About Nasreen Sau
Nasreen is a specialist physiotherapist working at Royal National Orthopaedic Hospital in Stanmore. She studied Physiotherapy at Coventry University graduating in 2012 and worked around Leicestershire in Musculoskeletal Outpatients for four years before moving to London. She is interested in developing her research skills and is currently involved with a project in digitalisation of rehabilitation.
Nasreen’s area of clinical expertise is in management of shoulder instabilities, peripheral nerve injuries and dislocation management.
Problem: The problem we are trying to solve is how to best incorporate digital technology across therapies and be in sync with current technological advances that could improve the quality of care delivered. To self-empower & engage patients so they are actively involved in their rehabilitation.
Solution: One way to gain increased patient engagement is through the use of gamification of their exercise program. We have purchased the MIRA exergames software and trialled with a cohort of paediatric inpatients whereby they receive extra exercise sessions playing on the MIRA as part of their rehabilitation showing some initial positive results.
Scale of project: The scale of this project is to train 80% of the staff amongst 7 clinical teams. It is anticipated that further project development will expose more patients to this technology to enhance their clinical care.
Use: The initial usability study was done with 20 patients with a traumatic shoulder instability. The therapies department on average have up to 3000 out-patient contacts and 5000 in-patient contacts per month for physical therapy and occupational therapy rehabilitation. There are 150 clinicians who deliver this care.
Desired impact: The end goal is to provide an innovative way to exercise keeping with the current concept of digital technology. With the installation of technology in the new hospital at Royal National Orthopaedic Hospital Trust patients now have access to monitors and entertainment systems at their bedside. Patients can then access MIRA by their bedsides encouraging them to be more active and responsible for their rehab outside of dedicated therapy time. It can also be an adjunct in physiotherapy to engage patients to exercise with a possible home version available in the future. All the therapy staff will have been trained to use the software by the end of January 2019 and provided with protected time and opportunities to trial the software with appropriate patient groups. We have purchased two units of MIRA which is available for all staff to use. Further units could be purchased if more demand is identified with increased usage.
Progress to date: A department wide survey gathered data on therapist views on use of digital technology in rehabilitation in December 2018 which generated positive results. This will be followed up to assess if there were any changes in therapists’ views after the implementation of gamification.