Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06547827

Rehabilitation With and Without Robot and Allied Digital Technologies (RADTs) in Stroke Patients: a Pragmatic Multicenter Randomised Controlled Trial on the Effectiveness, Acceptability, Usability, and Economic-organizational Sustainability of RADTs From Subacute to Chronic Phase

Led by Fondazione Don Carlo Gnocchi Onlus · Updated on 2025-02-12

596

Participants Needed

13

Research Sites

30 weeks

Total Duration

On this page

Sponsors

F

Fondazione Don Carlo Gnocchi Onlus

Lead Sponsor

I

Istituti Clinici Scientifici Maugeri SpA

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of rehabilitation using Robot and Allied Digital Technologies (RADTs) compared to traditional rehabilitation for patients who have had a stroke within the past six months. This large pragmatic trial aims to assess whether RADTs are at least as effective as traditional therapy in helping patients recover their daily living activities. The study also examines improvements in motor and cognitive functions, neuroplasticity factors, patient and caregiver acceptance, and economic sustainability. The trial involves two groups: one receiving rehabilitation with RADTs and another receiving traditional one-on-one therapy. The RADT group uses various devices such as robotic exoskeletons, end-effector robots, sensor-based systems, treadmills with body-weight support, stabilometric platforms, and virtual reality programs targeting upper and lower limb function, balance, and cognition. Both groups receive 25 sessions lasting 45 minutes each, delivered five times a week for five weeks for inpatients or three times a week for about 8.3 weeks for outpatients. Participants will be assessed at baseline and after 25 rehabilitation sessions using tools including the modified Barthel Index, Fugl-Meyer Assessment, Berg Balance Scale, cognitive tests, pain scales, walking and dexterity tests, and blood biomarkers. Follow-up assessments continue monthly for six months after treatment ends to monitor lasting effects and quality of life. Data collection is standardized across multiple centers, and the study includes safety monitoring and economic evaluations. Total study participation lasts from enrollment through the six-month follow-up period.

CONDITIONS

Brief Title

Rehabilitation With and Without Robot and Allied Digital Technologies in Stroke Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • First-ever diagnosis of ischemic or haemorrhagic stroke confirmed by Computed Tomography or Magnetic Resonance Imaging
  • Age 18 years and over
  • Time since the event equal to or less than 6 months
  • Mild to severe impairment of the upper limb (motor section of the Fugl-Meyer Assessment of Upper Extremity  58) and/or mild to severe impairment of the lower limb (score on the Functional Ambulation Categories scale  4) and/or mild to severe impairment of balance (Berg Balance Scale  45)
  • Clinical stability allowing transfer to the gym and execution of the planned treatments
Not Eligible

You will not qualify if you...

  • Clinical instability
  • Behavioral/cognitive disorders preventing adequate patient compliance with both traditional and robotic rehabilitation treatment (severe cognitive deficit, Montreal Cognitive Assessment <10)
  • Rigidity or hypertonia (Modified Ashworth Scale > 3) in the plegic/paretic limb
  • Serious uncorrectable visual impairments preventing the patient from performing treatment with technological and/or robotic devices
  • Pregnant women
  • Refusal to sign the informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

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 to 8.3 weeks depending on clinical setting

Participants receive rehabilitation treatment either with robotic and technological devices or traditional methods targeting upper and lower limb abilities, balance, and cognitive functions.

25 sessions; 5 times a week for 5 weeks for inpatients or 3 times a week for approximately 8.3 weeks for outpatients

Follow-up

Duration - 6 months

Participants are monitored to assess the effects of the rehabilitation treatment on daily life activities and quality of life through medium-term follow-up.

Monthly visits for 6 months after treatment completion

Trial Site Locations

Total: 13 locations

1

Fondazione Don Carlo Gnocchi, Centro Gala

Acerenza, Italy

Actively Recruiting

2

IRCCS Istituti Clinici Scientifici Maugeri

Bari, Italy

Not Yet Recruiting

3

IRCCS Ospedale Policlinico San Martino,

Genova, Italy

Actively Recruiting

4

Fondazione Don Carlo Gnocchi, IRCCS Santa Maria Nascente

Milan, Italy

Not Yet Recruiting

5

IRCCS Istituti Clinici Scientifici Maugeri

Milan, Italy

Not Yet Recruiting

6

IRCCS Istituti Clinici Scientifici Maugeri

Montescano, Italy

Actively Recruiting

7

IRCCS Fondazione Mondino

Pavia, Italy

Actively Recruiting

8

IRCCS Istituti Clinici Scientifici Maugeri

Pavia, Italy

Actively Recruiting

9

Fondazione Don Carlo Gnocchi, Centro Santa Maria della Provvidenza

Roma, Italy

Actively Recruiting

10

Fondazione Don Carlo Gnocchi, Centro Santa Maria al Mare

Salerno, Italy

Not Yet Recruiting

11

Fondazione Don Carlo Gnocchi, Polo Specialistico Riabilitativo

Sant'Angelo dei Lombardi, Italy

Actively Recruiting

12

IRCCS Istituti Clinici Scientifici Maugeri

Telese Terme, Italy

Not Yet Recruiting

13

Fondazione Don Carlo Gnocchi, Polo specialistico riabilitativo

Tricarico, Italy

Actively Recruiting

Loading map...

Research Team

I

Irene G Aprile, MD, PhD

M

Marco Germanotta, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Similar Trials

Efficacy and Target Engagement of a Digital Intervention to ...

Executive Dysfunction

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

Rehabilitation with and Without Robot and Allied Digital Technologies (RADTs) in Stroke Patients: A Study Protocol for a Multicentre Randomised Controlled Trial on the Effectiveness, Acceptability, Usability, and Economic-Organisational Sustainability of RADTs from Subacute to Chronic Phase (STROKEFIT4).

Irene Giovanna Aprile, Marco Germanotta, Alessio Fasano...

https://pubmed.ncbi.nlm.nih.gov/40283522