Telerehabilitation
Exercise library, personalized treatment plans, guided sessions with video, clinical measurement tools, and progress tracking.
Telerehabilitation is the core of what makes RestartiX different from generic clinic management software. It's a complete system for prescribing, delivering, tracking, and measuring rehabilitation programs — whether the patient is in the clinic room or at home.
Exercise Library
A searchable video catalog of rehabilitation exercises, organized by:
- Body region — shoulder, knee, lumbar spine, hip, etc.
- Category — stretching, strengthening, balance, mobility
- Difficulty — beginner, intermediate, advanced
- Equipment — bodyweight, resistance band, dumbbell, stability ball
- Contraindications — conditions where the exercise should not be performed
Each exercise includes a video demonstration and step-by-step text instructions covering preparation, movement technique, breathing cues, and safety notes.
Two levels of exercises
- Platform exercises — curated by RestartiX, shared across all clinics. Standard rehabilitation exercises like "Bird Dog", "Wall Slide", "Clamshell". Clinics can use them as-is.
- Clinic exercises — created by or cloned from the platform library and customized for the clinic's specific protocols. Only visible within that clinic.
Clinics typically start with platform exercises and gradually build their own library as specialists develop custom protocols.
Treatment Plans
A treatment plan is a structured rehabilitation program — a sequence of sessions, each containing specific exercises with defined parameters (sets, reps, hold duration, rest periods).
How specialists prescribe treatment plans
- Browse the library — specialist searches for exercises by body region, condition, or difficulty
- Build or clone a plan — create from scratch, or clone an existing plan (platform-curated or clinic-shared) and customize it
- Set parameters — for each exercise: sets, reps, hold duration, rest between sets
- Organize into sessions — group exercises into daily sessions (e.g., "Session 1: Lower body", "Session 2: Core stability")
- Set frequency — how many sessions per week (e.g., 3x per week)
- Assign to patient — the patient receives the plan in their app
Three scopes of plans
| Scope | Who Creates It | Who Can See It |
|---|---|---|
| Platform plans | RestartiX team | All clinics, all patients with library access |
| Clinic plans | Clinic specialists | Clinic staff, clinic patients with library access |
| Custom plans | Specialist for a specific patient | Clinic staff, the assigned patient only |
Good custom plans can be promoted to the clinic library so other specialists can reuse them.
Self-service mode
Patients with a "library access" subscription can browse the plan library themselves — filtered by condition, difficulty, and body region — and start a plan without needing a specialist to assign it. This opens up a scalable, lower-touch rehabilitation model.
Guided Sessions
When a patient opens their app, they see today's session. The guided flow walks them through:
- Video plays — demonstrating the exercise with correct form
- Timer / rep counter — tracks sets, reps, and hold duration
- Rest period — timed rest between sets
- Next exercise — moves to the next exercise in the session
- Session complete — optional post-session questionnaire (pain level, difficulty, notes)
Flexible scheduling
Plans specify a frequency (e.g., "3 sessions per week") but patients choose which days. No rigid day-level scheduling — just "complete 3 sessions this week." The system tracks completed vs. expected and maintains a current streak.
Clinical Measurement Tools
The platform includes camera-based clinical measurement tools that work on any device — a phone at home, a tablet in the clinic room, or a laptop during a video consultation. No specialized hardware is required.
Virtual goniometer
A software-based goniometer that measures joint angles (range of motion) using the device camera and pose detection. The specialist selects a joint and the system measures the angle in degrees — replacing the need for a physical goniometer.
How it works:
- The specialist (or patient, if remote) positions the camera to capture the relevant joint
- The system detects body landmarks using pose estimation
- Joint angle is calculated and displayed in real time
- Measurements are recorded and stored with the patient's clinical data
Use cases:
- Measuring shoulder flexion range of motion before and after treatment
- Tracking knee extension progress over weeks of rehabilitation
- Documenting baseline and follow-up ROM for clinical records
Posture analysis
Camera-based posture assessment that identifies deviations from neutral alignment. The system captures body position and highlights areas of concern — forward head posture, lateral pelvic tilt, shoulder asymmetry.
Movement quality assessment
During exercise execution, the camera tracks body position and evaluates movement quality — whether the patient is performing the exercise with correct form, sufficient range, and proper alignment.
Two modes of operation
| Mode | Who Uses It | Purpose |
|---|---|---|
| Specialist tool (Phase 1) | Specialist views measurements during or after a session | Clinical data for treatment decisions — adjust the plan, assess progress, document outcomes |
| Patient feedback (Phase 2) | Patient sees real-time guidance during home exercises | "Straighten your back", "Bend deeper" — helping patients maintain correct form without a specialist present |
In Phase 1, measurement data flows to the specialist for clinical decision-making. The patient may see the camera overlay during exercises, but the system does not provide corrective instructions. In Phase 2, the system will provide real-time form guidance directly to the patient.
Why this matters
These tools replace physical instruments that traditionally require an in-person visit. A specialist can now assess a patient's range of motion remotely — the patient holds up their phone, the platform measures the angle, and the specialist sees the result during a video consultation or reviews it afterward. This makes objective clinical measurement available for every session, not just in-person visits.
Medical device implications
The camera-based measurement tools are clinical instruments — they provide data that specialists use to make treatment decisions. This has significant implications for the platform's medical device classification. See Medical Device Classification for details.
Progress Tracking
The platform tracks every session:
- Which exercises were completed and which were skipped
- Duration — how long each exercise took
- Clinical measurements — range of motion, posture scores, and movement quality data from the camera tools
- Patient-reported feedback — pain level, difficulty rating, and free-text notes after each session
- Completion rate — sessions completed vs. planned
- Streaks — consecutive days/weeks of adherence
- Trends — pain levels, ROM measurements, and difficulty ratings over time
Specialists see a dashboard showing each patient's progress — both subjective (patient-reported) and objective (camera-measured). If a patient's range of motion isn't improving despite completing sessions, the data makes it visible immediately.
How It Connects to the Rest of the Platform
- Service plans control access: a "telerehab_access" subscription lets specialists assign treatment plans; a "library_access" subscription lets patients self-serve
- Automations can trigger based on treatment events: "when adherence drops below 50%, notify the specialist"
- Forms integrate as post-session questionnaires: pain scales and feedback collected after each session
- Video consultations can use the measurement tools live — specialist sees the patient's ROM during a video call
- Audit trail logs all treatment plan changes, assignments, measurements, and patient interactions
For developers
Technical details — database schemas, API endpoints, versioning mechanics, session execution flow, pose detection integration, and telemetry — are available in the Exercise Library feature spec and Treatment Plans feature spec.