The patiënt back in control: Personalised rehabilitation by self-monitoring the recovery after an orthopedic trauma

Patients often face a long rehabilitation trajectory after (sports) injuries and orthopedic problems, like anterior crucial ligament (ACL) ruptures, ankle fractures and arthrosis. Physiotherapists, (mental) coaches, movement scientists, exercise physiologists and orthopedic surgeons notice that patients often do not return to their former physical level, despite intensive therapy and coaching.
In order to provide qualitative better care, these professionals want to gain more insight into individual recovery patterns. They believe that individual monitoring of both physical and psychological parameters will enable them to adapt therapy content and intensity more quickly when unwanted changes in recovery occur. The professionals have however insufficient time and options to monitor their patients themselves. Also, they think they can support recovery even more by letting the patients measure themselves and hence giving them more insight into recovery. Research shows, that patients take more responsibility for their health when they have access to their own data. The health care professionals involved in this project wonder, how they can develop a self-monitoring system for orthopedic patients, which enables them to give personalized therapy during the entire rehabilitation trajectory, with ACL-reconstruction as pilot case. Data with regard to physical and psychological functioning is gathered through self-monitoring and can not only be used for tailored therapy, but can also be shared with different health care professionals involved in the rehabilitation trajectory.

The main research question is: Which knowledge and skills do health care professionals and patients after ACL-reconstruction need in order to use a self-monitoring system in a smart manner to support every day care?

Following sub questions have been defined:
A. What features and content should the self-monitoring system have according to health care professionals, patients, technical professionals and designers (e.g. which measurement instruments and moments, which graphic interaction design) and how should the users be trained to enable patients after ACL-reconstruction to gather and share a core set of physical and psychological parameters independently?
B. How is the self-monitoring system used by health care professionals and patients after ACL-reconstruction in every day practice and how is use of the system related to recovery?
C. What are the experiences of both the health care professionals and patients after ACL-reconstruction with the self-monitoring system and what are the facilitating factors and problems during use of the self-monitoring system for the rehabilitation trajectory?