Home exercise programme software, and the step after discharge

Home exercise programme software is how a clinic keeps treatment going between appointments. A clinician picks the exercises, sets how often each one is done and sends them to the patient's phone, and the platform shows the clinic whether the patient is doing them. Physitrack, Medbridge, Wibbi and Rehab My Patient each publish what they offer on their own sites, and each charges in its own way. TriageFit's clinic partnership comes after all four, for the patient who has finished treatment and wants to keep training.

Physitrack, priced by the practitioner

Physitrack charges £19.49 a month for each practitioner. A practice paying for the year instead pays £210.49 a year for each practitioner, 10% off the monthly price. That pricing is for practices with fewer than 20 practitioners, and there is a price from its sales team once a practice reaches 20 practitioners. The plan takes in the free patient app, progress tracking, a library of more than 18,000 exercises and a trial of its telehealth system.

Programmes are put together in a drag-and-drop builder in which the clinician sets the reps, the sets and how often each exercise is done, then sent by email, text message, QR code or print. Clinicians can also add their own exercises, education material and programmes. The patient receives an email with a programme code and a link to download the app, and inside the PhysiApp patient app they find guided exercise videos and reminders, and a place to log progress and discomfort. On the clinic's side there is adherence and progress tracking for each patient, and an alert when a patient reports high pain. Its features page also lists secure video calls and messaging and links with practice management systems, and a practice can try all of it first with a free two-week trial.

For a clinic that wants its own name on the patient's phone, Physitrack sells a version of its PhysiApp patient app carrying the clinic's own logo, colours and name, built and submitted to the app stores by Physitrack. It gives the build time as six weeks and lists Lite, Pro and Enterprise plans, with no prices on the page. What Physitrack costs a clinic goes through its plans in more detail, and whether to refer patients or build a branded app compares the two routes for a clinic.

Medbridge, priced in US dollars

Medbridge sells to a single clinician or to an organisation, and both are priced in US dollars. For one clinician, the Premium plan is $389 a year, shown next to a list price of $455, and it covers everything in the Education plan, plus more than 8,000 exercise videos across more than 20 specialties, more than 1,000 patient education items, a drag-and-drop programme builder, the Medbridge Go app for iOS and Android and an online patient portal. The Education plan is $339 a year, next to a list price of $405, and its courses come with continuing education credits that are not accredited outside the US. Both are 12-month subscriptions, paid in full at sign-up and renewed on the date of purchase.

For a practice, Care Essentials is $169 a year for each seat and brings the full home exercise library, 100 episodes of care for each seat each year pooled across the organisation, then $1.50 an episode, and patient-reported outcomes with analytics for the organisation. Care Elite, at $209 a year for each seat, has unlimited home exercise episodes, with remote therapeutic monitoring and Guided Care Pathways charged at $10 an episode. An episode is counted from the first exercise, education item or outcome measure added to a home exercise programme, and usage is billed monthly, in arrears. Bundled with its Education Essentials courses, Care Essentials comes to $329 a year for each seat and Care Elite to $369 a year for each seat, and there is a demo request for 50 seats or more.

Before any of those prices, a clinic in Ireland or Britain should read the payment line on the small-business page, which says Medbridge takes payment only from organisations in the United States, Canada or Australia. The same page adds that the service itself can be used from anywhere in the world. It also says there are no refunds on group subscriptions, with seats added or upgraded at any time at a prorated price, removed only in the renewal window, and moved between staff. What Medbridge costs a clinic sets the plans out one by one.

Wibbi, priced by quote

Wibbi started in 1993, as Physiotec. It gives a quote for every plan, on request, and its Professional plan, aimed at independent therapists, clinics, outpatient groups and health systems, takes in a library of more than 20,000 exercises, patient education, programme templates, an online patient portal, the Wibbi Vive app for iOS and Android, several episodes of care and links with electronic medical records. On top of that it sells remote therapeutic monitoring, a custom branded app, continuing education and enhanced security as add-ons, and its remote monitoring is available only in the USA.

Alongside the library there are more than 300 templates that can be adapted and more than 15 printout layouts. Patients get automated reminders, and the portal records pain, session length, difficulty and sets, as the patient reports them. The clinic can follow completion, effort, pain, strength and endurance, and send patient-reported outcomes and NPS surveys. A practice can try it first with a free 30-day trial, and what Wibbi costs a clinic looks at how a quote is put together.

Rehab My Patient, priced by the size of the clinic

Rehab My Patient prices in sterling and sets its plans by how many clinicians need a login. The individual plan is £11.42 a month, for one clinic and one practitioner login. The clinic plan costs from £14.42 a month, for one clinic and two or more practitioners, each with their own login, and the multi-clinic plan costs from £20.42 a month, for several clinics and four or more practitioners. Paid yearly, with 10% off each plan, the individual plan is £123.34 a year, the clinic plan from £155.74 a year and the multi-clinic plan from £220.54 a year. It also offers a negotiated price for more than five practitioners.

Every plan includes telerehab, its own and community-made templates, more than 5,500 exercises and advice sheets, and unlimited storage, and a new clinic gets a free 14-day trial with no card needed. Plans go out by email, SMS or WhatsApp, a printed PDF, or its Track Rehab portal, and the clinic follows pain, mobility and strength, with outcome surveys sent through its Track Rehab app. Its home page also describes an AI exercise plan generator that writes a complete plan, sets and reps included, from a prompt. It lists safety netting and red flags on every plan and one-click translation into 45 languages as well. It takes any major card through Stripe, or PayPal, and a plan is cancelled with an email to its team, at any time. Rehab My Patient alternatives compares it with the others on price.

The four side by side

Physitrack alternatives sets the same platforms against Physitrack alone, and keeping patients on their home exercises takes up what they do once the appointments stop.

Where the software stops and coaching starts

All four are built for the stretch of care in which a clinician writes the programme and the patient follows it, and discharge is where that stretch ends. Someone who wants to lift in a gym, get back to a sport or keep a repaired knee strong still needs a programme after it, one that keeps changing as their weeks do. Physio referral partnerships covers how that hand-over works from the clinic's side.

TriageFit builds that next programme. In the intake the patient marks the injury on a body map, with the side and how much it hurts, next to their goals, their training history, the kit they have access to and the minutes they have for a session. From its first week the programme works around that injury, and any exercise that would provoke it stays out. If the health screen turns up something like chest pain, training waits for a go-ahead from the patient's GP, and begins once the patient has confirmed it in the app.

Once training is under way, the patient sends a check-in each week, on a day of their choosing. The reply, a coaching message on how their week went, comes back in seconds, and a real coach goes through the same check-in. Should the old injury flare, the AI coach suggests a replacement for whatever exercise hurt and says at what point a physio ought to look at it, and nothing in the programme moves until the patient says yes.

A shoulder patient leaving a clinic in Galway

A physio clinic in Galway sends its home exercise programmes through Rehab My Patient. One patient, an accountant in their late thirties, has spent eight weeks rebuilding a right shoulder after coming off a bike, and at the last appointment they mention wanting to join a gym. The physio hands over the clinic's partner one-pager along with the discharge advice.

That evening the patient scans the code on the sheet, joins with 10% off and says yes when checkout asks about sharing progress with the clinic. In the intake they mark the right shoulder on the body map, and the first programme is built around it. Five weeks in, the dumbbell bench press starts to pinch at the front of the shoulder. They mention it to the AI coach, which proposes another exercise in its place and tells them when the shoulder should be looked at by a physio. They accept the change and book a review with the clinic that treated them.

Because they chose to share, the physio already has the picture in the Patients tab of the portal before the review, from the programme week and the last check-in to a single adherence figure. After physio discharge follows more patients through that step.

What each route costs a clinic

Each of the four platforms is a subscription the clinic keeps paying while it uses it, in sterling, in US dollars or at a quoted price. Taking part in the TriageFit partnership has no fee, at registration or afterwards. The membership is the patient's own purchase, at €50 every 4 weeks or €500 a year with VAT included, and the partner link takes 10% off each of those payments.

If the clinic's professional code permits paid referrals, a commission can be turned on in its settings. Turning it on records the clinic's confirmation that its rules allow it and that any disclosure they call for will be made, and the patient's price stays where it was. The clinic's share is 5% of every payment, €2.25 each time a four-weekly member pays and €29.25 over a year on that plan, so a caseload of 10 such patients, each staying the year, earns the clinic €292.50. Earnings wait 30 days in case of a refund, which reverses them, and a monthly payout goes out through Stripe Connect whenever the balance has reached €20.

Registering the clinic

The registration form needs only the practice's name, the name of whoever is filling it in and an email address to reach them. The website is optional, and giving it helps verification go faster. The portal, the partner link and the discount are live the moment the form goes in. A person at TriageFit then confirms that the practice exists and that the registrant speaks for it, the result arrives by email, and patients can start sharing their progress once that is done.

Anyone else at the practice who wants the detail can read the partner terms for clinics, which open with a summary in plain language, or the one-page overview that can be passed round the team.