Innovation in Action – Digital Solutions in the RehAllianCE Regional Living Lab Baden-Württemberg
In the Regional Living Lab Baden-Württemberg, BioRegio STERN tested the use of an innovative digital solution for rehabilitation within the European project RehAllianCE: the sensor-based, gamified pelvic floor training system Apelvo. The goal was to examine under real-life conditions with users how online technologies can improve access to effective training options and close gaps in care, particularly for one of the most widespread yet heavily stigmatized health challenges: incontinence. The results provide not only valuable insights for the further development of Apelvo but also important findings for the future integration of digital rehabilitation technologies into European healthcare systems.
As part of the Interreg Central Europe project RehAllianCE, various rehabilitation technologies are being tested in so-called Regional Living Labs in five European regions. Each region focuses on its own priority, inspired by successful approaches from partner countries previously identified in the project’s Best Practices Catalogue.
In the region of BioRegio STERN, the focus was on online solutions. For this reason, the sensor-based, gamified pelvic floor training system Apelvo was tested, a technology addressing one of the most common and simultaneously most stigmatized health challenges: incontinence.
Around 55–60 million people in Europe are affected by incontinence, including 6–8 million in Germany alone. Women are more frequently affected than men: according to the Health in Germany 2015 report by the Robert Koch Institute, 15% of women suffer from urinary incontinence complaints compared to 9.5% of men. Prevalence increases significantly with age, while treatment options are often inadequate, vary regionally and are not always easily accessible. Against this background, the Regional Living Lab aimed to examine how a flexible, location-independent online solution can help affected individuals train regularly and with motivation, thereby closing care gaps.
Apelvo in der Vorstellung für die Fokusgruppe.
/ Copyright: USE-Ing. GmbHThe Apelvo Technology – Developed by Fysor GmbH
Fysor GmbH from Weil im Schönbuch developed Apelvo, a training system that uses external sensors to record pelvic floor muscle activity. The data controls games on a smartphone or tablet, making training location-independent, discreet and motivating.
Apelvo is suitable for women, men and children alike, is non-invasive in its application and designed to be seamlessly integrated into daily life. The goal is to enable patients, after an introduction by physiotherapists, midwives or doctors, to continue training independently without having to forgo professional support. For Fysor, the pilot was an opportunity to collect systematically derived professional user feedback in order to maximize long-term training success and further develop the system to reach even more people.
Einblicke in die Tätigkeiten der USE-Ing. GmbH.
/ Copyright: USE-Ing. GmbHExpertise from USE-Ing. GmbH
USE-Ing. GmbH is one of Europe’s leading agencies for usability engineering in the MedTech sector. The company supported the pilot by moderating and evaluating a focus group to gain concrete insights into usability, acceptance and potential barriers. The aim was to demonstrate the value of early, structured user involvement in the development process and to introduce practice-oriented methods into innovation processes in rehabilitation.
The Regional Living Lab in Action
In July 2025, the Apelvo system was tested in Stuttgart in a practice-oriented trial with a group of end users of different genders aged between 34 and 64. After a brief introduction by Fysor, participants were able to try out sensor placement, calibration and various integrated training games themselves. Afterwards, their experiences and suggestions were collected in a moderated discussion round.
Digitale Beckenboden-Trainingssystem "Apelvo".
/ Copyright: Fysor GmbHResults & Insights
The Regional Living Lab in the region of BioRegio STERN provided valuable insights into the strengths and challenges of digital rehabilitation technologies using Apelvo as an example. Under real conditions, not only usability and user experience but also the potential for broader use of such online solutions were examined. For Fysor GmbH as the participating technology provider, the focus was on deriving clear development impulses from solid user feedback to optimize Apelvo in a targeted manner and ensure long-term training success. In times of staff shortages and undersupply, Apelvo aims to show how training options can be rethought: flexible and available at any time.
The results demonstrate that digital rehabilitation tools such as Apelvo are convincing in key areas: participants found the operation intuitive, the biofeedback motivating and particularly appreciated the ability to train independently of location, whether at home, on the go or in a facility. A more neutral, inclusively designed user interface as well as targeted support for older or less digitally savvy user groups could further increase acceptance.
USE-Ing. GmbH, which moderated and evaluated the focus group as service provider, also sees the feedback obtained as an important contribution to the further development of digital rehabilitation technologies. The trial confirmed the high value of early involvement of end users in development processes in order to identify targeted opportunities for improvement and to design practical solutions. The findings from the focus group and their contribution to the development of innovative rehabilitation technologies are continuously incorporated into the RehAllianCE project and do not end with the conclusion of the pilot.
Outlook
The Regional Living Lab in Baden-Württemberg once again highlights the innovative strength of the region of BioRegio STERN, which, with its openness to novel digital solutions in rehabilitation, makes an important contribution to future-proof care approaches. The insights gained from this pilot study will be evaluated together with the results of the other Regional Living Labs in the partner countries.
These combined experiences feed into the Smart-Rehab-INDEX, a Europe-wide benchmarking tool for rehabilitation systems developed within RehAllianCE. The index is intended to identify strengths and weaknesses of existing care systems, make progress in the introduction of innovative technologies measurable and derive targeted improvement measures. In this way, the project contributes to the long-term integration of digital and inclusion-oriented solutions into everyday care and to making rehabilitation in Europe more efficient and future-proof.
Further information
RehAllianCE Regional Living Labs at a Glance
RehAllianCE is starting the implementation of Regional Living Labs in five countries, funded by the Interreg CENTRAL EUROPE programme. Each region addresses a specific rehabilitation challenge, based on proven best-practice solutions from the RehAllianCE partner network.
- Poland — GAPR
Scaling access to robotic rehabilitation
Optimizing the rehabilitation process – based on robotic solutions & rehabilitation vouchers combined with data-driven monitoring & integration into local healthcare policy..
- Hungary — PBN
Combining physiotherapy with complementary technologies
Testing magnet therapy, soft laser therapy, shockwave therapy & physiotherapy to improve mobility and quality of life for elderly patients with joint degeneration.
- Austria — CUAS
ICT-based solutions for home-based rehabilitation
Building a digital rehab ecosystem: wearables, telemedicine, virtual consultations, online training — for real-time health monitoring & guided home rehab. - Germany — BioRegio STERN
Gender-inclusive pelvic floor training
Testing a sensor-based, gamified pelvic floor training system for both men and women — evaluating usability & gender-specific needs.
- Italy — NSBproject
Advanced neurorehabilitation technologies in clinical practice
Showcase of digital solutions in robotics, telerehabilitation and VR/AR at IRCCS Ospedale San Camillo — focusing on clinical efficacy, user acceptance and integration into neurorehabilitation workflows.
BioRegio STERN Management GmbH