Effectiveness of Different Rehabilitation Approaches for Cognitive Impairment in Older Adults with Vascular or Mixed Dementia

What this Trial Is About

Researchers are studying cognitive impairment and dementia caused by vascular diseases or multiple causes in older adults. The study aims to evaluate the effectiveness of three different rehabilitation programs combining cognitive and motor training to improve cognitive functions. This research is important because physical exercise has shown benefits for health and cognition, but the role of cognitive rehabilitation is not yet clear, especially when combined with new technologies. The trial compares three groups one receiving only motor rehabilitation, one receiving motor rehabilitation plus paper-based cognitive exercises, and one receiving motor rehabilitation plus digital cognitive exercises using a tablet. Each intervention includes sessions focused on walking, balance, strength, and cognitive tasks covering attention, memory, and executive functions. Treatments last for 8 weeks. Participants will be evaluated before and after the 8-week intervention and again after 3 months. Researchers will assess cognitive performance, attention, motor skills, mood, daily living activities, quality of life, treatment adherence, communication, caregiver burden, and usability of digital tools when applicable. The total study participation spans approximately 3 months, including follow-up assessments to monitor changes and safety.

Multidimensional Rehabilitation Programs for Cognitive Impairment in Comorbid Outpatients: a Randomized Controlled Trial