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The Orthopedic Blind Spot

Has this ever happened to you while driving?  Ready to switch lanes, you look over your shoulder then check the rearview mirror. All clear.  You begin to make your move, and out of nowhere comes the sound of a blaring horn. Heart pounding, you jerk the steering wheel and move back into your lane as quickly as possible. The other car was in your blind spot – you didn’t see the whole picture, and your attempted lane change could have ended badly.

Now imagine that same lack of visibility when evaluating a total joint arthroplasty (TJA) patient’s compliance with home therapy exercises. Most patients are given paper or video instructions and sent home to complete their prescribed activities. The clinician is left to wonder if the patient will adhere to the protocol. Is the patient moving the joint and how much? Is the range-of-motion (ROM) where it needs to be?  Is the patient in too much pain? About 40 percent of patients do not complete home therapy1,2, sending the clinician scrambling to get the patient back in the right lane to a desired outcome. The pathway to an undesirable outcome is paved with “what-ifs” and “if I had only known sooner” statements.  Much like a driver behind the wheel of a car, clinicians are dealing with a blind spot in a patient’s at-home recovery. Read more

Breg Flex - The Future of Orthopedics

Remote Physical Therapy Solutions – Mobility is Essential for Delivering Value

Game console therapy solutions were originally designed for use in skilled nursing and facility settings. Recently, their use has expanded to include pre-and post-operative therapy at home. Game console therapy involves performing exercises in front of a TV using an Xbox® or camera enabled laptop/tablet tracking the patient’s movement using Microsoft Kinect® camera technology. Results are delivered back to the therapist via a web portal with video communication enabled to discuss the patient’s therapy. The goal is to keep patients compliant in the home setting in order to hit triple aim objectives: lower the cost of care, improve outcomes and create a superior patient experience. Patients also have the option to begin during “pre-hab” and extend into their post-acute therapy setting. Read more