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，访问PR提高了人们走得更远的能力，帮助他们在进行日常活动时感到不那么累和呼吸困难。90%完成PR计划的患者有更高的活动和运动水平，并报告生活质量得到改善。PR也被证明可以支持更好的自我管理和减少病情加重，减少急性和紧急入院人数，减少初级保健费用。PR课程通常持续六到八周，每周两次，每次约两小时，包括有氧运动和阻力训练以及通过教育提供的生活方式支持。在2019冠状病毒病之前，公关课程以8 - 16人为一组，在当地医院、社区会堂或休闲/健康中心进行。公共关系课程由医疗保健专业人员（包括物理治疗师、护士和职业治疗师）团队提供支持。新冠肺炎疫情导致团体公共关系课程停止;现在，在患者自己的家中提供PR的需求尚未得到满足，这包括所有患者。Spirit Digital已经开发了CliniTouch Vie（CTV），一种安全的TRL-9，完全专有的CE认证医疗器械软件平台（可通过移动的或平板设备或网络浏览器访问），用于远程患者监护。我们将为CTV开发一个新的软件模块，以提供基于家庭的肺康复服务。我们的方法将：* 提供比竞争对手更强大的功能。*比竞争对手的虚拟现实解决方案更安全。*克服COVID-19停止团体公关运动课程。

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.