Tier Features — Centro Fisioterapia Avanzata / Spine Center
Tier Avanzato €4000-6000 | ~850h | ROI 18-24 mesi
Soluzione teleriabilitazione intelligente per fisioterapisti con feedback video realtime, posture analysis AI e return-to-sport automation.
1. TensorFlow.js PoseNet Realtime Video Feedback
Webcam 17 keypoints overlay. RED/GREEN form correction live. Auto-rep counter. Realtime exercise correction.
2. 3D Exercise Visualization + Gamification
Babylon.js avatar + reps×form accuracy multiplier. Badge unlock. Leaderboard peer comparison.
3. Teleriabilitazione Session E2EE
Jitsi + canvas draw annotation. Fisio realtime instruction. Summary PDF auto-generate. GDPR Art.9 compliant.
4. LLaVA 7B Posture Analysis Before/After
Photo structural feedback. Weekly posture score. Compliance trend. Discharge recommendation automation.
5. Intensity Prescription Automation
Spring ML linear regression: past 10 session load+RPE → optimal load week. Progressive overload automation.
6. Group Teleriabilitazione Class
Janus max 8 + peer motivation. Individual feedback per patient. Group accountability.
7. GDPR Art.9 + Audit Trail
PostgreSQL AES-256-GCM. Access log every record touch. Compliance-ready. Medical record security.
8. Outcomes Dashboard
ROM trend + pain VAS + strength curve. AI recommendation discharge/progression.
9. Return-to-Sport/Work Automation (RTS/RTW)
5 criteria: ROM ≥90%, strength ≥85% LSI, single-leg hop ≥85%, pain 0/10, sport-specific test → auto-clearance.
10. Occupational Health Integration
Workplace ergonomia LLaVA analysis. RTW tolerance survey. Accommodation recommendations.
Conformità Normativa
| Aspetto | Standard | Implementazione |
|---|---|---|
| Privacy dati sanitari | GDPR Art.9 | Encryption AES-256-GCM, audit log |
| Video telemedicina | Linee Ministero 2022 | E2EE Jitsi, no recording default |
| RTS/RTW clearance | AIFI linee guida | 5-criteria automation, liability safe |
| Cartella clinica | D. Lgs 196/2003 | Retention policy, right-to-erasure |
| Albo professionale | TSRM/PSTRP | Verificazione iscritto fisioterapista |
Mercato & Concorrenti
- PhysiApp (teleriabilitazione): no realtime pose feedback, US provider
- Fisioterapia-online.it: directory, no piattaforma tecnologica
- TopPhysio: SaaS generico, no sport-specific RTS
- Auxologico: enterprise only, costoso
Differenziatore Federico: TensorFlow.js PoseNet realtime + LLaVA posture + RTS automation + Janus group therapy.
Possibili Sviluppi Customizzabili
1. TensorFlow.js PoseNet Realtime Video Feedback
Scope: ~28h | Tier: Avanzato | Valore: Compliance, home exercise engagement +60%
Webcam → 17 keypoints overlay. RED/GREEN form correction live. Auto-rep counter. Video recording optional. Patient confidence boost. Remote homework compliance.
2. 3D Exercise Visualization + Gamification
Scope: ~30h | Tier: Premium | Valore: Engagement, ROI psychological+adherence
Babylon.js avatar 3D. Reps×form accuracy multiplier score. Badge unlock per milestone. Leaderboard peer. Motivation psychology-backed.
3. Teleriabilitazione Session E2EE + Annotation
Scope: ~26h | Tier: Avanzato | Valore: Privacy + clinical continuity, telemedicina edge
Jitsi E2EE. Canvas draw annotation (fisio markup patient movement). Realtime instruction. Summary PDF auto-generate. Medical record secure.
4. LLaVA 7B Posture Analysis Before/After
Scope: ~20h | Tier: Avanzato | Valore: Structural feedback, engagement, objective progress
Photo before/after upload. LLaVA 7B structural feedback (postura, smetria, tono). Weekly posture score trend. Discharge recommendation trigger. Objective proof progress.
5. Intensity Prescription Automation (ML Linear Regression)
Scope: ~22h | Tier: Avanzato | Valore: Optimized progression, fisio time -30%
Spring LightGBM: analyze past 10 sessions load+RPE→optimal load week. Progressive overload automation. Prevent plateau. Prevent re-injury.
6. Group Teleriabilitazione Class (Janus)
Scope: ~24h | Tier: Avanzato | Valore: Revenue stream, peer motivation, ROI 30% margin
Janus multi-party max 8. Peer motivation + individual feedback per patient. Group accountability. Cost-effective for clinic.
7. GDPR Art.9 + Audit Trail Complete
Scope: ~16h | Tier: Avanzato | Valore: Compliance, liability mitigation, audit-ready
PostgreSQL AES-256-GCM encryption. Access log every record touch (who, when, what). Compliance-ready GDPR audit. Medical record security gold standard.
8. Outcomes Dashboard (ROM/Pain/Strength)
Scope: ~18h | Tier: Avanzato | Valore: Clinical evidence, patient engagement, outcomes tracking
ROM trend chart (goniometer). Pain VAS trend. Strength curve (isokinetic Nm). AI recommendation: discharge green, progression yellow, referral back red. Evidence-based.
9. Return-to-Sport/Work Automation (RTS/RTW)
Scope: ~25h | Tier: Premium | Valore: High-value service, €500-1000 premium upsell, liability safe
5-criteria automation: ROM ≥90% vs baseline, strength ≥85% Limb Symmetry Index, single-leg hop ≥85%, pain 0-1/10, sport-specific test pass → auto-clearance PDF. AIFI compliant.
10. Occupational Health Integration
Scope: ~20h | Tier: Premium | Valore: B2B revenue, workplace ergonomia positioning, €2k-5k/client/year
LLaVA workplace photo ergonomia feedback. RTW tolerance survey structured. Accommodation recommendations PDF. Employer HR dashboard (aggregate, no individual data).
Total customizzazioni: 10 idee, €6k-10.5k, ROI 3-8 mesi per centro fisio PMI 3-8 fisioterapisti.