Department of Physical Therapy, The University of Illinois at Chicago, Chicago.
Graduate Program in Rehabilitation Science, the University of Illinois at Chicago, Chicago.
Top Stroke Rehabil. 2022 Jan;29(1):74-81. doi: 10.1080/10749357.2021.1886641. Epub 2021 Feb 18.
The COVID-19 pandemic has disrupted non-essential in-person research activities that require contact with human subjects. While guidelines are being developed for ramping up human subjects research, one component of research that can be performed remotely is participant screening for lower limb function and gait impairments. In this commentary, we summarize evidence-supported clinical assessments that have potential to be conducted remotely in a safe manner, to make an initial determination of the functional mobility status of persons with neurological disorders. We present assessments that do not require complex or costly equipment, specialized software, or trained personnel to administer. We provide recommendations to implement remote functional assessments for participant recruitment and continuation of lower limb neurorehabilitation research as a rapid response to the COVID-19 pandemic and for utilization beyond the current pandemic. We also highlight critical research gaps related to feasibility and measurement characteristics of remote lower limb assessments, providing opportunities for future research to advance tele-assessment and tele-rehabilitation.
新型冠状病毒肺炎疫情已经打乱了需要与人体研究对象接触的非必要的人体研究活动。虽然正在制定有关增加人体研究的指南,但可以远程进行的研究部分是参与者的下肢功能和步态障碍筛查。在这篇评论中,我们总结了具有以安全方式远程进行的潜力的循证临床评估,以便对神经障碍患者的功能移动性状态进行初步判断。我们提出的评估不需要复杂或昂贵的设备、专门的软件或经过培训的人员来进行管理。我们提出了一些建议,以便在新型冠状病毒肺炎疫情期间以及在疫情过后,将远程功能评估用于参与者招募和下肢神经康复研究的继续,实现远程功能评估。我们还强调了与远程下肢评估的可行性和测量特征相关的关键研究差距,为远程评估和远程康复的未来研究提供了机会。