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Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
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Home-Based mHealth Platform (Active-Feet) for Children With Idiopathic Toe Walking: Design, Development, and

Miguel Membrilla-Mesa1,2, Jose Heredia-Jiménez3, Carla Di Caudo2,4

  • 1Department of Physical Medicine and Rehabilitation, Hospital Universitario Virgen de las Nieves, Granada, Spain.

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Summary

This study developed the Active-Feet mobile app to help children with idiopathic toe walking (ITW) adhere to physical therapy. Both children and parents found the app engaging and helpful for home-based rehabilitation.

Keywords:
appavatarchildren and caregiversdigital healthmHealthmobile healthpaediatric, idiopathic toe walkingplatformtelerehabilitation

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Pediatric Physical Therapy

Background:

  • Idiopathic toe walking (ITW) is commonly treated with physical exercise and stretching programs.
  • Low adherence to rehabilitation is a significant challenge in pediatric ITW treatment.
  • Mobile health (mHealth) tools offer potential for active patient involvement and remote monitoring in ITW therapy.

Purpose of the Study:

  • To design and develop a novel mHealth platform for individuals diagnosed with ITW.
  • To conduct a feasibility and acceptance test of a home-based exercise program utilizing a mobile application for children with ITW.

Main Methods:

  • The Active-Feet platform was developed through a 5-stage process: requirements specification, design, implementation, deployment, and alpha testing.
  • The platform features 3D animated avatars guiding posterior muscle chain stretching exercises.
  • A satisfaction questionnaire was administered to 20 pediatric patients and their parents after a 2-week trial.

Main Results:

  • Parents reported high satisfaction with the app's impact on child motivation (median score 4) and overall effectiveness (median score 4).
  • The app facilitated the integration of rehabilitation into family life, receiving a median score of 5 for this aspect.
  • Children rated the app's motivation and user-friendliness highly (median score 4), and found it good for learning and exercise mirroring (median score 3).

Conclusions:

  • The Active-Feet platform represents a novel, attractive, and user-friendly mHealth solution for ITW treatment.
  • The study successfully developed and tested an mHealth platform aimed at improving adherence to rehabilitation for children with ITW.
  • Initial evaluations suggest positive acceptance and perceived benefits from both children and parents regarding the Active-Feet app.