Active Robot assisted physical training during acute hospitalisationPassive Robot assisted physical training during acute hospitalisation
Active Robot assisted physical training during acute hospitalisation: Active training is delivered by an innovative training robot (ROBERT®). The robot is handled by staff who attaches the robot to the patient's leg. The staff programs the exercise movement, whereby the robot remembers the movement. The robot holds the patient's leg and perform extension of hip and knee. The patient must use their muscular power to stretch the leg while ROBERT® provides resistance.
Training is defined as a minimum of three sessions before discharge.
Passive Robot assisted physical training during acute hospitalisation: Passive training is delivered by an innovative training robot (ROBERT®). The robot is handled by staff who attaches the robot to the patient's leg. The staff programs the movement, whereby the robot remembers the movement. The robot holds the patient's leg and perform passive extension of hip and knee. ROBERT® moves the leg independently without the patient using any muscle power.
Training is defined as a minimum of three sessions before discharge.
Study summary
This study aims to address if robot assisted physical training can prevent functional decline during acute hospitalisation in older geriatric patients.
Design: blinded RCT. Patients: n = 488. Primary outcome is functional decline, assessed by Barthel-Index and 30s chair stand test. One- and three months follow-up.
Eligibility
Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* ≥65 years of age
* Able to ambulate before hospitalisation (with/without assistance)
* Able to communicate with the research team
* Expected length of stay ≥2 days
* Residing on Funen, Denmark
Exclusion Criteria:
* Able to ambulate without assistance during current hospitalisation
* Known severe dementia
* Positive Confusion and Assessment Method score (20)
* Patients who have received less than 3 training sessions at discharge
* Terminal illness
* Recent major surgery or lower extremity bone fracture in the last 3 months
* Conditions contradicting use of ROBERT (unstable vertebral-, pelvic, or lower extremity fractures; high intracranial pressure; pressure ulcers or risk of developing pressure ulcers due to fragile skin; patients with medical instability)
* Metastases at femur or hip
* Deemed not suitable for mobilization sessions with the robot by the healthcare professional
* If the patient weighs more than 165 kg (the robot cannot lift the leg if the patient is severely overweight)
Primary outcome measure(s)
Change from baseline Barthel Index 100 — Change from baseline (day of hospital admission) to day of hospital discharge (an average of 1 week) Functional evaluation assessed by Barthel Index 100. The Barthel Index is an ordinal scale used to measure performance in activities of daily living (ADL). Ten variables describing ADL and mobility are scored, a higher number being a reflection of greater ability to function independently following hospital discharge.
Change from baseline 30 Second Sit to Stand Test — Change from baseline (day of hospital admission) to day of hospital discharge (an average of 1 week) Functional evaluation assessed by 30 Second Sit to Stand Test . The 30 Second Sit to Stand Test is for testing leg strength and endurance in older adults.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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