AI-Powered Physiotherapy Assistant

Smarter Physiotherapy.
Better Recovery.

Reforme helps physiotherapists monitor patient exercise performance, analyze movement patterns, provide real-time feedback, and track recovery progress — all powered by computer vision and AI.

Pose Estimation
Real-Time Feedback
Progress Tracking
Tracking
Issue Detected
Feedback

The Gap Between Sessions

Physiotherapy happens in the clinic. Recovery happens at home. The disconnect creates problems for both sides.

Physiotherapists

Clinical Blind Spots

The clinic visit is a snapshot. What happens in the other 167 hours of the week largely determines outcomes.

Limited Visibility

Physiotherapists have little insight into how patients perform exercises between clinical sessions, relying on subjective self-reporting.

Manual Monitoring

Tracking patient compliance and progress requires manual effort — reviewing logs, asking questions, and piecing together incomplete information.

Difficult Progress Tracking

Without objective data, measuring improvement over time is challenging. Trends in movement quality, consistency, and recovery speed remain invisible.

Missed Movement Deviations

Subtle compensations — knee valgus, trunk lean, asymmetric loading — often go unnoticed until they become significant issues or cause re-injury.

Patients

Exercising in the Dark

Patients want to recover — but without guidance, every rep is a question mark.

Uncertainty About Form

Patients often wonder: "Am I doing this right?" Without guidance, they may perform exercises incorrectly, reducing effectiveness or risking injury.

No Immediate Feedback

Unlike a supervised session, home exercise offers no real-time corrections. Errors repeat and reinforce poor movement patterns.

Inconsistent Adherence

Motivation wanes without visible progress or accountability. Patients struggle to maintain exercise routines between appointments.

Limited Guidance Between Sessions

Questions about technique, pain, or progression arise between visits. Without access to their physiotherapist, patients guess or wait.

How Reforme Works

A seamless flow from prescription to progress — powered by AI, guided by clinical expertise.

01

Physiotherapist

Creates patient profiles and prescribes personalized exercise plans with specific parameters.

Step 01 visualization

02

Patient Profile

Each patient gets a secure profile with their condition, prescribed exercises, and personalized parameters.

Step 02 visualization

03

Exercise Plan

Physiotherapists select exercises, set reps, sets, hold times, rest periods, and define movement parameters.

Step 03 visualization

04

Exercise Parameters

Target angles, movement speed, range of motion, and acceptable tolerances are configured for each exercise.

Step 04 visualization

05

Patient Performs Exercise

At home, the patient follows the guided exercise using their device camera for real-time analysis.

Step 05 visualization

06

AI Motion Analysis

Computer vision detects pose, extracts keypoints, calculates joint angles, and analyzes movement patterns in real-time.

Step 06 visualization

07

Real-Time Feedback

Visual and textual cues guide the patient — green for correct form, red for deviations, with specific corrective instructions.

Step 07 visualization

08

Progress Report

Automated session summaries with rep counts, accuracy scores, movement quality trends, and flagged issues for the physiotherapist.

Step 08 visualization

09

Physiotherapist Reviews

The physiotherapist reviews objective data, adjusts the plan, and guides the next phase of rehabilitation.

Step 09 visualization

AI Motion Analysis Pipeline

Computer vision runs entirely on the patient's device. Video never leaves the browser. Only derived metrics are transmitted.

End-to-End Processing Flow

Camera Input

Device camera captures video at 30fps. No special hardware required — works with any webcam or phone camera.

Pose Detection

YOLOv11-Pose and MediaPipe detect 17+ body keypoints in real-time. Runs locally in the browser — no video leaves the device.

Keypoint Extraction

33 landmarks mapped to clinical joint centers. Confidence scoring filters unreliable detections. Temporal smoothing reduces jitter.

Biomechanical Features

Joint angles, angular velocities, symmetry indices, center of mass estimates, and movement phase detection computed per frame.

Movement Analysis

Exercise-specific rules evaluate form against prescribed parameters. Rep counting via state machines. Deviation scoring with confidence weighting.

Feedback Generation

Visual overlays, textual cues, and audio prompts guide corrections. Feedback prioritized by clinical significance and confidence.

Movement Issues Reforme Can Identify

Reforme detects movement patterns — it does not diagnose medical conditions. All findings are presented as observations for the physiotherapist to interpret.

Knee Alignment

Valgus/varus tracking during squat, lunge, step-down

Hip Depth

Insufficient or excessive flexion range

Back Posture

Excessive flexion, extension, or lateral shift

Shoulder Symmetry

Asymmetric elevation, protraction, or rotation

Neck Position

Forward head posture, lateral flexion during movement

Weight Distribution

Asymmetric loading, heel/toe bias, lateral shift

Exercise Tempo

Too fast, too slow, inconsistent speed across reps

Not a Clinical Diagnosis Tool

Reforme identifies movement patterns and deviations from prescribed parameters. Clinical interpretation and diagnosis remain the responsibility of the qualified physiotherapist.

For Physiotherapists

Reforme acts as your AI assistant — extending your clinical reach between visits without replacing your expertise.

Maria Santos

Post-ACL Reconstruction

Active

87%

Avg Accuracy

12/14

Sessions Complete

Recent Observations

Knee valgus detected — Session 12
Hip depth below target — Session 11
Good form maintained — Session 13

Patient Management

Organize your caseload with searchable profiles, condition tags, and assignment status. Quickly see who needs attention.

Exercise Prescription

Build plans from a curated library. Set reps, sets, hold times, tempo, rest periods, and define acceptable movement parameters per exercise.

Exercise Parameters

Define target angles, movement speed, range of motion, symmetry thresholds, and acceptable tolerances for each exercise.

Performance Monitoring

Real-time dashboards show session compliance, accuracy trends, rep quality, and flagged deviations — per patient and across your caseload.

Movement Observations

Review flagged deviations with timestamps, joint angles, and video snippets. Add clinical notes and adjust the plan instantly.

Progress Reports

Automated session summaries and longitudinal reports with accuracy trends, compliance rates, and movement quality trajectories.

You Remain the Clinical Authority

Reforme provides objective data and observations. You interpret, decide, and guide. The AI assists — it does not prescribe.

You set the parametersYou interpret the dataYou guide the recovery

For Patients

Your recovery companion. Real-time guidance, visible progress, and the confidence that you're doing it right.

01

Follow the Exercise

Open your assigned workout. See the exercise name, target reps, and a video demonstration of correct form.

02

Perform

Position your device camera. Start the session. The AI tracks your movement in real-time — no wearables, no sensors.

03

Receive Feedback

See your joints highlighted — green for correct, red for corrections needed. Text cues tell you exactly what to adjust.

04

Correct Movement

Adjust your form based on real-time guidance. The rep counter only increments when movement meets quality thresholds.

05

Track Progress

After each session, see your accuracy score, rep counts, and trends over time. Share progress with your physiotherapist.

Rep 8 of 10
87% Accuracy
Great form! Keep your knees tracking over toes.

Why Patients Choose Reforme

Confidence in Every Rep

Know immediately if your form is correct. No more guessing or waiting for your next appointment to find out.

Guidance When You Need It

Real-time cues like "Knees caving in — push out" or "Keep your back straight" help you correct instantly.

Consistency Built In

Session reminders, streak tracking, and visible progress keep you motivated between physiotherapy visits.

Your Physiotherapist Sees It Too

Your clinician reviews objective data — not just "how did it go?" — so your next visit is more productive.

Your Recovery, Visible

Every session builds a picture of your progress. You see it. Your physiotherapist sees it. Together, you recover better.

Reforme AI Assistant

An AI that speaks your clinical language. Grounded in patient data. Designed to extend your expertise, not replace it.

How the AI Understands Each Patient

Patient Information

Condition, history, demographics, goals

Exercise Plan

Prescribed exercises, parameters, progressions

Exercise Performance

Rep quality, accuracy scores, deviation patterns

Movement Observations

Flagged issues, timestamps, joint angles

Historical Progress

Trends over weeks/months, compliance rates

AI Assistant

Processes & Synthesizes

What the AI Assistant Does

Pattern Recognition

Identifies recurring movement deviations across sessions — e.g., "Left knee valgus persists in 80% of squat sessions"

Progress Summarization

Converts raw metrics into narrative summaries — e.g., "Accuracy improved 15% over 4 weeks; hip depth now within target"

Clinical Flagging

Highlights patients needing attention — e.g., "3 patients with declining accuracy; 2 with new deviation patterns"

Plan Optimization Suggestions

Proposes parameter adjustments — e.g., "Consider reducing squat target depth by 10° for Patient A"

Patient Communication Aid

Drafts clear, encouraging messages for patients — e.g., "Great progress on knee alignment! Focus on hip depth this week"

Evidence Grounding

Every insight references specific sessions, reps, and measurements. No black-box recommendations.

Built-in Guardrails

  • Does not diagnose medical conditions

  • Does not prescribe or modify treatment plans without physiotherapist approval

  • Does not replace clinical judgment

  • All outputs reference source data

  • Physiotherapist reviews before patient communication

  • Operates within defined scope and boundaries

The Physiotherapist Decides

The AI surfaces insights. You evaluate, approve, and act. Every recommendation is traceable to source data. You remain in control.

Grounded in DataTraceableReviewed by YouActionable

Technology

Purpose-built stack for clinical-grade movement analysis. Every component chosen for reliability, privacy, and performance.

Computer Vision

Real-time pose estimation and movement analysis running locally in the browser

  • YOLOv11-Pose

    State-of-the-art keypoint detection, optimized for edge inference

  • MediaPipe Pose

    33 landmark tracking with confidence scoring, WASM/WebGL accelerated

  • OpenCV

    Image preprocessing, coordinate transforms, geometric computations

AI / Machine Learning

Intelligence layer for movement understanding, feedback generation, and clinical assistance

  • Machine Learning

    Rep counting state machines, movement phase classification, deviation detection

  • LLMs (Claude/GPT)

    Clinical reasoning, natural language summaries, patient communication drafting

  • Agentic AI

    Multi-step reasoning over longitudinal data, autonomous insight generation within guardrails

Backend & Infrastructure

Scalable APIs, real-time communication, and data persistence for clinical workflows

  • FastAPI

    High-performance Python async framework for inference services and ML endpoints

  • WebSockets

    Sub-100ms latency for real-time pose streaming and feedback delivery

  • PostgreSQL

    ACID-compliant storage for patient data, sessions, and clinical records

Architecture Principles

Local-First Processing: Video never leaves the patient's device. Only derived metrics are transmitted.

Privacy by Design: No raw video storage. No third-party video APIs. HIPAA-aligned data handling.

Explainable AI: Every insight references specific frames, joints, and measurements. No black-box outputs.

Clinical Guardrails: AI operates within defined boundaries. Physiotherapist retains full clinical authority.

Resilient Architecture: Graceful degradation when camera/pose quality drops. Clear user communication.

Technology Serves the Clinical Mission

We don't chase benchmarks for their own sake. Every model, every millisecond of latency, every architectural decision is evaluated against one question: does this help physiotherapists and patients achieve better outcomes?

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