Authors (including presenting author) :
Kwong KK(1), Fu SN(1), Yuen PM(1), Lau PS(1), W Luk(1), Leung YY(1)
Affiliation :
(1) Allied Health, Family Medicine and Primary Health Care, Yan Chai Hospital
Introduction :
For primary care physiotherapy, we aim to improve joint care awareness, optimize joint condition through self-management and home base exercises for maintenance for patients with degenerative joint problems and repetitive stress musculoskeletal injury. Exercise demonstration and prescription are commonly recommended.
However, patients with different age groups encountered difficulties to learn or even memorize those exercise even hard copies of exercise sheets or pamphlet with diagram illustrations are delivered for patients. In respect to patients’ feedback on exercise sheets in our consultation, patients would like to videotape, photo taking or voice record the exercises we prescript. Simple handwritten notes with diagram would not help patients to memorize or recognize the home exercise.
In order to empower and facilitate patients learning home exercises prescribed by physiotherapy in GOPC, exercise in short video with animation are hoped to develop. Patients can retrieve the exercises in electronic device with True person video in anywhere.
QR code exercise pamphlets for degenerative Knee care and Plantar Fasciitis are published in March 2020 with help from KWC FM IT Subcommittee.
Objectives :
To improve patients' exercise compliance and self efficacy in managing their degenerative knee problems or plantar fasciitis
Methodology :
QR code exercise pamphlets would give to patients through individual physiotherapy consultations. Physiotherapist would prescribe and demonstrate related and suitable strengthening and stretching exercise to individual patient according to their problems. Physiotherapist would teach patients QR scanning techniques in helping patients recognize their own exercises, so that they can recall and perform the exercise at home.
For patients with degenerative knee problems:
At the beginning of individual physiotherapy consultation, patient would complete See-C and NPRS as the baseline assessment (time 0).
Patient would complete again the See-C, KAP for OA knee patients and satisfaction survey (time 1) after finishing the consultation.
Patients would complete the final assessment including See-C, KAP for OA knee, NPRS, satisfaction survey and percentage of improvement (time 2) when physiotherapist and patients agreed to discharge.
For patients with plantar facilities:
Same workflow as above, but the KAP of OA knee would not require to complete.
Result & Outcome :
Upon now, 55 patients are received the QR code exercises pamphlets for home care of degenerative knee problems; 18 of them were discharged from physiotherapy; 6 of them were defaulted.
While 32 patients received the QR code exercises pamphlets for home management of plantar fasciitis; 19 of them discharged from physiotherapy; 5 of them were defaulted.
During the COVID-19 epidemic, there is reduction in number of physiotherapy referral, and attendance. Data collection would be affected.
For patients with degenerative knee problems, There will be an improvement on their exercise compliance after completing the physiotherapy. The means of See-C of patients in final assessment is 71.1 while for their initial assessment is 43.9.The NPRS scoring shows reduction at initial and final assessment. The mean percentage of improvement reported by patients is 72.2% with standard deviation 16.4%.For the satisfaction survey, the percentage of patients’ satisfaction on the content of exercise pamphlet is compared at initial assessment. 100% of patients recommended to other patients if the pamphlets could be illustrated in digital way.
For patients with plantar fasciitis, there will be an improvement on their exercise compliance after completing the physiotherapy. The means of See-C of patients in final assessment is 74.21 while for their initial assessment is 60.57.The NPRS scoring shows reduction at initial and final assessment. The mean percentage of improvement reported by patients is 74.2%.
Patients felt satisfied and found useful in using new QR code exercise pamphlets with gif image as home exercise guidance.
