## 1 Introduction  
The field of software in healthcare and physiotherapy clinics has been growing quickly in the last ten years [1, 2]. The global physiotherapy software market size was valued at USD 1.09 billion in 2021 and is estimated to grow at a compound annual growth rate of 10.1% during 2023-2030 to USD 2.52 billion in 2030. North America dominated the p market with a share of over 52% in 2021 [3]. The two most adopted tools by physiotherapists in their clinics are electronic health records (EHRs) and practice management software (PMS) [1, 2]. On the one hand, software for EHRs enables clinicians to document, store, and retrieve electronic patients' healthcare information [4]. On the other hand, PMS was initially more focused on business and administrative operations in the practice clinic, although they have more recently included EHRs among their functionalities. Furthermore, there has been an explosion in other software packages (e.g., eHealth applications, financial systems, and applications to communicate or interoperate with other systems) that often interact/integrate with PMS [2]. According to the literature, the adoption and implementation of these digital technologies in physiotherapy clinics is associated with benefits such as efficiency in the workflow of the clinic, improved communication among members of the team, improved quality and security of care, easy data retrieval, etc. [5; 6]. Despite the potential benefits, the adoption of these technologies in physiotherapy clinics is low and slow over time [5; 6; 7; 8; 9]. Thus, for example, in Belgium, out of 18,355 active physiotherapists in the first lustrum of the 21 st century, only 30-50% of physiotherapists stored their data electronically, according to the National College of Physiotherapists, and similar data can be found in other European countries [7]. In 2015, only 19% of physiotherapy clinics in British Columbia (Canada) were using an electronic medical record, while 81% were still working on paper [1]. In 2016, only 28% of the physiotherapists from the United States of America (USA) were using an electronic system, 33% were using a system combining paper and electronic, and 38% were not using any electronic system at all [10]. Meanwhile, in Australia and New Zealand, around 60% (68.6 and 56%) of physiotherapists in two recent surveys used an electronic format for recording clinical records [11; 12]. Low adoption rates are also one of the most common problems reported with electronic systems designed for healthcare [13; 14; 15; 16; 17]. An early systematic review in 2006 [5] identified barriers to the implementation of EHRs in physiotherapy (e.g., the inadequacy of software, the challenge of staff training, and modifying the functioning of the practice). Also, the lack of information system developers' knowledge on physiotherapy processes and workflow, not addressing tangible and practical needs, and the lack of cooperation between physiotherapists and ICT developers were indicated as barriers to ICT adoption by physiotherapists [18]. Multiple recommendations, focused on software design and implementation, have been proposed for overcoming these barriers. Regarding implementation, previous and adequate planning before implementation was suggested, including staff training and considerations of potential changes required in the clinic [1; 5; 10; 19]. Aware of these recommendations and barriers, professional physiotherapy associations have been guiding their members in regard to the process of planning and adopting PMS and/or EHRs [1; 2; 10]. The main recommendations intended for software design focused on including both clinicians and a workflow analysis in the software development activities to incorporate the physiotherapists' perspectives in order to help identify and understand their requirements and processes [5]. The application of these recommendations is expected to identify the specific software attributes required by physiotherapists for practical use and minimize the impact on the workflow of the clinic.