Home exercise program software built for what happens after you hit send
Prescribing is the easy part, and every platform does it. Orva gives you a therapist-built library, complete control over the prescription, and then the thing almost nobody delivers, which is knowing what your patient actually did once they left.
Build a program and assign it to a patient today. No procurement process, no implementation project.
- The library Built by therapists around the exercises and progressions clinicians actually prescribe
- The prescription Sets, reps, frequency, hold, side, and cueing, all yours to set per patient
- Your content Add your own exercises and protocols and use them alongside the library
- After it sends Daily completion data that also supports your RTM workflow
One exercise, and then one month
What you control when you prescribe, and what comes back after.
Every field is set per patient, per exercise. Nothing here is a fixed template you have to work around.
Same patient, same program. The difference is whether the drop-off is something you find out about or something you find out about too late.
Most HEP platforms are built around the send button
Prescribing has been a solved problem for years. Search, select, set the parameters, send. Every platform in this category does that competently, which is why every platform in this category advertises the same thing.
The unsolved problem is the four weeks that follow. Published research puts full adherence to the plan of care at roughly 35%, with drop-off beginning as early as the second week, and the standard clinical instrument for detecting it is asking the patient at their next visit and getting a yes that means very little. A better prescribing experience does not touch any of that.
You cannot tell a plateau from a skipped program
When progress stalls, the first question is whether the patient did the work. Without data, the answer is a guess, and the plan gets adjusted on the wrong premise.
You find out after it matters
A patient who stopped in week two arrives in week four having lost ground. The intervention that would have worked was a message on day nine.
The data sits in a dashboard doing nothing
Most platforms show adherence and stop there. Structured, day-level engagement is also the foundation of a billable RTM program, and a reporting chart alone will not get you there.
Library size is the wrong measure of a HEP platform
The category sells exercise counts because they are easy to print on a page. Eighteen thousand exercises, five thousand exercises, take your pick. No therapist has ever prescribed from the long tail of a library, and nobody has ever finished an evaluation wishing they had more variations to sort through.
The Orva library is comprehensive and deliberately not bloated. It was built by therapists around the exercises and progressions clinicians actually use, rather than by accumulating thousands of marginal variations that make the right exercise harder to find. The goal is not to hand you eighteen thousand options. It is to make it fast to prescribe the right program, exactly the way you want it.
How many exercises are in the database
A number that grows by adding variations, competes well in a feature comparison, and describes almost nothing about whether a therapist can build a good program quickly or whether a patient will complete it.
How fast you can prescribe the right program, your way
Whether the exercise you want is easy to find, whether every parameter bends to the patient in front of you, whether your own protocols live alongside the library, and whether anything happens after you send it.
The prescription bends to the patient, not the other way around
A program is a clinical decision, and software should not quietly round it off. Everything about how an exercise is delivered is yours to set, per patient, per exercise.
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Every parameterSets, reps, frequency, hold time, tempo, side, resistance, and rest. Set individually for the patient in front of you, not selected from a fixed menu of defaults.
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Your cueingThe instruction that comes with an exercise is often the difference between the patient doing it well and doing it wrong. Write it in your own words, the way you taught it in the room, so the patient hears the same thing at home.
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Your own exercisesWhen your clinic has its own exercise, protocol, or preferred way of teaching something, adding it takes minutes, and it then behaves exactly like everything else in the library. It is searchable, prescribable, and reusable across your team.
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Your protocolsBuild the programs your clinic runs repeatedly once, then start from them and adjust. Post-operative pathways and standard progressions stop being rebuilt from scratch by every therapist, every time.
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Changes reach the patientProgress the program mid-episode and the patient's app updates. No reprinting, no second handout competing with the first, no ambiguity about which version they are working from.
Held to the standard of every other app on the phone
It is the 2020s, not the 1970s. Your patient booked a flight, moved money between accounts, and reordered a prescription from that phone this week, and every one of those experiences was designed to be effortless. Then they get home from your clinic and open a folded sheet of stick figures.
Patients do not grade your exercise program against other exercise programs. They grade it against everything else on their phone, and that comparison is happening whether or not healthcare software wants to be judged on it. Orva is a consumer-grade mobile application built to survive it.
Today's program, not the whole plan at once
The patient opens the app and sees what they are doing today, with video guidance for every exercise and your cueing attached to it. A full printed program is a wall of text that gets skimmed once and never opened again.
Completion the patient can feel
Marking work done gives the patient the same sense of progress every other app on their phone is built around. Recovery is long and mostly invisible, and visible progress is what carries people through the weeks where nothing feels different yet.
On the device they already carry
Orva runs on the patient's own phone, which is with them at the time of day they are actually going to do their exercises. The program is not sitting on a kitchen counter at home while they are somewhere else.
Questions get asked instead of sat on
When something does not feel right on day three, the patient can ask you rather than guess or quietly stop. Messaging is tied to the plan of care, so you answer with their actual activity in front of you.
Four steps, and only the first one is prescribing
This is where Orva diverges from a HEP tool. Three of these four steps happen after the program has already been sent.
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Build and assign
Search the library or start from one of your clinic's protocols, set every parameter for this patient, add your cueing, and send it before they are off the table.
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The patient works
They open the app, see today's program with video guidance, and mark it complete. Completion and symptom responses come back day by day.
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You see the drift
Adherence is visible per patient as the episode runs, so a week two drop-off is something you act on in week two rather than diagnose in week four.
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The work becomes billable
Day-level engagement and your management time feed the RTM record, so between-visit care that was absorbed as overhead becomes a reimbursable service.
Adherence data that does more than sit in a chart
Every platform in this category can show you a completion percentage. Almost none of them turn that into anything, because a reporting chart is where the data stops.
Remote therapeutic monitoring is a defined reimbursable service with its own thresholds and documentation standard, and structured day-level engagement is exactly what it runs on. The same data that tells you a patient is drifting is the data that determines which code the month qualifies for.
Thresholds, tiers, and documentation requirements are covered in full on the RTM overview.
What therapists ask before switching
How big is the Orva exercise library?
Comprehensive, and deliberately not bloated. It was built by therapists around the exercises and progressions clinicians actually prescribe, rather than by accumulating thousands of marginal variations to win a feature comparison.
The better question is how quickly you can find and prescribe the right exercise, how completely you can tailor it, and whether your own content sits alongside it. Those are the things that change what a program looks like when it reaches the patient.
Can we add our own exercises and protocols?
Yes, and it is meant to be easy rather than a support ticket. When your clinic has its own exercise, a post-operative protocol, or a particular way of teaching something, you add it once and it behaves like everything else in the library. It is searchable, prescribable, reusable across the team, and available to be adjusted per patient like any other exercise.
How much can we customize an individual prescription?
Sets, reps, frequency, hold time, tempo, side, resistance, rest, and the instructions the patient reads. All of it is set per patient, per exercise. A program is a clinical decision, and the software should carry it through to the patient exactly as you made it.
How long does it take to build a program?
Minutes, and less than that when you start from one of your clinic's saved protocols and adjust. The realistic target is finishing the program during or immediately after the visit, while the patient is still in front of you, because a program built later is a program that competes with the rest of your day.
Will our patients actually use it?
It is the 2020s, not the 1970s. Your patients manage their money, their travel, and their prescriptions from their phones, and they arrive carrying that expectation whether or not the software they are handed can meet it. A folded exercise sheet loses that comparison before they reach the parking lot.
Orva is a consumer-grade mobile application built to the standard patients already apply everywhere else. That is a design commitment rather than a guarantee, so the right way to settle it is on a real caseload with your own patients, which is why you can start without a contract.
We already tried a HEP tool and adoption was poor. Why would this be different?
Most exercise tools were built to deliver content and treat whether the patient opens it as somebody else's problem. That shows up everywhere, in how the app looks, how it behaves, and how much it asks of the patient before showing them anything useful. Software that feels like a form patients have been assigned gets used like one.
The second difference is what happens to the data. A content library has no reason to structure engagement day by day, so adherence stays a soft benefit in a dashboard instead of something that supports a billable program.
Does this replace our EMR?
No. Orva runs alongside your documentation system and covers the part of the episode that happens between visits. Notes, scheduling, and billing stay where they are.
Do patients need a smartphone?
For the app experience, yes, and any practice will have some patients who continue on your existing approach. That does not have to be an all-or-nothing decision. The rest of the caseload moves to a structured program, and the clinical and billing value follows the patients who are on it.
What does it cost?
You can create an account and start without paying anything. Beyond that, our pricing is based on results, so what you pay tracks what the program produces rather than sitting on your books as a fixed cost. A walkthrough is the fastest way to see what that looks like for your caseload.
Build a program this afternoon
Create an account, build a real program for a real patient, and see what comes back over the next few weeks. That is a better basis for a decision than any feature comparison, and it takes less time than sitting through a demo.
Prefer to see it first? A walkthrough runs about thirty minutes and uses your own protocols.
- A therapist-built library, without the marketing arms race
- Every parameter and every cue under your control
- Your own exercises and protocols alongside the library
- Daily completion data that supports your RTM workflow
Adherence figures cited on this page are drawn from published research on home exercise program adherence in outpatient musculoskeletal care and describe the category generally, not results specific to Orva. Reimbursement depends on payer, locality, documentation, and meeting the applicable coding requirements. See the RTM overview for thresholds and requirements, and the patient-reported outcomes page for how measures are collected alongside exercise data.
