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Quantifying At-Home Physiotherapy Participation: SPARS vs Self-Reported Diaries.

Matthew Rezkalla1, Philip Boyer1,2, David Burns1,2,3

  • 1Holland Bone and Joint Program, Sunnybrook Research Institute, Toronto, Ontario.

Archives of Rehabilitation Research and Clinical Translation
|July 18, 2025
PubMed
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This summary is machine-generated.

Smartwatches accurately track at-home physiotherapy. While diaries reported more exercise, smartwatch data offers an objective measure for monitoring patient participation in rehabilitation programs.

Area of Science:

  • Biomedical Engineering
  • Rehabilitation Science
  • Digital Health

Background:

  • At-home physiotherapy adherence is crucial for rehabilitation success.
  • Traditional self-report diaries lack objectivity and can suffer from recall bias.
  • Wearable technology offers a potential solution for objective monitoring of patient exercise participation.

Observation:

  • This study compared smartwatch-derived data (accelerometer/gyroscope) analyzed by a convolutional neural network against patient self-report diaries.
  • Data was collected from 53 patients with rotator cuff pathology during the initial two weeks of a 12-week physiotherapy program.
  • The system utilized patient-specific in-clinic data for training the machine learning algorithm.

Findings:

  • A high agreement (ICC=0.72) was observed between smartwatch data and diary entries for exercise participation.
Keywords:
Machine learningPatient adherencePhysiotherapyRehabilitationRotator cuff pathologySelf-reported diariesShoulder rehabilitation exercisesSmartwatches

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  • The machine learning algorithm achieved an AUROC of 0.99 for identifying exercise periods.
  • Patient diaries reported more exercise sessions (0.96 additional days on average) than recorded by the smartwatch system.

    • Implications:

    • Smartwatch-based monitoring provides an accurate and objective alternative to traditional self-report diaries for at-home physiotherapy.
    • Discrepancies may highlight technology limitations or over-reporting in diaries.
    • Physical therapy monitoring technology shows promise for long-term assessment as diary adherence declines.