RESEARCH PAPER
An evaluation of a physical therapy app for home rehabilitation
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1
Rehabilitation Clinic, Institute of Rural Health, Lublin, Poland
2
Rehabilitation Clinic, Neurological Rehabilitation Department, Institute of Rural Health, Lublin, Poland
3
Faculty of Electrical Engineering, University of Technology, Warsaw, Poland
These authors had equal contribution to this work
Corresponding author
Patryk Michał Siwiński
Rehabilitation Clinic, Institute of Rural Medicine, Doktora Kazimierza Jaczewskiego 2, 20-950, Lublin, Poland
KEYWORDS
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ABSTRACT
Introduction and objective:
In recent years, digital tools such as mobile rehabilitation applications have been introduced to support motivation and improve patient involvement in therapy. However, the additional benefits of such tools in structured rehabilitation progrmmes remain uncertain. The aim of this study is to evaluate the effect of a rehabilitation programme supported by a mobile application on patient motivation and functional outcomes compared with standard rehabilitation.
Material and methods:
The study included 60 participants undergoing rehabilitation. Functional performance was assessed using the TINETTI scale, and independence in daily activities evaluated with the ADL scale. Patient motivation toward physical activity was measured using a 5-point Likert scale before and after completion of rehabilitation. Statistical analysis included Wilcoxon signed-rank tests for within-group comparisons and Mann–Whitney U tests for between-group comparisons. A significance level of p < 0.05 was adopted.
Results:
Significant improvements in TINETTI scores were observed in both groups (p < 0.001), indicating substantial functional improvement in balance. Motivation levels increased after rehabilitation in both groups. The motivation score increased from 3.23–3.77 in the control group and from 3.40–3.93 in the research group. However, no statistically significant differences between groups were observed. ADL results showed minimal variability, suggesting a ceiling effect and limited sensitivity of the scale for detecting functional changes.
Conclusions:
Structured rehabilitation resulted in significant improvements in functional performance and patient motivation. The rehabilitation programme supported by a mobile application did not demonstrate superior outcomes compared with standard rehabilitation in this study.
REFERENCES (16)
1.
Romanowska M. Planowanie strategiczne w przedsiębiorstwie [Internet]. 3rd ed. Warszawa: Polskie Wydawnictwo Ekonomiczne; 2017 [cited 2026 Feb 19]. 272 p. Available from:
https://www.profinfo.pl/sklep/....
2.
Tawiah AK, Wieler M, Miller J, et al. What is the global perspective on advanced practice physiotherapy: A qualitative study across five countries. PLOS ONE. 2025 Apr 28;20(4):e0320842. doi:10.1371/journal.pone.0320842.
3.
Rousseau C, Stiegler B. Questioning evidence-based practice in physiotherapy: a philosophical reflection. The example of physiotherapy with musicians. Front Psychol. 2024 Aug 20;15. doi:10.3389/fpsyg.2024.1427648.
4.
Bernardczyk K. Wiktora Degi Ortopedia i rehabilitacja. T. 1. Wyd. 1 (dodr.). Warszawa: Wydawnictwo Lekarskie PZWL; 2008.
5.
Tederko P, Górnicz M, Babij K, et al. Rehabilitation – definition for research purposes. Ann Agric Environ Med. 2024 Dec 22;31(4):609–15. doi:10.26444/aaem/192615.
6.
Pałucka D. Kiedy oprogramowanie to wyrób medyczny. Nowe Technologie IT w ochronie zdrowia. 2015;20–3.
7.
McWilliams D, Gustafson O, Wyer N, et al. Physiotherapy and Optimised Enteral Nutrition In the post-acute phase of critical illness (PHOENIX): protocol for a mixed methods feasibility randomised controlled trial. BMJ Open. 2025 Mar 1;15(3):e100803. doi:10.1136/bmjopen-2025-100803 PubMed PMID: 40147993.
8.
Batra Deep Manishkumar P. Revolutionizing Healthcare Platforms: The Impact of AI on Patient Engagement and Treatment Efficacy. IJSR. 2024 Feb 5;13(2):273–80. doi:10.21275/SR24201070211.
9.
Chioma Anthonia Okolo, Oloruntoba Babawarun, Jeremiah Olawumi Arowoogun, et al. The role of mobile health applications in improving patient engagement and health outcomes: A critical review. Int J Sci Res Arch. 2024 Feb 28;11(1):2566–74. doi:10.30574/ijsra.2024.11.1.0334.
10.
Imamura M, Shinzato GT, Sugawara AT, et al. The Institute of Physical Medicine and Rehabilitation, Hospital das Clínicas University of São Paulo School of Medicine comprehensive rehabilitation programfor elderly people with knee osteoarthritis. Front Med. 2022 Nov 9;9:1029140. doi:10.3389/fmed.2022.1029140.
11.
Moksnes HØ, Schäfer C, Rasmussen MS, et al. Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries. JCM. 2023 Aug 15;12(16):5300. doi:10.3390/jcm12165300.
12.
Cottrell MA, Galea OA, O’Leary SP, et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017 May 1;31(5):625–38. doi:10.1177/0269215516645148.
13.
Tenforde AS, Borgstrom H, Polich G, et al. Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic. Am J Phys Med Rehabil. 2020 Nov;99(11):977–81. doi:10.1097/PHM.0000000000001571 PubMed PMID: 32804713; PubMed Central PMCID: PMC7526401.
14.
Pastora-Bernal JM, Estebanez-Pérez MJ, Molina-Torres G, et al. Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial. Int J Environ Res Public Health. 2021 Mar 12;18(6):2924. doi:10.3390/ijerph18062924 PubMed PMID: 33809277; PubMed Central PMCID: PMC7999591.
15.
Bouwstra H, Smit EB, Wattel EM, et al. Measurement Properties of the Barthel Index in Geriatric Rehabilitation. J Am Med Dir Assoc. 2019 Apr;20(4):420–425.e1. doi:10.1016/j.jamda.2018.09.033 PubMed PMID: 30448338.
16.
Sherrington C, Fairhall N, Wallbank G, et al. Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review. Br J Sports Med. 2020 Aug;54(15):885–91. doi:10.1136/bjsports-2019-101512 PubMed PMID: 31792067.