physiotherapist:
1. Analysis of the patient’s evolution
- Pain (day / night / exercises)
- General condition
- Joint heat
- Physical activity (walking and other activity)
- Medication use (NSAID or other painkiller(s))
- Use of crutches
2. Adjustment of daily treatment
- The key here is to adjust the exercise scheme to the daily evolution and recovery of the patient, but also to the other parameters in the patient profile.
- The exercise scheme consists of different categories of exercises with different goals (circulation, mobility, strengthening, improved balance, functionality). In each category there are different levels of difficulty and load. To select the most appropriate exercises, the physiotherapist follows the moveUP guidelines (guidelines and decision tree of exercises) as well as takes into account his/her clinical expertise.
- Advice on physical activity
- Every day, the physiotherapist determines the maximum number of steps for the patient, based on the patient’s current and previous parameters.
- The physiotherapist will also evaluate the global load on the body and especially on the operated joint to determine his/her advice towards maximum physical activity.
- This evaluation of the load also includes the exercise scheme.
- The physiotherapist will inform the patient of the reasons why this maximum number of steps has been set and, if necessary, give advice on the load
- The patient can ask his questions daily (7/7) through a messaging system in the mobile application. The physiotherapist will answer the patient on basis of the patient profile and his evolution.
- The physiotherapist will give advice and motivational messages on a regular basis, personalised with the patient’s data and patient’s achievements.
- This close follow-up and communication aims to strengthen the patient’s trust in the physiotherapist.
- Video request
- On a regular basis and according to the patient’s protocol and development, the physiotherapist will ask the patient to make various types of videos in order to monitor the patient’s further functional condition and to evaluate the patient’s further functional state.
- Examples are: gait, ROM, exercise performance, …. In addition, the physiotherapist can schedule a physical session when he deems it necessary and at least once a month.
3. Depending on the stage and development of the patient
- Detailed follow-up of the answers to the daily questionnaires and the medical scores
- Video questions / video analysis (Gait, ROM)
- Planned and ad hoc messages to the patient
- Answering questions
- Asking for more details
- Providing explanations on the rehabilitation and sending supportive messages
- Referral to 2nd line via the alert function
Does the patient want to stop rehabilitation with moveUP?
- Continuing rehabilitation via traditional physical therapy requires a new physical therapy prescription. Article 3, point ‘3.2.3. Cumul’ provides important explanations in this regard.
- If the patient, in consultation with the physiotherapist, decides to stop rehabilitation using moveUP, the reason for stopping must be registered in the medical dashboard.