Evaluating Digital Technology-Assisted Rehabilitation for Cognitive and Motor Recovery in Elderly Patients After Hip Fracture Surgery

What this Trial Is About

Researchers are studying elderly patients aged 65 to 89 who have had surgery for proximal femoral fracture to see if adding technology-based rehabilitation to standard therapy can improve cognitive and motor function better than conventional rehabilitation alone. This national, multicenter study also looks at how feasible it is to include technology-assisted rehab as a regular part of clinical care from the viewpoint of healthcare professionals. Participants will be randomly assigned to either receive conventional rehabilitation only, which involves joint mobilization, posture re-education, muscle strengthening, and walking training with assistive devices, or to an experimental group that combines conventional therapy with sensor-based digital rehabilitation devices for about one-third of their daily sessions. The rehab program includes 18 sessions over 3 to 4 weeks. Technology-assisted training provides real-time visual and auditory feedback to support motor and cognitive tasks and gait training. Participants will be evaluated before and after the rehab program using tests measuring mobility, cognitive status, pain, quality of life, and hip function. Blood samples will assess brain-derived neurotrophic factor BDNF levels and related genetics. Healthcare workers involved will report on their work quality related to the treatment methods. The main outcomes focus on changes in BDNF levels and mobility tests, with additional assessments of functional status and patient well-being throughout the study.

Cognitive and Physical Recovery After Hip Fracture in Frail Patients Using Digital Rehabilitation Technology