YOOMI: Effect of Gamified Physical Therapy Exercise Software on Inpatient Mobility (YOOMI)

Patients admitted to the hospital often develop functional impairments due to being in bed most of the day. Each day of bedrest leads to significant muscle loss. As a result, many patients become dependent on others or require rehabilitation at a facility to improve mobility and function prior to returning home. Staff in the hospital is limited and often unable to mobilize patients every day while hospitalized. The investigators are testing a new experimental gamified physical therapy exercise software to see if it can be a fun, enjoyable way to help mobilize patients without the assistance of staff. The primary aim of this pilot/proof of concept study is to determine whether gamified physical therapy software can help inpatients exercise within the safety of their own beds and preserve pre-hospitalization function.

Study Overview

• Status: Recruiting
• Conditions: Physical Disability; Muscle Atrophy or Weakness; Muscle Loss; Physical Inactivity; Delirium in Old Age; Hospital Acquired Condition; Weakness, Muscle
• Intervention / Treatment: Device: Yoomi Physical Therapy Software

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Jay Naik, MD; Phone Number: 732-235-7112; Email: naikjh@rwjms.rutgers.edu

Study Locations

• United States
  • New Jersey
    • New Brunswick, New Jersey, United States, 08901
      • Recruiting
      • Robert Wood Johnson University Hospital
      • Contact: Jay Naik, MD; Phone Number: 732-235-7112; Email: naikjh@rwjms.rutgers.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• >= 65 years of age
• English-fluency in reading and speaking
• Capacity to consent
• Enrolled in HELP program
• Attending physician confirms there are no medical contraindications to in-bed exercises

Exclusion Criteria:

• Unstable Psychiatric Illness
• Unstable/Critically Ill Patients requiring ICU-level of care
• Surgical tube present (e.g. JP drains)
• Surgery during the hospitalization
• Bed Rest Activity Order

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Usual Care
Experimental: Gamified Physical Therapy Exercise Software Intervention + Usual Care; Participants randomized to the intervention group will be asked each day by a volunteer whether they would like to use the gamified physical therapy exercise software while in their beds. Participants willing to exercise will have the device set up for them to participate by a volunteer and the software will begin with a tutorial video for different exercises and then ask patients to perform in sequence with prompting and motion tracking. Exercises include Frontal Bicep Curls, Arm Crosses, Press Ups, Arm Rotations, and Basketball Shots.	Device: Yoomi Physical Therapy Software; Physical Therapy software via a computer/monitor will be set up for the patient. It will begin with a tutorial video for different exercises in the form of games and then ask patients to perform in sequence with prompting and motion tracking. Exercises include Frontal Bicep Curls, Arm Crosses, Press Ups, Arm Rotations, and Basketball Shots.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Satisfaction Score for Intervention Group Questionnaire (change is being assessed)		Collected daily throughout duration of patient hospitalization, usually 1-2 weeks
Software Utilization Time for Intervention Group (change is being assessed)		Collected daily throughout duration of patient hospitalization, usually 1-2 weeks
Percentage of exercise repetitions completed for Intervention Group (change is being assessed)	Completed exercises divided by assigned exercises by software	Collected daily throughout duration of patient hospitalization, usually 1-2 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Self-Assessments	Activity Measure for Post Acute Care (AMPAC) scores done as self-assessments (Score ranging from 0 to 24 with higher being better)	Collected daily throughout duration of patient hospitalization, usually 1-2 weeks
3DCAM Delirium Scale	22 questions including self reported and observations by staff to determine if patient has delirium	Collected daily throughout duration of patient hospitalization, usually 1-2 weeks
Change in Activity Measure for Post Acute Care (AMPAC) Scores	Activity Measure for Post Acute Care (AMPAC) scores done by nurses twice daily (Score ranging from 0 to 24 with higher being better)	Collected daily throughout duration of patient hospitalization, usually 1-2 weeks
Length of hospital stay		Collected at the time of discharge of patient hospitalization, usually 1-2 weeks
Post-discharge care needs	Number of Partipants with Post-discharge needs e.g. subacute rehab, home PT, home assistance, acute rehab, etc	Collected at time of discharge, usually 1-2 weeks
Post-discharge Self Assessed Activity Measure for Post Acute Care (AMPAC) Score	AMPAC scores done as self-assessments (Score ranging from 0 to 24 with higher being better)	30 days post-discharge

Collaborators and Investigators

• Sponsor: Rutgers, The State University of New Jersey

Study record dates

Study Major Dates

• Study Start (Actual): November 29, 2023
• Primary Completion (Estimated): December 1, 2024
• Study Completion (Estimated): December 1, 2024

Study Registration Dates

• First Submitted: March 8, 2023
• First Submitted That Met QC Criteria: April 3, 2023
• First Posted (Actual): April 18, 2023

Study Record Updates

• Last Update Posted (Actual): March 8, 2024
• Last Update Submitted That Met QC Criteria: March 6, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Physical Therapy; Artificial Intelligence (AI); Inpatient rehabilitation; Hospitalization related muscle atrophy; Hospitalization associated decline; AI driven physical therapy
• Additional Relevant MeSH Terms: Pathologic Processes; Nervous System Diseases; Neurologic Manifestations; Disease Attributes; Musculoskeletal Diseases; Muscular Diseases; Neuromuscular Manifestations; Pathological Conditions, Anatomical; Muscle Weakness; Muscular Atrophy; Atrophy; Iatrogenic Disease; Asthenia
• Other Study ID Numbers: Pro2022002225

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: Yes
• product manufactured in and exported from the U.S.: No