Tuesday, April 26, 2016

Colton Hamlin
Senior Project Final Draft
Rehabilitation App

Introduction

For my senior project I chose to focus on rehabilitation.  Because rehabilitation will be incorporated in my everyday life once I begin my career, I thought it would be beneficial to come up with a way to positively affect rehabilitation in some way.  I used this idea to create an app that provides efficient workouts, direct communication, and immediate access to benefit both the therapist providing the rehabilitation as well as the patient doing the rehabilitation.
Rehabilitation is an area of interest for me because I plan on using it during my career as an Occupational Therapist.  I have had to participate in rehabilitation because of injuries I’ve had in the past and observe acquaintances go through rehab as well.  Throughout all these experiences, I have gained much interest in bettering the accessibility and efficiency of rehabilitation. 
I chose to do an app because technology is becoming so advanced that things that were once difficult and time consuming are now easy and almost immediate. In this day and age, near everyone has a smart phone and is becoming more and more tech savvy. In my research I found that there is an app that allows the sender to send out a message to multiple recipients but doesn’t have to allow them to respond. This is beneficial to the therapist because he can still get messages across quickly, but keep from getting bombarded with replies. 

 A review of literature that addresses the issue.
            I was unable to find any literature that addressed this issue of needing an app for physical therapy. I believe this is because there are tons of apps out there for physical and occupational therapy, but none with the focus that I have created. I exhausted several hours researching articles for this issue and came up empty handed. I also exhausted several more hours researching apps that were the same or even remotely in the same ball field. The problem I found with most of these apps as well is that they always cost money to see how they work either online or the app store. The ones that I did get into were either just for the instructor or just an anatomy and diagnosis app.

Your project proposal and how it addresses the issue, as well as how it satisfies certain PLOs.

            At the beginning of my senior project I thought I would be able to create an app that helps with physical rehabilitation. Once I got into the project I realized I was ill equipped to create an entire app and that it was a bite too big for me to chew. I did not have the technology or resources to create the app, so I decided to create the idea and conceptualize the app with hopes that in the future I would be able to pitch the app to someone and have it finished.
            The design of my app with be unlike anything I’ve researched or seen thus far.  Not only will my app give workouts for patients to complete and progress in their shoulder rehabilitation, the app with also track their progress with an accelerometer technology and smartphones (or other technological devices).  The accelerometer technology will be able to track the angles and movements of their arms and shoulders to see their range of motion and speed.  Having the accelerometer technology implemented in the app will give immediate feedback to the therapist so they will be able to treat a patient right away, see the patients’ progress, and make precise adjustments to a quicker and more efficient rehabilitation and recovery. 
            The issue I found is that therapists have a hard time keeping up to date with patients after they leave the rehabilitation center. This is a problem because therapists are only able to see them a few times a week, so they have to assign home workouts to their patients.  If the patient forgets what rehabilitation exercise they are supposed to do or how they are supposed to do the rehabilitation, it stunts their progress and decreases their satisfaction.  When the therapist cannot see the patient face-to-face each day, it is hard for them to keep track of accurate progress in their rehabilitation.  The app allows the therapist to eliminate this issue by seeing immediate progression or regression of the patient and modifying the workout as such.  Having patients do home workouts without the accelerometer technology and only seeing them three times a week makes the progress slower and not as beneficial as it could be.  The therapist is more educated and can see patterns each day he wouldn’t otherwise be able to see. While I have been job shadowing I have been able to see how they use a protractor to measure range of motion. With accelerometer technology It will take educated guessing and “trying to get it as close as possible as last time” out of the equation.

Your project plan with measurable objectives.
            My plan was to do research to find a specific part of rehabilitation that I could focus on for this project and then create an app for that specific part. I chose the shoulder and arms because I was unable to find an app that would focus on just this. I decided to interview 5 therapists here in St. George that I had access to and ask them these questions:
1.     What apps do you currently use?
2.     Which ones are most helpful?
3.     What attributes would you require for an app?
4.     How often do you think you would use these attributes?

After I came up with my plan of creating a shoulder app that therapists and patients can use in unison and will measure angle and speed (using an accelerometer) I gave a simple outline of the app and asked those same therapists if this was something they would be interested in.  One therapist mentioned, “This app would be a game changer.”  Another therapist stated, “If you could create an app like this that was reliable, I would use it every single day.”   Each therapist responded to this idea and said they would use this app with nearly every shoulder patient. After I gained their approval, the next step was to conceptualize the app and create how the app would work step by step. This required great hours of research of practical use for the app. For example, I wanted to know if the app would be able use the accelerometer tech inside a cell phone or if I would have to use another source, such as Arduino Technologies accelerometer.
           
Analysis of the plan's effectiveness - observational research, data analysis, application to identified PLOs.
            The plan was effective and executed as planned, but it was not where I wanted to end. I would like to continue and finish the app to creation because I believe it is something that could have a great impact on the industry. Thus through the plan I was able to meet my three PLOs, critical thinking, research, and content creation.
            First I began researching to find out what kind of app I should focus on, what other apps were out there, and how mine could be different. I completed five interviews to understand from another source how this app could be effective. Carrying out these interviews was an essential part because the therapists that I interviewed had experience in the field and with other apps and could give me current and experienced feedback. The remainder of the research came from observing therapy and researching hardware and remaining required for the app.
            My second PLO was critical thinking. My critical thinking came from trying to think about which route to take and how to create the app. Several questions have to be answered when creating an app. For example, how easy is it going to be to operate this app for the user, how can I improve any aspects of this app, or what is the most efficient way to go about this?  This was an important learning objective in this project because if the app isn’t efficient, doesn’t meet the needs of its user, and doesn’t provide more attributes than the other apps out there, there would be no reason for anyone to purchase or use it.
            My last PLO was content creation.  Overall, my entire app was a creation.  I had to come up with the idea of the app, research what tools were used to do rehabilitation on shoulders, find out what other apps were already out there, how therapists could communicate immediately to their patients that were not in the office, and figure out how I would effectively combine all of them into one efficient product that differed from all the rest.  But using this learning objective, I analyzed my target audience more and tried to figure out the best way to help them.  Analyzing my target audience was beneficial because I was able to get direct feedback in the field I was targeting to see what be effective and what would not work.   

Discussion - self-evaluation of performance, good, bad, ugly.
            When I look back at what I could have done differently, I cannot think of many things I would be able to change unless I was able to take the knowledge I have now. I spent countless hours researching to figure out what I was supposed to do and how I could possibly achieve my goal of creating an app.  This was my first time ever creating or doing anything with an app.  Based on my efforts to research and time spent interviewing people in the field I wanted to impact, I feel I did well on this project.  I reached out many resources to help me communicate if what I was doing was effective and got outsiders perspective. I wish I would have more time this semester to finish everything for a pitch to a company to create the app, but I’m hoping that will be in the near future. The only thing I would change, as far as research goes, is to interview patients that would be using this app. I was able to talk to several people about it, but was never able to do a formal interview with questions for data logging.  Overall I feel my project and efforts were the best I could give with the time I spent.


Attachments, supporting documents, screen shots of Insights and/or Google analytics data.
1.     Login
a.     Therapist or Patient.  (Therapist would set up the patient so that anyone could not just use it)
b.     Email
2.     User home screen would display todays workout
3.     Therapist
a.     Home screen
                                               i.     Manage Patients
1.     Add or delete patients (archive)
2.     Choose patients
a.     Manage workouts
                                                                                                     i.     Choose workouts
3.     Data base of workouts
a.     Create and delete workouts
                                             ii.     Schedule
1.     Today’s patients
a.     Manage workouts
2.     Manage schedule
a.     Reschedule
4.     Need to integrate the use of fit bit or Microsoft band for heart rate and duration of workout. Only optional if they do not have the Microsoft band the app will still work.
5.     Data log of range of motion therapy of achievement measurement therapist measures it logs using smart phone technology. This would create a better understanding of what workouts, angles, and speeds are having positive and negative outcomes


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