De Novo Orthopedics
iRehab Patient App — Complete User Guide
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iRehab Patient App — Complete User Guide

Full guide to the iRehab Patient PWA: daily tasks, exercises, pain reports, wound photos, stamp collection, progress cards, PROM questionnaires, push notifications, and offline use.

For a visual walkthrough of the patient app with screenshots, see the product-page version →.

Getting Started

Login

  1. Open the URL your doctor gave you in your phone's browser (or scan the QR code)
  2. Account: your National ID number
  3. Password: your phone number

Add to Home Screen

We recommend adding the app to your home screen. Once it's there, you can open it with a single tap, just like any other app.

iPhone (Safari): Tap the Share button at the bottom → "Add to Home Screen" → "Add"

Android (Chrome): Tap the three dots in the top-right corner → "Add to Home Screen" → "Add"

The app still works even when your connection is spotty. Your exercise records sync automatically once you're back online.


Home Screen

After you log in, you land on the home screen, which is made up of a few sections.

Progress Ring

The ring at the top of the screen shows how many of today's tasks you've completed (0-3 tasks).

Recovery Journey (Stamp Collection)

Six milestone stamps track your recovery. Each one marks an achievement:

StampHow to earn it
StartComplete your first exercise
7 Days7 consecutive days with exercise or report activity
PROMComplete the functional assessment questionnaire your doctor sends
Pain↓Pain score decreased by 2 or more points from initial
AdvanceDoctor or therapist confirms advancement to the next phase
Photos7 consecutive days of wound photos

Tap any stamp to see how to earn it. Stamps you've already earned show a green checkmark and the date. Collect all 6, and a surprise awaits at your next visit!

My Progress Card

Tap "My Progress Card" to create a 1080×1080 image of your progress. You can:

  • Choose a card type (Start, Streak, Improved, Advance, PROM, Custom)
  • Add a personal photo (optional — it's never uploaded, only processed on your phone)
  • Adjust privacy settings (hide the day count or stats, choose the footer text)
  • Add a message of your own
  • Share it to LINE or IG, or download it to your phone

The whole point of the progress card is to help you feel "I'm making progress." Whether you share it is entirely up to you.

Daily Tasks

Three tasks every day:

TaskWhat it is
Pain ReportTakes 30 seconds — slide to report today's pain level (0-10). You can attach a wound photo at the same time.
Wound PhotoTake a photo of your wound to track how it's healing. Your doctor reviews it at your next visit.
Rehab ExercisesDo your prescribed exercises and check off each one as you finish it.

Once you finish a task, its card switches to "Done."


Exercises

Tap "Complete Today's Exercises" to open the exercise page.

Doing Your Exercises

  1. You'll see every exercise scheduled for today — name, sets, reps, and hold time.
  2. Check off each exercise once you've done it.
  3. When you've finished all of them, report your post-exercise pain and swelling.
  4. Tap "Submit."

If You Can't Finish

Don't worry about it. You can complete just part of your routine, and the app records how much you got through. Your adherence rate is a reference number, not a test you pass or fail.

Multiple Sessions a Day

The app supports doing your exercises more than once a day. After you finish your first session, you can go back into the exercise page to start a second one.


Pain Report

Report your pain level once a day to help your doctor track how you're trending.

  1. Tap "Report Pain Level."
  2. Slide left or right to choose your pain level (0 = no pain, 10 = worst pain).
  3. Optional: attach a wound photo.
  4. Tap "Submit."

Your doctor sees your pain changes on a trend chart. If it keeps climbing, your doctor gets an alert.


Wound Photos

Take photos to track how your wound is healing.

  • Photos upload to the cloud, and only your doctor and physical therapist can see them
  • Try to shoot in the same lighting and from the same angle every day
  • Photos are arranged by date, so your doctor can compare changes across days

E-Consent

The first time you log in, or whenever your doctor starts a new care episode, you'll see a consent screen. Read through it, then choose whether to agree or decline.

There are two versions of the consent form (your doctor decides which one applies):

  • Research version — used if your doctor is running an IRB-approved clinical study
  • Standard version — used for general post-surgical care-quality tracking

Once you sign, your consent record is stored securely (protected with SHA-256 hashing, so it can't be tampered with).

You can withdraw anytime: if you change your mind, you can withdraw your consent from the consent status card on your home screen. Withdrawing doesn't affect your clinical care — it only stops the research-related data collection.


PROM Questionnaires

PROM (Patient-Reported Outcome Measure) is a functional assessment questionnaire used to quantify how well you're recovering.

When You'll Receive Them

The app sends questionnaires automatically before surgery, and again at 6 weeks, 3 months, 6 months, and 1 year after surgery. You may receive a different questionnaire type at different points, since each one assesses a different aspect of your recovery. When one arrives, you'll see a purple questionnaire card on your home screen.

How to Fill It Out

  1. Tap the questionnaire card.
  2. Answer the questions (usually 7-12 items, about 3-5 minutes).
  3. Your score is calculated automatically once you submit.

Why It Matters

PROM scores are an objective way to quantify your recovery. Your doctor can compare your pre- and post-surgery scores to evaluate how well the surgery worked. A better score can also earn you the "PROM" stamp in your stamp collection!


Progress Tab

Tap the "Progress" tab at the bottom of the screen to see:

  • Exercise Progress: a 30-day calendar heatmap (color-coded by the days you exercised) plus a weekly adherence bar chart
  • Pain Trends: your latest daily pain score, your latest post-exercise pain score, and a two-line trend chart
  • PROM Records: a score trend chart plus a list of past results
  • Wound Photos: your consecutive-day streak, weekly upload rate, and a photo calendar

Push Notifications

The app sends reminders at these times (you'll need to allow push notifications first):

NotificationTimeWhat it says
Exercise reminder08:00Reminds you if you haven't exercised yet today
Report reminder16:00Reminds you if you haven't reported your pain yet today
Questionnaire dueWhen overdueYour PROM questionnaire has gone more than 2 days unanswered
Prescription updateImmediatelyYour doctor adjusted your exercise prescription
MilestoneWhen earnedCongratulates you when you collect a stamp
  • No notifications arrive between 22:00 and 07:00 (quiet hours)
  • No ads, ever
  • You can turn off push notifications anytime in your phone settings

iPhone Notes

On iPhone, push notifications only work after you've added the app to your home screen (Safari → Share → Add to Home Screen). Browsers opened inside LINE don't support push notifications.


Offline Use

The app still works even without an internet connection:

  • Your exercise records are stored temporarily on your phone
  • Pain reports and photos are stored temporarily too
  • The top of the screen shows an "Offline" or "Pending Sync" status
  • Once you're back online, everything stored temporarily uploads automatically

Don't worry about losing data — anything stored temporarily is kept for 7 days.


Milestone Celebration

When you reach a milestone, a celebration animation pops up. From there you can:

  • Generate Progress Card — make a nice-looking card to mark the moment
  • Keep Going — close the animation and keep using the app

You can share your progress card with family, or just keep it on your phone as a reminder that you're making progress.


Wish Pool

Tap the gear icon in the top-right corner of the card at the top of the home screen to open the "Wish Pool." It's a place to talk to your care team: features you'd like, problems you've run into, questions, or suggestions about the AI features.

  • Your doctor can see what you write and can reply to you
  • The nickname is optional; if you leave it blank, your entry shows as anonymous

If You Change Doctors

If your doctor needs to transfer your care to another physician (say, you've moved, or you're being referred elsewhere), they'll create a handoff report in the system that passes your complete recovery progress to your new doctor.

You don't need to do anything. Once the handoff is complete:

  • Your rehab records transfer to your new doctor automatically
  • Your exercise history, pain trends, and PROM scores are all preserved
  • If you have any questions, just contact your new doctor directly

Ask My AI

There's an "Ask My AI" card on your home screen. Tap it to copy a summary of your recovery, then paste it into your own AI tool (ChatGPT, Claude, Gemini, etc.) to ask questions.

How to Use It

  1. Tap "Ask My AI" to open the page.
  2. The app puts together a summary of your recovery automatically (surgery type, days since surgery, pain trend, exercise completion rate, and what's left before your next phase).
  3. Tap "Copy Summary" to copy it to your clipboard.
  4. Further down the page are buttons for ChatGPT, Claude, and Gemini — tap one to open your AI tool.
  5. In the AI's chat box, press and hold to paste, and you're ready to start the conversation.

Conversation Starters

Besides copying the summary, there are 4 "conversation starter" buttons. Tapping one adds a question prompt after the summary:

  • Help me prepare questions for my next appointment — the AI puts together 3-5 questions worth asking your doctor
  • Summarize my recovery highlights — the AI points out what's improving and what to keep an eye on
  • Which exercise results should I mention to my doctor? — the AI flags post-exercise responses worth bringing up
  • Analyze my pain trends this week — the AI looks for a connection between your pain and your exercise activity

Even Better with Photos

If you want to ask "does my wound look normal?", paste your copied summary into the AI first, then upload a wound photo from your phone's gallery. The AI will factor in your day count and recovery phase when it responds.

This isn't a medical diagnosis. The AI helps you organize your questions — the final call is always your doctor's.


Privacy & Security

  • Only your doctor and physical therapist can see your data
  • Personal photos on progress cards are never uploaded — they're processed on your phone only
  • All data transmission is encrypted
  • You can request to export or delete your data at any time

Full privacy policy: denovortho.com/privacy


FAQ

Forgot your password?

Your default password is your phone number. If you've forgotten it, contact your clinic's staff or the De Novo team to have it reset.

Can I retake a crooked photo?

Yes. After you take a photo on the report page, you can tap retake if you're not happy with it. Once submitted, a photo can't be deleted — but your doctor always sees the most recent one.

What if I do an exercise wrong?

Don't worry about it. Records can't be edited after you submit, but your doctor looks at your overall trend. Occasionally missing or messing up an exercise won't affect your assessment.

Can I use it on a computer?

Yes, but we recommend your phone. Checking off exercises and taking photos is easier that way.

Does the app update automatically?

Yes. iRehab is a PWA (Progressive Web App), so it checks for updates every time you open it. When a new version is available, you'll see a "New version available" prompt at the top of the page — tap "Update now" and you're done. No App Store download needed.

What happens if I accidentally close the app?

You won't lose any data. Anything you've already submitted lives in the cloud; anything not yet submitted is stored temporarily on your phone. Just reopen the app and pick up where you left off.

Further Reading