Of course! The activities can be customized for each patient through the settings & task parameters, but the therapeutic benefits are directly proportional to your creativity as a therapist!
Each task has a "parameter picker" before the task begins. Here's where you choose things like number of repetitions, level of difficulty, starting level (some tasks default to starting where the patient last left off, but this can be dialed back too), number of seconds to stand on one foot, etc.
You can also adjust things like weight shift (for patients seated or using a mobility device) and step height settings, to make the whole app more custom.
If you want to increase the level of difficulty, you can always add a balance or positioning challenge to a task (stand on an Airex pad, Bosu ball, or mini tramp, or position a patient in 1/2 kneel or on a stool), or add ankle or wrist weights. Use your clinical judgement here - this is what we went to school for, and it's a fun way to challenge yourself as a therapist too, to make a patient's favorite game within the app even more demanding!
