Development of an Interactive “App” to Teach Rancho Gait and Application of an Algorithm for Orthotic Decision-Making and Selection

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Kelley Kubota, Valery Eberly, Philip Requejo
Purpose:

Our NIDDR/NIDILRR field-initiated development grant (PROJECT MOPS NIDRR #H133G100268) was aimed at developing technology to teach clinicians to utilize an algorithm (the Rancho R.O.A.D.M.A.P.) for lower extremity orthotic decision-making. The first step was to describe normal and pathologic gait as a foundation for use with the R.O.A.D.M.A.P. 

Methods:

We used an app-based program (shifting from development of an interactive DVD) to allow us to reach a widespread user base for greater dissemination. This special interest platform is aimed at describing the evolution of this project. The first step was to develop modules to teach Rancho Normal Gait and the Problem-Solving Approach as well as Pathologic Gait as a foundation for use of the R.O.A.D.M.A.P. To develop the app for Normal Gait and the Problem-Solving Approach, several voice-overs were recorded by an expert physical therapist in the Rancho Observational Gait Analysis System. An Engineer (the Primary Investigator of the project) linked video clips, Power Point slides, and animations to the voiceovers for elements considered to be essential to Normal Gait, including Functional Tasks, Task Accomplishments, and Critical Events. After completion of this process a User Document was created which outlined the highlights and essential components of Normal Gait and the Problem-Solving Approach. The User Document was used to help guide how computer code would be written for the app. Code was then written by computer programmers, and the app has completed extensive beta testing to assess functionality of the product.  

Results:

The RanchoGait App includes two modules providing instruction on normal and pathologic gait with the other app in the series aimed at lower extremity orthotic decision-making and selection. The normal and pathologic gait modules are intended to be tools for clinicians to learn or review the fundamental elements of Normal Gait and the Problem-Solving Approach in an interactive manner. The RanchoGait app allows the user to be an active participant in learning the essential elements of Normal Gait and engages critical thinking in the learning process. An interactive player allows the user to view a video clip that describes the highlights and essential elements of the gait cycle and other sub-categories. The user can interact with the various choices for playing the phases and sub-categories of Normal Gait. The pathologic gait module includes video captures and voiceovers for all deviations on the Rancho Observational Gait Analysis form. 

Conclusion(s):

The RanchoGait app can be used as a stand-alone learning aid or as a supplement to principles presented in a lecture/lab-based format.  

Implications:

This app’s accessibility to members, ease of use, as well as portability and utility demonstrate its value and importance to members.  The app is easily downloadable at an affordable price.

Funding acknowledgements:
PROJECT MOPS NIDRR/NIDILRR #H133G100268
Keywords:
App
Gait
Orthotics
Primary topic:
Education: clinical
Second topic:
Other
Third topic:
Disability and rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Rancho Los Amigos National Rehabilitation Center
Provide the ethics approval number:
000 MOPS IRB
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
Yes

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