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Orientate app

An app for a person who has had a stroke or limb amputation, or with complex regional pain syndrome (CRPS), or who suffers persistent pain in a hand or foot.
Orientate app is best used under the guidance of a health professional.

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Orientate app	By Reflex Pain Management
	Features Laterality recognition program. Uses graded motor imagery. Has image library. Graded difficulty levels. Results storage.
Clinical review	Read a clinical review below.
Security and privacy	Does the app: Collect medical information? No Require a login? No Have password protection? No Have a privacy policy? No Require internet access to use? Yes Read more about safety and security when using apps. Brochures: Tips to improve your privacy and security [PDF, 65 KB] Healthify He Puna Waiora, NZ Staying safe online(external link) Netsafe, NZ
Cost	Basic (free); paid upgrade Note: the app is advertised as free but it is only free for the initial 3 levels. The intermediate and advanced levels have a cost which is NOT disclosed with the initial app installation other than In-app products listed in the additional information section. Learn more about app charges(external link)
How to get the app	(external link) (external link)

Orientate app helps the user improve on discrimination between left and right of of their hands and feet. It is based on graded motor imagery. The app has three packs (beginners, intermediate and advanced), with each pack having 3 levels (hands, feet, mixed).

The app may be helpful to a person who has had a stroke or limb amputation, or with Complex Regional Pain Syndrome (CRPS), or who suffers persistent pain in a hand or foot. It is best used under the guidance of a health professional.

For the complete app description, go to Google Play(external link) or App Store(external link) or for a complete review, see reviews below.

PROS	CONS
✔Easy to follow the instructions. ✔ Help available to assist with use. ✔ Assists with laterality discrimination. ✔ Applied for BOTH hands or feet. ✔ Has 3 initial free levels of difficulty. ✔ Displays if answer correct or not immediately on the screen with a green tick for correct and red cross for incorrect. ✔ Progress is mapped. ✔ All results are stored only on device. ✔ Data of use, progress or play is not being used without permission for other. ✔ Reply received through email contact given on website.purposes.	✘ The cost for the advanced levels comes as a surprise as this is not disclosed other than on their website. ✘ The permission section in the additional information on the web site states that data from phone USB storage files, photos or videos is accessed and may be read, modified or deleted. It is not known is this data is being collected, stored or used for other purposes. ✘ No permission is given to allow this access to files, phone photos or videos. ✘ No ability to withdraw this access is apparent but is necessary for results of play to be stored on the device.

PROS

CONS

✔Easy to follow the instructions.

✔ Help available to assist with use.

✔ Assists with laterality discrimination.

✔ Applied for BOTH hands or feet.

✔ Has 3 initial free levels of difficulty.

✔ Displays if answer correct or not immediately on the screen with a green tick for correct and red cross for incorrect.

✔ Progress is mapped.

✔ All results are stored only on device.

✔ Data of use, progress or play is not being used without permission for other.

✔ Reply received through email contact given on website.purposes.

✘ The cost for the advanced levels comes as a surprise as this is not disclosed other than on their website.

✘ The permission section in the additional information on the web site states that data from phone USB storage files, photos or videos is accessed and may be read, modified or deleted. It is not known is this data is being collected, stored or used for other purposes.

✘ No permission is given to allow this access to files, phone photos or videos.

✘ No ability to withdraw this access is apparent but is necessary for results of play to be stored on the device.

Clinical review

Reviewer: Dr Tracey Pons (PhD), New Zealand Registered Physiotherapy Specialist
Date of review: July 2019
Platform: Android
Version: 1.1
Comments: This is a laterality discrimination app for hands and feet with free access for initial 3 levels. Each level commences with easy and progresses with further difficulty. The beginner level is free but the intermediate and advanced levels have a cost to download. This app is most useful for a person who has had a stroke or limb amputation, or with Complex Regional Pain Syndrome (CRPS), or who suffers persistent pain in a hand or foot. Users are likely to improve their ability to correctly discriminate left from right with limbs in different orientations.
Safety concerns: No safety concerns. It is an ethical dilemma about data harvesting through apps. I have confirmed with the app developers that no data is accessed through the app; it is simply stored on one's own device.
New Zealand relevance: Relevant.

Consumer guide: how to choose a health app
Clinicians guide: how to choose a health app
NZ health app library
Graded motor imagery apps
Chronic pain | Mamaenga roa
Phantom pain
Stroke | Mate rehu ohotata

Graded motor imagery apps

Disclaimer: The NZ Health App Library is a free consumer service to help you decide whether a health app would be suitable for you. Our review process is independent. We have no relationship with the app developers or companies and no responsibility for the service they provide. This means that if you have an issue with one of the apps we have reviewed, you will need to contact the app developer or company directly.