Rehapp

Novel joint rehabilitation aid to improve patient outcomes post ACL reconstruction surgery.

2018 Group Project with Mar Estrellas Garcia, David Jedeikin, Nate Macabuag, Edward McLaughlin

70% of patients do not continue rehabilitation outside of a clinical setting.

Rehapp improves ACL rehabilitation by guiding patients to extend and hold their knee joint at the correct angle and duration, in an intuitive and engaging way.

Rehapp was awarded with best human centered rehabilitation device in 2018 by the Department of Human Robotics, Bioengineering, Imperial College London.

I was responsible for the app, UI and gameplay as well as integrating the hardware and software together.

Background

The total cost of care for an ACL reconstruction surgery is estimated to have a mean of $13,000 (£11,000) per patient. The postoperative care contributes considerably to this cost.

The cost of rehabilitation is not just monetary. Patients are required to see a physiotherapist every 2-3 weeks to assess their recovery. Knowing that the are an estimated 100,000 ACL reconstruction surgeries a year in the US, this has a total cost of 1.5 million man hours to the US economy.

Medical standard post operative knee hinge brace.

Understanding Pain Points

We interviewed patients recovering from ACL surgery and spoke to an orthopaedic registrar. We found vague exercises were prescribed to be performed at home without doctor supervision.

Experiencing pain and a lack of quantified progress left patients feeling distressed and unsure about whether they were performing correctly. The result was often an unnecessary return to the hospital.

Lack of information exchange between patient and doctor resulted in worry, and time wasted for both the patient and the clinician.

Solution

Rehapp is a wearable device that measures leg angle and guides patients through physiotherapy with haptic feedback and through engaging games on an app.

The video below demonstrates a run through of prototype:

UI

The user interface was created using python and integrated with the hardware to create a fully functioning prototype.

Patients can choose from a selection of different game formats.

The Garden game allows patients to grow their own garden of flowers while performing their knee flexion and extension exercises. This guides them through the movement, making sure they are reaching the correct angle, duration and number of repititions.

Patients control a virtual watering can with their leg angle.

Review page lets patients know how well they performed, how they could improve and sends feedback straight to their doctor.

Track progression over time and share!