Finger and wrist motion, measured between visits

Patients record their joint angles at home with a phone camera. Their hand therapist sees every reading, and DexterityIQ flags anyone whose extension slips over 48 hours, so a problem reaches the clinic within two days of it starting.

For certified hand therapists, hand surgery practices and their patients.

A hand held side-on to the camera with the wrist flexed, overlaid with a goniometer reading of 47 degrees. Right wrist, side view
Wrist flexion47°
Hold still18 of 30 frames

How a reading is taken

It replaces the plastic goniometer check at each clinic visit and the paper exercise sheet that goes home with the patient. A reading takes under a minute.

  1. The hand goes side-on to the camera

    The patient props the phone up and holds the hand beside it. A guide on screen shows where the hand should sit and turns yellow when it lines up.

  2. The app reads each joint

    DexterityIQ tracks the joints across about a second of video and reads the angle at each one: MCP, PIP and DIP for the fingers, and flexion and extension at the wrist.

  3. The reading goes to the clinic

    It syncs straight away. With no signal it is stored on the phone and uploaded later with the time it was actually taken.

  4. A drop in extension flags the patient

    If extension at a joint gets worse by more than the clinic's threshold over 48 hours, the patient is flagged for follow-up, which is often the first sign of swelling or a tendon adhesion.

The therapist dashboard

A caseload view for the clinic. Each patient's range of motion is plotted day by day, against their other hand and against the thresholds the clinic set for their protocol.

  • Daily range of motion for every tracked joint, with the change since the last reading
  • Comparison with the uninjured hand, joint by joint
  • Alert thresholds set per protocol and per joint
  • Exercise changes sent to the patient's phone, including putty resistance
A patient doing a wrist stretch at home beside a window.

Between appointments

Home exercises arrive on the patient's phone with the reps and resistance their therapist set. They log splint wear as they go.

Splint scheduleThe app tracks hours in the splint against the prescribed wear time and shows the therapist the daily total.
Works without a signalSessions and measurements are kept on the phone and sent when it reconnects, stamped with the time they happened.
Messages from the clinicWhen a patient is flagged, the therapist can move the next appointment forward from the dashboard.

Clips, records and progress reports

Each measurement keeps a short, encrypted video clip, so a surgeon can watch the joint move before a follow-up consultation.

Progress reports as PDFsLaid out like a standard therapy progress note for insurance authorization renewals, with the range-of-motion history filled in.
Records for the chartMeasurements and reports export in formats the clinic's EHR accepts.
A hand therapist working on a patient's wrist in clinic.

Security and scope

Encrypted in transit and at restVideo clips, measurements and reports alike.
An access log for every recordEach view and export is recorded with who opened it and when.
Business associate agreementAvailable to covered entities before any patient data is sent.
Access by roleTherapists see their own caseload; surgeons see the patients referred to them.

DexterityIQ measures and records range of motion. It is not a diagnostic device, and it does not replace a clinician's assessment.

Questions from clinics

How does a camera reading compare with a goniometer?

The app only accepts a reading when the hand is side-on and fully in frame, and tells the patient how to fix the position otherwise. We suggest clinics compare the first week of readings with their own goniometer measurements before relying on the trend.

What happens when a patient is flagged?

The patient moves to the top of the therapist's caseload with the readings that triggered the flag. The therapist can message them, change their exercises or bring the next appointment forward.

Does the app work without a phone signal?

Yes. Exercise sessions, splint logs and measurements are stored on the phone and upload when it reconnects, each stamped with the time it was taken.

Which procedures is it set up for?

Flexor and extensor tendon repairs, nerve transfers, digit replantation and wrist fractures. Each has its own default thresholds, which the clinic can change.

Book a clinic demo.

Tell us about your clinic and we will walk you through the patient app and the dashboard with your own protocols.

Broad Los Angeles area