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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Developing an innovative digital solution for home exercise programs in hand therapy

Meeting Abstract

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  • presenting/speaker Alejandro Suero Pineda - FISEVI, Sevilla, Spain
  • Jesús Blanquero Villar - University of Seville, Seville, Spain
  • Pablo Rodríguez Sánchez-Laulhé - FISEVI, Seville, Spain
  • Manuel Rodríguez-Piñero Durán - Hospital Universitario Virgen Macarena, Seville, Spain
  • María Ángeles García Frasquet - Hospital Universitario Virgen Macarena, Seville, Spain

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1241

doi: 10.3205/19ifssh1549, urn:nbn:de:0183-19ifssh15497

Published: February 6, 2020

© 2020 Suero Pineda et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Clinical issue/s: Home exercise programs are essential in hand therapy. According to the latest scientific literature, sensorimotor approach must be included in clinical practice. At the same time, adherence control is vital to ensure effectiveness of home exercise programs.

Clinical reasoning: Experts suggest the potential of applications to support sensorimotor approach and adherence control. Therefore, current literature claims the needs of certified hand therapists regarding electronic applications.

Innovative, analytical or new approach: In this matter, a team of physiotherapists, hand surgeons and rehabilitators has developed a digital solution based on a tablet app for patients and a web dashboard for professionals.

The app provides patients an accessible support to develop their home exercise program. These exercises are totally personalized through patient's calibration before each exercise according pain level and range of motion. Exercises are developed touching the screen. This allows the system to record data that ensure adherence and development control.

The dashboard is a web platform where see these data collected. Professionals can know patients development and adherence. Hence, professionals can modify exercise program and send validated scales to patients as Quick Dash, PRWE or VAS.

Contribution to advancing HT practice: This solution might solves the way injuries in hand therapy are treated nowadays, by using technology as a tool to improve the efficiency, cost and timing of treatments. Exercises are based on a sensorimotor approach and a guided and controlled home programs.

Currently, a multicenter trial is being developed to evaluate clinical and economic efficacy in different hand surgery and hand therapy departments. This study is part of an activity that has received funding from the European Institute of Innovation and Technology (EIT). This body of the European Union receives support from the European Union's Horizon 2020 research and innovation programme.