Evaluating the impact of electronic exercise prescription software on compliance with a physiotherapy program

INTERVENTION: This trial is exploring the role electronic exercise prescription software can play in improving adherence to a home exercise program and improving patient outcomes at the conclusion of there Physiotherapy care. Patients will receive a home exercise program either via a smartphone app (specifically Physitrack) or via a paper printout. Exercise program adherence will be self reported by patients in an exercise diary either via their app or included with the paper print out of their exercises. The content, duration and composition of the home exercise program will be a clinical decision made by the treating Physiotherapist. This intervention will be delivered in 2 public hospital Physiotherapy outpatient departments. Participants will be enrolled at their initial Physiotherapy consultation and will continue for a minimum of 1 follow up appointment up to a maximum of 2 follow up appointments with their Physiotherapist. It is anticipated the approximate length of patient participation will be no longer then 2 months with typical follow up 2‐3 weeks after initial(and subsequent) appointments. Home exercise program frequency will be determined by the treating Physiotherapist based on their clinical assessment. CONDITION: Musculoskeletal ‐ Other muscular and skeletal disorders Physical Medicine / Rehabilitation ‐ Physiotherapy Single joint pathology requiring physiotherapy; ; Single joint pathology requiring physiotherapy PRIMARY OUTCOME: Patient reported home exercise program compliance via an exercise diary. This exercise diary will be completed via the smart phone app or on the paper based home exercise program.; ; Adherence rates will be calculated by an independent assessor based on patient self reported exercise completion rates in their exercise diaries.[Upon discharge from Physiotherapy care or after 2 follow up Physiotherapy appointments.] Self reported daily home exercise program compliance rate as recorded by a home exercise program diary[Completion of trial] SECONDARY OUTCOME: Composite outcome of the following patient reported outcomes as measured via the PROMIS‐29 profile V2.0: ; Physical Function, ; Anxiety, ; Depression, ; Fatigue, ; Sleep disturbance, ; Ability to participate in social roles and activities, ; Pain interference, ; Pain intensity, ; ; [Upon discharge from Physiotherapy care or after 2 follow up Physiotherapy appointments.] Participant satisfaction and knowledge of their prescribed HEP via 5 question Likert scale. This will be assessed as a composite outcome[Upon discharge from Physiotherapy care or after 2 follow up Physiotherapy appointments.] Therapist reported Home exercise program technique via a 10 point Likert scale[Upon discharge from Physiotherapy care or after 2 follow up Physiotherapy appointments.] INCLUSION CRITERIA: ‐ Patients referred for Physiotherapy management of a Shoulder, Hip, Knee or Lower back complaint with our without referring symptoms. ‐ Referred for a single joint complaint requiring a home exercise program of at least 2 weeks duration as part of their Physiotherapy treatment plan ‐ Requiring a minimum of two Physiotherapist appointments (initial and follow up).