A novel method for remote assessment of exercise capacity using a telehealth platform and a wearable medical device

** 背景：** 肺康复（PR）是一种医疗干预，通常在社区设施的小组课程中进行，改善慢性肺部疾病患者的肺功能。Spirit Digital开发了一种基于家庭的PR干预（CTV-PR），提供视频引导的练习和书面教育，以及鼓励长期参与锻炼计划的机制。**挑战：** 国际指南指出，应根据临床基线运动能力测量结果单独规定PR练习。CTV-PR和竞争对手的解决方案都不能远程测量运动能力。** 在家中进行运动能力评估的需求尚未得到满足。*愿景：** 与斯特拉斯克莱德大学（UoS）和英国SME Waire Health合作研发，开发CTV-PR的新功能，促进家庭运动能力评估。创新：** CTV-PR将实现正式的运动能力评估，由患者在自己家中使用可穿戴技术和创新的软件功能进行自我管理。Spirit Digital已经完成了深入的搜索，以确定其他人是否提出了类似他们的想法。这包括搜索：* 专利数据库。英国、美国、加拿大、澳大利亚和新西兰政府公布的关于资助学术和工业研究与发展的数据库。通过谷歌进行更广泛的互联网搜索。该联盟无法找到任何类似的方法来自动评估患者自己家中的运动能力。因此，他们得出结论，这是第一次尝试拟议的方法。及时性：* 与NHS重置和恢复计划保持一致（CTV-PR提供了新的Covid-19安全工作方式）。CTV-PR支持扩大NHS长期计划中规定的公共关系服务（转诊增加目标：到2023年增加13%至60%）。

**BACKGROUND:** Pulmonary Rehabilitation (PR) is a medical intervention, normally held in group classes in community facilities, improving lung function in patients with chronic lung diseases.Spirit Digital have developed a home-based PR intervention (CTV-PR) that delivers video-led exercises and written education, and mechanisms to encourage lasting engagement with the exercise programme.**CHALLENGE:** International guidelines state that PR exercises should be individually prescribed based on baseline exercise capacity measurements taken in clinic. Neither CTV-PR nor competitor solutions can measure exercise capacity remotely. **There is an unmet need for exercise capacity assessment at home.****VISION:** Collaborative R&D with the University of Strathclyde (UoS) and UK SME Waire Health to develop a new functionality for CTV-PR that facilitates exercise capacity assessment in the home.**INNOVATION:** CTV-PR will enable formal exercise capacity assessment that is self-administered by the patient in their own home using wearable technology and innovative software features. Spirit Digital has completed in-depth searches to identify if anything like their idea has been proposed by others. This includes searches of:* Patent databases.* Databases published by the Governments of the UK, USA, Canada, Australia, and New Zealand of funded academic and industrial R&D.* Wider internet searches via Google.The consortium could not find any similar approaches to automating exercise capacity assessments in a patient's own home. As such, they have concluded that this is the first time the proposed approach has been attempted.**TIMELINESS:*** Alignment with NHS Reset and Recovery initiatives (CTV-PR provides new Covid-19 secure ways of working).* CTV-PR supports expansion of PR services enshrined within the NHS Long Term Plan (referral increase target: 13% to 60% by 2023).