LAS VEGAS - At the American Academy of Orthopaedic Surgeons (AAOS) 2019 Annual Meeting, the Duke Clinical Research Institute (DCRI) presented on their VERITAS trial, demonstrating the results of comparing in-home physical therapy versus traditional care for total knee arthroplasty. The VERITAS study proves that Reflexion Health’s Virtual Exercise Rehabilitation (VERA™) is as safe and effective as traditional physical therapy, while saving $2,745 per patient when used in a commercial bundled payments model.
The DCRI presented on March 14 during the Adult Reconstruction Knee VI session of AAOS on the first large-scale prospective randomized controlled clinical trial comparing virtual to traditional physical therapy. VERITAS was a multi-center, randomized controlled trial that enrolled 306 adult participants scheduled for TKR surgery at four U.S. sites. Of the consented participants, 287 completed the trial. The treatment group concluded with 143 adults who received Reflexion Health's VERA both pre- and post-surgery, compared with a control group of 144 adults who received traditional in-home or clinic-based physical therapy at participating sites. Clinical outcomes, health service use, and costs were examined for three months after surgery.
The study results demonstrated an average cost savings of $2,745 per patient for those who received virtual physical therapy using VERA technology with clinical oversight when compared to usual care with traditional physical therapy. Virtual physical therapy met its secondary effectiveness endpoints of non-inferiority for reducing disability and improving knee function. Compared with usual care, safety endpoints for patients with virtual physical therapy were similar.
"Physical therapy is a critical component of recovery for patients following total joint replacement surgery. As people live longer and these surgeries become more common, it is important to identify solutions that maintain or improve outcomes while decreasing the burden on patients and providers," said Janet Prvu Bettger, Ph.D., associate professor with the Duke Department of Orthopedic Surgery and principal investigator of the study. "We are pleased with the results of the study which show that Reflexion Health's VERA coupled with remote clinician oversight, is a cost-effective paradigm for physical therapy – one that is more convenient for patients while providing clinicians greater insight into the recovery process."
VERA is a digital physical therapy platform designed by Reflexion Health that integrates a broad menu of prescription rehabilitation exercises, an animated avatar coach, a 3D imaging system for audio-visual feedback, an intuitive dashboard for remote clinical review, automatic report generation, and telemedicine capability to deliver a comprehensive, home-based rehabilitation experience. Using VERA, patients simply stand in front of the specially equipped 3D camera and ‘she’ demonstrates and detects patients’ movements.
"VERITAS provides the highest level of evidence that VERA is a more cost-effective, patient-centered alternative to traditional care," said Joseph Smith, M.D., Ph.D., chief executive officer of Reflexion Health. "The strength of these results should give providers and payors the proof they need to adopt VERA. Engaging and delighting patients with a convenient and connected solution in the comfort of their own home, while providing similar or better clinical outcomes and dramatically reducing overall healthcare costs is a win for everyone."
Reference: Bettger, Janet Prvu et al. VERITAS: Effect of Virtual Exercise Rehabilitation In-home Physical Therapy versus Traditional Care for Total Knee Arthroplasty. Presented at the 2019 Annual Meeting of the American Academy of Orthopaedic Surgeons, March 12-16, Las Vegas, Nevada.
About Reflexion Health
Reflexion Health is a virtual rehabilitation therapy company dedicated to bringing patients evidence-based technology that helps them recover at home. VERA™, Reflexion Health's lead product, is an FDA-cleared Virtual Exercise Rehabilitation Assistant that is able to support and remotely monitor physical therapy exercises in real-time. VERA brings the guidance of a physical therapist into the home to coach, motivate and assess exercise movements adherence to prescribed physical therapy recovery exercises. Reflexion Health is owned by Digital Health Corp, a diversified healthcare company. For more information on VERA or to sign up for a demo today, please visit www.reflexionhealth.com.