use of motrack therapy in at-home hand rehabilitation

Conditions: Hand Injuries

Summary: this study focuses on the use of a specific type of at-home hand rehabilitation software, motrack therapy, in improving the treatment of hand and wrist injuries.

compliance of patients to their prescribed at-home exercises is a large issue. to many patients, the exercises are seen as mundane and boring, decreasing the motivation of patients to complete their exercises. however, even when patients do complete their exercises, patients may have difficulty knowing whether the participants are doing their at-home exercises correctly and to the right amount. after leaving his or her therapist's office, the patient usually has nothing more than a written handout, if anything, to guide them through their at-home exercises. especially since range of motion and pain levels can change daily, it is difficult to expect the patient to consistently do his or her exercises every time, much less to do them correctly. ineffective exercises and / or a lack of compliance can lead to setbacks, complications, or even expensive and painful repeat surgeries. and at the therapist's office, the therapist may have trouble telling whether setbacks or lack of progress is because of lack of compliance, ineffective exercises, or an underlying medical problem. advances in technology have made it possible to track the hands of patients suffering from hand and wrist medical conditions as patients do their at-home exercises. furthermore, this data can be analyzed in real-time to determine if and how the patient is doing his or her exercises. another advantage of tracking the hand is that the therapy exercises can be incorporated into a fun computer game that motivates the patient to actually complete their therapy. the hypothesis is that having a computer and accompanying sensors track the hand to give real-time feedback, monitor improvements over time, and gamify the therapy experience to motivate the patient will improve the standard of care given to patients. if this hypothesis is true, patients will understand their exercises better, be inclined to do them more often, and thus have better outcomes. not only will patients benefit, but the therapist's job will be easier as well. the therapist will have quantitative data to help distinguish medical issues from exercise issues. ideally, a very successful trial would even suggest a possibility for the patient to rely less on the therapist for the at-home exercises, giving the therapist time to focus on more difficult cases. this research therefore is important because the problems with at-home therapy may be mitigated or solved with such an aid.

Eligibility criteria:
inclusion criteria * participants with hand and wrist conditions that require at-home exercises of wrist/finger movements, including dorsiflexion, palmar flexion, radial deviation, ulnar deviation, supination, pronation, thumb adduction, etc. * participants who have fractures and similar conditions as the cause of the problem * participants must be able to give their own consent. exclusion criteria * pregnant women * participants not fluent in english * participants below the age of 18 * participants institutionalized or incarcerated * participants who's hand condition is primarily nerve-related as opposed to being caused by a fracture or similar condition

Keywords: rehabilitation motrack therapy telemedicine computer vision compliance