Guiding ACL-injured Patients Through Their Recovery Journey

BounceBack

BounceBack is a service designed to support ACL injury patients in Indonesia, aiming for a smoother and more successful recovery journey. It helps reduce re-injury risk by equipping patients and healthcare professionals with essential knowledge and resources throughout the recovery process.

Read the full Design Research Compendium

Role

This solo project was created as a Major Project for the Master of Design Innovation and Technology at RMIT under the supervision of Emma Luke and Courtney Coombs.

THE PROBLEM

The ACL Injury in Indonesia

The ACL is a key ligament in the knee, connecting the thigh and shin bones to maintain stability and coordination. ACL injuries, often caused by movements like pivoting, slipping, or accidents, involve partial or complete tears.

Studies conducted on ACL patients in Indonesia

In Indonesia, 9% of 48 knee injuries are ACL tears. These figures don’t account for undiagnosed or untreated cases. A study of 148 patients in the Indonesian ACL Community found that 29.74% experienced re-injuries within two years, often due to another ACL tear or inadequate recovery.

USER JOURNEY

The typical experience ACL patients would have to go through

ACL recovery extends beyond surgery, typically lasting 6–9 months. In Indonesia, challenges include limited access to quality healthcare, lack of knowledge, and poor decision-making at various stages.

ACL recovery impacts both physical and mental health, with patients often facing identity shifts, recovery concerns, and fears of re-injury or another surgery. Psychological responses like fear of uncertainty are also common.

EXPERT INTERVIEWS

Getting insights from experts

Interviews were done with 4 experts, which are: an Orthopaedic Doctor, Physiotherapy Researcher, Senior Physiotherapist, and the admin of the Indonesian ACL Community.

Some key insights gathered...

No boundaries between athletes and non-athletes with ACL injuries

Although the ACL injury happens mostly on athletes, once someone got an ACL injury, there are no boundaries between athletes and non-athletes

Inconsistent communication and disconnected knowledge among stakeholders

The lack of unified knowledge and consistent communication between stakeholders, which results in different information being given from each of the experts to patients.

Insufficient data collection for improvement

There is a lack of data collection about past recovery processes that might be beneficial for future improvements

Patients struggle to have suitable healthcare provider

It’s hard for patients to search and book for the right and suitable doctors and physiotherapists

IDENTIFYING users

Key players in a patient's recovery journey

Most experts also mentioned that in a patient’s recovery process, there is a ‘team’ that should be in constant communication, which involves the patient, the Orthopaedic Doctor, and the Sport Physiotherapist. Therefore, a Jobs-To-Be-Done framework is used to identify the needs of different users of BounceBack.

Jobs-To-Be-Done

design challenge to consider

How might we assist the recovery process of ACL injured patients  in Indonesia and ensure communications between patients, doctors, and physiotherapists run smoothly?

POINTS OF INTERVENTION

Points of the user journey where service is implemented

In Indonesia, patients typically fall into two groups

Traditional approach

Most patients first seek help from traditional massage therapists based on cultural beliefs

Direct consultation

Other patients would opt to consult a doctor immediately to ask about the injury.

BounceBack service

The starting point of the whole service would be after consultations and receiving the right diagnosis from the doctor. This service is designed to support patients through:

BounceBack Toolkit

Given to first-time ACL patients, it includes essential information about the injury and practical tips to kickstart their recovery.

BounceBack App

Introduced through the toolkit, this app provides step-by-step guidance throughout the patient’s recovery journey.

PHYSICAL MATERIAL

Toolkit to introduce what the injury is and how to respond

The toolkit is designed to be the patient’s first touchpoint, combining functionality and helpful guidance. Packaged in a cardboard box, it features thoughtfully organised sections containing:

Information Booklet

Provides a roadmap for the recovery journey, with key do’s and don’ts , a checklist of essential equipment, and many more.

Ice Bag

A simple and effective cryotherapy tool for pain relief. Beneficial post-surgery to reduce swelling after physiotherapy sessions.

Bandage

Essential for compression during the early stages of injury, helping to control swelling and support healing.

DIGITAL PLATFORM

Bridging Patients and Experts for Seamless Recovery

BounceBack ensures a smooth recovery journey by connecting two key user groups: patients and experts (doctors and physiotherapists). Each group has its own tailored platform, seamlessly integrated to foster collaboration and guidance.

Information Architecture

Seamless Integration

The user flow illustrates how the BounceBack system bridges the gap between patients and experts, enabling smooth interactions and efficient tracking.

Physiotherapy Sessions

Before each session, the physiotherapist has access to the patient’s past progress, ensuring personalised care.

During the session, the physiotherapist provides guidance and logs updates on the app, giving patients a clear record of their progress to review anytime.

Doctor Consultations

Similarly, doctors can access the patient’s history, track previous progress, and add new diagnoses or updates during the consultation.

This creates a cohesive system where all essential information is centralised and easily accessible for both patients and experts.

This streamlined approach ensures that every interaction, whether with a physiotherapist or an orthopedic doctor, is efficient and well-informed, making the recovery process smoother and more transparent.

PATIENT'S PLATFORM

BounceBack Patient Platform

Onboarding Process

The onboarding process ensures users start their recovery journey on the right track with the correct diagnosis and expert support.

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Service Blueprint

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Be a supportive friend throughout your journey

The ‘My Journey’ section guides users daily with reminders to book sessions, progress highlights, phase trackers, and rehab tips to keep them motivated.

Learn about your injury and connect with others

The Explore section helps users understand their injury with engaging graphics and phase-specific content, like tutorials and motivational tips. In the Community section, users can share progress, post concerns, and connect with others, fostering mutual support and motivation throughout their recovery.

Track your progress and get motivated

On the Profile page, users can view injury details, surgical history, and overall recovery progress in clear percentages. Detailed outcome measures, like passive knee extension, are displayed with progress graphs and expert notes to track improvements effectively.

Expert'S PLATFORM

BounceBack Experts Platform

The expert’s platform mainly serves as a complementary platform for patients, so that patients are able to see progresses noted by experts, and experts are able to log and look back at the patient’s progress.

Log patient’s progress

In the My Schedule section, experts can view their daily appointments and access patient profiles, where they can log progress updates. Progress tracking is tailored to each patient’s unique recovery, with goals like achieving 0° passive knee extension based on individual starting points, ensuring personalized and realistic targets.

Learn and discuss with other experts for further improvements

On the Explore page, experts can access user statistics, such as the types of ACL grafts (BPTB, QT, HT, and Peroneus Longus) and their recovery success rates, to guide future decisions. A unified discussion panel allows orthopedic doctors and sports physiotherapists to share insights and collaborate, fostering better knowledge exchange.

Desktop version

To make it accessible for every users, a desktop version of the expert platform was created, especially to accomodate the needs of doctors. On consultation sessions, doctors would use their desktop instead of phones, hence it is important to create a desktop version.

Design system

Crafting a consistent user experience

A design system ensures a consistent visual identity across the platforms, with blue shades chosen to evoke hope and refreshment, fostering comfort and motivation. Components like buttons, lists, navigation, and icons were styled uniformly to maintain cohesion throughout.

USABILITY TESTING

How BounceBack Enhances Recovery Journeys

Usability testing with 6 users, including heat mapping, showed that users found curated lists of doctors and physio clinics for ACL cases helpful. The progress statistics and patient history were also key features. AI heatmapping using Attention Insight on Figma revealed that intended elements, like CTAs and key information, effectively captured user attention.

PROJECT takeaways

Exploring healthcare UX Design

This project is a work in progress, but I’m proud of what I’ve accomplished within the limited timeframe, from exploring patients’ medical journeys to developing tools like an information booklet and experimenting with techniques like laser cutting.

Future improvements could include telemedicine for home-based physiotherapy with accurate tracking, integrating AR physiotherapy with advanced movement detection, and offering a subscription system that provides essential equipment like braces and crutches. Enhancing the process logging section with detailed scoring measures—such as KOOS, ACL-RSI, IKDC, and others—could also provide a more comprehensive view of patients’ rehabilitation progress.

More Work