Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
ID04087031

Assistive Robotic in the Elderly: Innovative Models in the Rehabilitation of the Elderly With Parkinson's Disease Through Technological Innovation

Led by Istituto Nazionale di Ricovero e Cura per Anziani · Updated on 2023-10-23

195

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Parkinson's disease is a common cause of disability in older adults, characterized by motor problems including balance issues that do not improve with standard dopaminergic treatments. This research aims to explore new rehabilitation methods using robotic devices to enhance gait and reduce fall risk in elderly patients with Parkinson's disease. The study is a single-blinded randomized controlled trial involving 195 patients, designed to assess the effectiveness of these innovative approaches. Participants will be randomly assigned to one of three groups: a control group receiving traditional rehabilitation therapy, a group using the Tymo system robotic device combined with traditional therapy, or a group using the Walker View robotic treadmill alongside traditional therapy. Each participant will complete 10 treatment sessions over 5 weeks, with two sessions per week. The control group will receive 50 minutes of traditional therapy per session, while the robotic groups will receive 30 minutes of traditional therapy plus 20 minutes with their assigned robotic device. Throughout the study, patients will be evaluated at the start, after treatment, and during follow-ups at 6 months, 1 year, and 2 years to monitor outcomes such as fall risk, gait performance, and fear of falling. Assessments include task-oriented exercises using robotic platforms and traditional therapy, with long-term monitoring to understand sustained effects. This approach supports understanding how robotic rehabilitation may influence motor function and safety in elderly Parkinson's patients over time.

CONDITIONS

Brief Title

Innovative Models in the Rehabilitation of the Elderly With Parkinson's Disease Through Technological Innovation

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Parkinson's disease at stage 1 to 3 on the Hoen and Yahr scale
  • Functional Ambulation Classification (FAC) of 2 or less
  • Ranking scale score of 3 or less
  • Stable drug treatment for at least 1 month
  • Negative result on the 5-item Geriatric Depression Scale
Not Eligible

You will not qualify if you...

  • Participation in other clinical studies
  • Lack of written informed consent
  • Clinical Dementia Rating (CDR) score of 3 or more
  • History of uncontrolled syncopal episodes, epilepsy, or vertigo
  • Serious autonomic system dysfunction
  • Severe behavioral syndromes not managed by medication
  • Other neurological diseases
  • Severe systemic diseases with life expectancy less than 1 year
  • Inability to complete follow-up assessments

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 5 weeks

Participants receive rehabilitation treatment involving either traditional therapy or robotic-assisted therapy using the Tymo system or Walker View robotic treadmill.

2 visits per week for 5 weeks (total 10 sessions)

Follow-up

Duration - 2 years

Participants are assessed to evaluate the long-term effects of the rehabilitation treatment on gait, balance, and risk of falling.

Assessments at 6 months, 1 year, and 2 years after treatment

Trial Site Locations

Total: 2 locations

1

IRCCS INRCA Hospital

Ancona, Italy, 60131

Actively Recruiting

2

IRCCS INRCA Hospital

Fermo, Italy

Actively Recruiting

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Research Team

R

Roberta Bevilacqua

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson's Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial.

Elvira Maranesi, Elisa Casoni, Renato Baldoni...

https://pubmed.ncbi.nlm.nih.gov/36429537

Rehabilitation of older people with Parkinson's disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies.

Roberta Bevilacqua, Elvira Maranesi, Mirko Di Rosa...

https://pubmed.ncbi.nlm.nih.gov/32404132