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，需要临床医生（如物理治疗师）的建议和管理。通常需要亲自动手进行详细的动作评估，以帮助制定处理每个人需求的计划。对大多数人来说，在新冠疫情危机期间，这种面对面的方式是不可能的，随着社交距离的增加，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，临床医生已经找到了新的工作方式。他们使用电话和网络咨询（称为远程康复）来帮助人们继续在家中康复。然而，在评估运动障碍者时，这种方法存在许多挑战，例如那些从Covid-19中恢复过来、患有长期神经系统疾病、关节炎或糖尿病的人。例如，评估有跌倒风险的体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迅速和全面地恢复至关重要。不幸的是，NHS/社会护理人员在这方面的相关指导和培训非常有限，主要依赖于在工作中获得的经验。没有制定具体的指导方针，以确保为身体残疾者提供有效和公平的远程康复服务。我们将与NHS/社会保健工作人员密切合作，迅速开发一个评估工具包和培训，为他们提供实用指导，以提高他们的技能和信心。这对现在和未来都很重要。

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.