Sulmona

Researchers are evaluating the effects of new technologies, especially serious games, on the rehabilitation process for patients who have undergone total hip arthroplasty THA. This surgery is common worldwide and aims to reduce pain and improve function and quality of life. The study focuses on whether a balance rehabilitation program using serious games can better support balance recovery compared to conventional treatments in these patients. The study compares two groups an Experimental Group performing 30-minute balance exercises using non-immersive virtual reality with the OAK device four days a week for four weeks, and a Control Group receiving conventional balance rehabilitation without technological devices on the same schedule. The serious games involve reaching visual targets by shifting balance, with difficulty adjusted by therapists. Conventional therapy focuses on trunk control, muscle strength, and gait re-education led by a physiotherapist. Participants will be assessed at the start and after 30 days of treatment using tests like the Time Up and Go Test and others evaluating walking, balance confidence, pain levels, and joint function. Additional follow-up occurs at three months to monitor longer-term effects. The study involves physical exams, questionnaires, and monitoring to measure rehabilitation progress, safety, and effectiveness over the study period.

Researchers are evaluating the effects of a robotic rehabilitation treatment called Bilateral Robot-Assisted Therapy BRAT on upper limb motor recovery in people who have had a stroke in the subacute phase. This study compares BRAT combined with standard rehabilitation to conventional arm rehabilitation without robotic assistance. The main goal is to determine if BRAT improves motor function better than traditional therapy, measured by the Fugl-Meyer Assessment for the upper limb. Secondary goals include assessing quality of life and identifying which patients benefit most from BRAT based on age, time since stroke, and severity of motor deficit. Participants will be randomly assigned to either the experimental group EG or the control group CG. The EG will receive standard rehabilitation plus daily 45-minute sessions of BRAT using the Arm Light Exoskeleton Hybrid Alex RS robotic system, completing about 16 treatment sessions over four weeks. The CG will also receive standard rehabilitation plus 45 minutes of conventional upper limb exercises with a therapist, without any robotic devices, for a similar number of sessions and duration. Both groups will receive personalized therapy based on their clinical needs. During the study, participants will be assessed at the start baseline, after treatment completion, and again three months later via telephone follow-up. Evaluations include clinical exams, rating scales like the Fugl-Meyer Assessment, and instrumental measures such as EEG and muscle activity recordings. The study aims to measure motor recovery, muscle activation, cognitive effects, and improvements in daily activities. Safety and satisfaction will also be monitored throughout the 24-month study period.