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Need Statement: A way to improve monitoring of patient response to acute…
Need Statement: A way to improve monitoring of patient response to acute lower back pain treatment for physicians recommending a treatment plan in order to minimize the duration of acute lower back pain.
Digital Methods
Patient-Centered
Guided Pain Awareness
App that asks patients how their pain is affecting their mental state (depression) to track how the pain is affecting them and changing over time
Guided pain awareness and meditation that allows for patients to think about their pain and report how they’re feeling
Social Media
A social network in which patients report back pain levels, and those who complete more surveys about their pain get a higher “point” or “ranking”
Product Tracker
A simple counter of how many back-pain related products you have bought based on your purchases and how that number of products evolves over time.
Physician-Centered
Mobile Apps
An app that asks patients to perform a basic task, and if the patient is unable to do it in a healthy manner, then the app notifies the physicians in order to schedule a follow-up appointment.
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An app in which patients record themselves doing prescribed motions and a physical therapist can watch the videos and observe changes.
An app in which patients record themselves doing prescribed motions and a physical therapist is notified about specific deviations from normal physiological function.
Artificial Intelligence
An artificial intelligence tool coupled to a mobile app in which patient’s pain and functional ratings are scored and then doctors are given a time window in which they should expect to make a decision about referring to a surgeon for patients on conservative therapy.
NLP-based tool that extracts symptoms a patient is experiencing from a pain journal/questionnaire and then relays that information to the EHR.
An AI-tool for surgeons who were referred back surgery candidate patients to determine if an anatomical abnormality that can be surgical corrected is the direct cause of a patient’s disability.
Information Platform
A way for physical therapists to input key metrics of function into a patient’s EHR and for surgeons to be given a direct recommendation based on those metrics.
Predictive Simulations
A simulation of a patient’s pathophysiology to determine likely effects of various conservative therapies on a patient systemically.
Patient & Physician
Pain Reporting
A pain journal that is essentially an app that transcribes a patient talking about their back pain for ~2 minutes every morning after waking up and every night before going to bed and then conveys that information to their EHR.
A computer application that allows patients to input where they are feeling pain anatomically, the type of pain, and the intensity that is recorded to the physician and EHR (uses visually engaging ways not questionnaires).
Information Processing
An Alexa that when you mention back pain or related words surveys your pain and asks you questions about it and relays that information to the doctor
Functionality Monitoring
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A video game like the Wii/Kinect in which patients play a game and their range of motion is recorded to inform physicians about functional status
Mobile App
A mobile app that provides patients and their physicians with a summary score that is calculated by the patient performing a couple tasks each day and rating their pain; app tracks changes in summary score over time.
Aggregate and analyze data from existing clinical trials on back pain and function and provide physicians with a percentile score of their patients' pain and functional abilities.
Biopharmaceuticals
In Vitro Tests
Blood prick test similar to glucose measurements that tells how much cortisol (or some other pain/functional marker) is in circulation
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Imaging Agents
Imaging agent that localizes to opioid receptors and can indicate level of stimulation of these receptors to induce pain relief in patients on conservative therapy
Fluorescent cortisone injections that allow physicians to know exactly where cortisone was delivered and can observe the kinetics of cortisone disappearance to track how pain correlates with cortisone level
Biofeedback
Stress Test
Patients spit on a strip like a pH strip and from the cortisol levels in their spit their relative pain level is determined, this is reported to the doctor on EHR
Wearables
Heart rate
An Apple watch application that measures heart rate, checks EKG, etc... to assess pain, asks patients questions about their pain, and prompts them to do functional assessments of their back pain and relays it to the doctor
Motion Detection
A wearable device that can detect sudden movements in a patient that are indicative of debilitating pain or even potential emergency and call their physician on their behalf.
A wearable device that can track movements associated with good back function (e.g. standing up, bending, etc…) and summarizes functional status of a patient
An app associated with a FitBit or Apple Watch that can help provide information on a patient's back pain status to physicians.
An app that pings patients when their vitals (e.g. heart rate) are abnormal to inquire if their back pain is flaring up.
An app that records the number of steps, distance traveled, HR, time standing, etc... from the Apple HealthKit to draw trend lines of a patient's back functionality. The app also asks about pain.
An app that records motion data on a wearable in terms of bending, twisting, etc... to evaluate range of motion of patients recovering from acute lower back pain.
An app associated with a back-brace/belt wearable that tracks motion along the center-of-mass of a patient in order to provide more back-specific data. The app also asks about pain.
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Reminder
An alarm on a mobile phone or wearable device that alerts patients when it is time to make an appointment with a doctor to review their pain/function.
Self Monitoring
Wearable watch with 1 button to be pressed when a patient is prevented from performing a function due to their pain, with the counter totals averaged over the course of a week and reported to physicians.
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Devices
Sensors on Back
A gyroscope that can be comfortably worn underneath clothing and tracks a patient’s rotational capabilities.
A sensor on your back that measures the temperature of your back to track pain response through biofeedback
Heat/ice pack that is easily worn and keeps track of frequency and duration of use, paired with a pain tracking app for monitoring and explanation for use of device
Diagnostic Devices
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A device that can cheaply image blood circulation (similar to fMRI) and report increases in pain - i.e. a household fMRI machine (like a helmet/hat)
At-home nerve conduction study that is non-invasive and cheap so that patients can determine excitability of nerves over time as a proxy for back pain.
A device that briefly induces a standard pain response that differs in intensity based on extent of back injury and then patients can report relative changes in pain intensity over time.
Smart Furtniture
Office chair seat cushion to track movement during the day to evaluate pain and discomfort based on movement and readjustment frequency.
A smart-mattress that can detect certain pressure points or patient discomfort while they are sleeping and how those points evolve with time