Development and Evaluation of a Training Package to support the Remote Assessment and Management of People with Movement Impairment and Disability

许多人在一生中都会经历身体残疾，需要物理治疗师等临床医生的建议和管理。通常，一个动手详细的运动评估是采取帮助制定一个计划，以处理每个人的需要。对于大多数人来说，这种面对面的方式在新冠肺炎危机期间是不可能的，而且这种情况可能会持续一段时间，尤其是在老年人和有健康问题的人中。为了应对危机，临床医生找到了新的工作方式。他们使用电话和基于网络的咨询（称为远程康复）来帮助人们继续在家康复。然而，这种方法在评估患有运动障碍的人时存在许多挑战，例如患有长期神经系统疾病、关节炎或糖尿病的新型冠状病毒病康复者所经历的运动障碍。例如，评估有福尔斯风险的虚弱老年人的平衡和活动能力存在风险。然而，这些信息对于制定计划以确保尽可能快速和全面地恢复至关重要。遗憾的是，在这方面对国民保健服务/社会保健工作人员的相关指导和培训极为有限，主要依靠在工作中获得的经验。没有具体的指导来确保为身体残疾者有效和公平地提供远程康复。我们将与NHS/社会护理人员密切合作，迅速开发评估工具包和培训，为他们提供实用指导，以提高他们的技能和信心。这在现在和将来都很重要。

Many people experience physical disabilities throughout their life, requiring advice and management from clinicians such as physiotherapists. Usually a hands-on detailed movement assessment is taken to help formulate a plan to deal with each individual's needs. For most this face-to-face approach has not been possible during the Covid crisis, and this is likely to continue for some time with social distancing, particularly in older people and those with health issues. In response to the crisis clinicians have found new ways of working. They have used telephone & web-based consultations (known as telerehabilitation) to help people continue to rehabilitate at home. This approach, however, has many challenges when assessing people with movement disabilities, such as those experienced by people recovering from Covid-19, with long term neurological conditions, arthritis or diabetes. For example there are risks associated with assessing balance and mobility in frail older persons at risk of falls. Yet this information is essential to create a plan to ensure recovery occurs as quickly and fully as possible. Unfortunately relevant guidance and training for NHS/Social care staff about this is extremely limited, relying mainly on experience gained on the job. No specific guidance is in place to ensure telerehabilitation is delivered effectively and equitably for people with physical disabilities. We will work closely with NHS/Social care staff to quickly develop an assessment toolkit and training to provide them with practical guidance to increase their skills and confidence. This is important now & for the future.