Innovative Cognitive-Motor Rehabilitation Using Robotics and Telerehabilitation for Frail Older Adults with Sensorimotor and Cognitive Disorders

What this Trial Is About

This research focuses on frail individuals with chronic sensorimotor andor cognitive disabilities, who often struggle to perform motor and cognitive tasks at the same time. Such difficulties can lead to increased fall risk and cognitive decline. The study aims to evaluate a new rehabilitation approach that combines robotic technology and asynchronous telerehabilitation to improve the ability to perform dual tasks and enhance quality of life for these patients. Participants will be randomly assigned to one of two groups. The first group G-Tec will receive four weeks of outpatient technological rehabilitation using robotic platforms hunova and Senso, followed by four weeks of home-based telerehabilitation with a tablet containing cognitive exercises. The second group G-Con will receive conventional outpatient and home rehabilitation, mainly cognitive exercises provided via booklet. Both groups will then be observed for eight weeks without treatment. Throughout the study, patients will attend rehabilitation sessions three times weekly for 45 minutes during the outpatient and home phases. Researchers will assess clinical outcomes, treatment adherence, patient satisfaction, and technology acceptance. They will use multiple tests, including Dual-Task Cost, physical performance measures, cognitive assessments, and quality of life questionnaires, to evaluate changes from baseline. Data collected remotely during home telerehabilitation will monitor adherence and progress, with clinical evaluations at key timepoints over the 18-month trial.

Cognitive-motor Technology Rehabilitation in Frail Individuals