iOrtho+ app teaches musculoskeletal physical exam, with excellent use of references

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Compatibility: iPhone (3GS and later), iPad (compatible), iPod Touch (3rd generation and later)
Requires: iOS 5.1 or later

Purpose of the App Review:

1) Does iOrtho+ provide reliable information about MSK physical exam?
2) Does it clearly show or describe the physical exam and manual therapy techniques?
3) What other information about MSK physical exam does it include?

Introduction:

As point-of-care technology expands and becomes a more important part of our diagnostic toolbox, our patients are likely to see significant benefits. However these tools are important adjuncts to the complete patient evaluation, namely a good history and physical, not substitutes.

As a medical student, I can certainly say that I probably don’t know nearly as much physical exam technique as Sir William Osler taught his students – so I need an app for that! iOrtho+ is an app that has descriptions and videos of musculoskeletal physical exams for those of us who have a lot of physical examination skills to learn.

iOrtho+ was developed developed by Therapeutic Articulations, LLC and the content was written by practicing physical therapists.

User Interface:

iOrtho+ is very intuitive to use.

The app opens with a diagram of a skeleton. The user then may choose which body part they would like to explore physical exam options for. The app is free for the foot and ankle for special tests (which includes physical exam findings). The app is also free for the knee for the mobilizations section (which includes manual therapies).

The special tests section for each body part is separated by types of tests.

When a user advances to a specific test, the app includes a video of how to perform the test or what to look for.

Additionally, statistics and references are offered for each test. This section includes a lot of helpful information about sensitivity, specificity, and literature about the tests.

In the mobilizations section, there are photos, videos and descriptions of how to perform the manual therapies. Like in the special tests section, there are references of literature the user may review.

Price:

  • Free for knee (manual therapies) and ankle (special tests); $14.99 for full app
  • For the physical exam section, only the foot is free. For access to the full physical special test section, users must pay $9.99.
  • For the mobilizations (manual therapy) section, only the knee is free. For access to the full mobilization section, users must pay $5.99
  • For access to both mobilizations and special tests sections, users can pay $14.99

Likes:

  • Well organized app
  • Each test has clear, easy to understand videos and descriptions
  • The app has many links to literature references

Dislikes:

  • No search function built into the app
  • Only foot is free for physical exam section and knee is free for manual therapy section, for all other body parts, it costs about $10 to $15 to purchase the full app

Clinicians That Could Benefit From This App:

  • Orthopedists
  • Physiatrists (PM&R)
  • Family Medicine Physicians
  • Physical Therapists
  • Chiropractors
  • Osteopathic physicians practicing OMM/OMT

Conclusion:

  • iOrtho+ is an app that has videos and descriptions of physical exam and manual therapies. The app also has helpful statistics like sensitivity and specificity and has links to articles for each physical exam technique or manual therapy.
  • The videos are easy to understand and explain anatomy and basic findings in the physical exam very clearly
  • The app could benefit from a search function built into the app
  • For healthcare providers and trainees who rely on the MSK exam, this app would be a useful asset.

iTunes Link
Developer Website

iMedicalApps recommended?

  • Yes

Rating:
Overall: 4.25/5 Stars
User Interface:  4/5 Stars. Easy to navigate. A few organization issues that may confuse users about certain pathologies.
Multimedia Coverage: 5/5 Stars.  Interactive spine model, images with labels and diagrams with excellent explanations.
Price: 3/5 Stars. Cheaper than SpineDecide (costs $4.99) but this app explains less pathologies. There is no reason to own both.
Real World Applicability: 5/5 Stars. Can be used on a daily basis to educate patients.

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