CTV-Pulmonary Rehabilitation: a digital approach for delivering home-based exercise and education to improve lung health that overcomes healthcare delivery problems caused by Covid-19

肺康复(PR)是改善肺部疾病患者肺功能的一种方法。有证据表明，接触PR可以提高人们步行更远的能力，帮助他们在进行日常活动时不那么疲倦和呼吸困难。90%完成PR计划的患者有更高的活动和锻炼水平，并报告改善了生活质量。公关也被证明支持更好的自我管理和减少病情恶化，减少急性和紧急入院人数，以及减少初级保健预约。公关课程通常持续6至8周，每周两次，约两小时，包括有氧运动和抵抗力训练，以及通过教育提供的生活方式支持。在新冠肺炎之前，公关课程以8-16人为一组，在当地医院、社区会堂或休闲/健康中心授课。公关课程得到了包括物理治疗师、护士和职业治疗师在内的健康护理专业人员团队的支持。新冠肺炎疫情导致团体环境下的公关课程停课；现在有一种尚未得到满足的需求，即在患者自己的家里提供公关服务，这是对所有患者都适用的。SPIRIT Digital开发了CliniTouch Vie(CTV)，这是一个安全的、TRL-9、完全专有的CE标志的医疗设备软件平台(可通过移动或平板设备或网络浏览器访问)，用于远程患者监控。我们将为中央电视台开发一个新的软件模块，提供家庭肺康复。我们的方法将：*提供比竞争对手更大的功能。*比竞争对手的虚拟现实解决方案更安全。*克服新冠肺炎停止小组公关练习课程。

Pulmonary Rehabilitation (PR) is a way to improve lung function in patients with lung diseases. Evidence shows that accessing PR improves people's ability to walk further, helps them feel less tired and breathless when carrying out day-to-day activities.90% of patients who complete a PR programme have higher activity and exercise levels, and report an improved quality of life. PR has also been shown to support better self-management and reduction in exacerbations, reduction in numbers of acute and emergency admissions, and reductions in primary care appointments.A PR course typically lasts six-to-eight weeks, with two sessions of around two hours each week, including aerobic exercise and resistance training and lifestyle support via education. Pre-Covid-19, PR courses were delivered in groups of 8-16 people and conducted in local hospitals, community halls, or leisure/health centres. PR courses were supported by a team of health care professionals including physiotherapists, nurses and occupational therapists.The Covid-19 pandemic has caused cessation of PR courses in a group setting; there is now an unmet need to provide PR in a patient's own home, that is inclusive for all patients.Spirit Digital has developed CliniTouch Vie (CTV), a secure, TRL-9, fully-proprietary CE-marked medical device software platform (accessible via mobile or tablet devices, or web browser) for remote patient monitoring. We will develop a new software module for CTV to deliver home-based pulmonary rehabilitation.Our approach will:* offer greater functionality than competitors.* be safer than competitor virtual reality solutions for home-based PR.* overcome Covid-19 stopping group PR exercise classes.