Rehabilitation with online personal guidance
moveUP is an online platform for people undergoing knee or hip surgery. Based on personal data, the moveUP care team draws up a tailor-made rehabilitation programme. After the operation, the patient
receives a personal exercise schedule and is personally coached and supervised via the moveUP app. The supervision is provided by moveUP physiotherapists or by a physiotherapist of the patient's own.
Annually, approximately 22,000 total knee replacements and 25,000 total hip replacements are placed in both Belgium and the Netherlands. This number increases every year. At the same time, patient expectations also increase. Some count on a pain-free and functional life, others hope to be able to practice their sport or hobby again unhindered. moveUP supports the patient in a personalised rehabilitation process.
The patient is informed about moveUP before surgery during an information session at the hospital or at the attending physician. From that moment on, moveUP uses a smart bracelet to show how active the patient is, when the patient is in pain, what expectations there are and other things that can influence rehabilitation. Based on this information, the moveUP care team draws up a personal rehabilitation programme.
After the operation, the physiotherapist will draw up a personal exercise schedule for the patient based on the profile, activity, and pain level. If necessary, a doctor will also check the medical condition and give advice on medication and the wound. Coaching and guidance take place via the moveUP app on tablet or smartphone.
The app is continuously in contact with the moveUP care team and thanks to the smart bracelet, progress is monitored daily.
During the rehabilitation process, the surgeon/physician being treated is informed of developments at appropriate times. The doctor is also consulted when the rehabilitation is complete. As a rule, the process takes six to twelve weeks, depending on age, medical profile and physical condition.
moveUP was developed together with patients, surgeons, general practitioners, physiotherapists and engineers. During a clinical study in three hospitals in Ghent, Brussels and Roeselare, more than 250 patients were successfully guided by moveUP during their knee or hip rehabilitation.
In the Netherlands, a co-creation session took place with people who had recently undergone knee or hip surgery. They gave their opinion on the set-up of moveUP. The interviewees reacted predominantly positively, but still had doubts whether they would like to be fully digitally supported in their rehabilitation.
In addition, a co-creation session took place with TanteLouise's physiotherapists. They indicated that moveUP is less suitable for the clients of TanteLouise, given their age and unfamiliarity with technical applications. The method of financing is an additional obstacle to the use of moveUP in geriatric rehabilitation care.
In the Netherlands, the business model was further discussed extensively with the Amphia hospital and health insurer CZ. As a result, Amphia started a pilot on 1 November 2020. For one year, 600 patients are offered aftercare via moveUP. In this way, the hospital wants to discover how this way of rehabilitation works in the Netherlands, for which patients it does and does not work and what patients themselves think of it.
In addition, the concept whereby local physiotherapists can be deployed in the online guidance has been discussed with physiotherapists from West-Brabant, including Van Broekhoven.
In France, Eurasanté moveUP brought together specialists from two hospitals. Information was exchanged on rehabilitation procedures for patients following knee or hip surgery. Insights were also provided on regulations and reimbursement modalities in France.
A co-creation with the elderly was set up in collaboration with La Vie Active residential care centre Les Terrasses de la mer in Coquelles.
In the UK, partner Anglia Ruskin University set up an interview with an orthopaedic specialist connected to an NHS hospital.
A co-creation with the elderly was carried out with panel members of the living lab, connected to the Faculty of Health, Education, Medicine and Social Care.
The Flemish LiCalab care laboratory coordinated the cross-border activities for this dossier and wrote the scenarios for co-creation and expert interviews.
moveUP is certified in Belgium as a 'Class 1 Medical Device' and has had CE marking since October 2017.
The further implementation of the moveUP in the Netherlands depends on the pilot at the Amphia hospital.
