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

NCT06547827 · tracked via the Priya Life Science Italy tracker
Phase
Not applicable
Started
2024-08-12
Last updated
2026-07-24

Condition(s) studied

Stroke

Investigational drug(s) / intervention(s)

robotic rehabilitationtraditional rehabilitation

robotic rehabilitation: Treatment will occur in a gym equipped with devices for all the domains, with two physiotherapists supervising groups of 4 to 6 patients, depending on their clinical severity. Patients will undergo a total of 25 sessions, each lasting 45 minutes, with the following frequency: * 5 times a week for 5 weeks, for inpatients; * 3 times a week for 8.3 weeks, for outpatients.

traditional rehabilitation: A physiotherapist-to-patient ratio of 1:1 is provided for the treatment in all participating centres. Patients will undergo a total of 25 sessions, each lasting 45 minutes, with the following frequency: * 5 times a week for 5 weeks, for inpatients; * 3 times a week for 8.3 weeks, for outpatients.

Study summary

Rehabilitation after stroke often employs Robot and Allied Digital Technologies (RADTs), yet evidence on their effectiveness remains inconclusive due to study heterogeneity and limited sample sizes.

This multicentre randomized controlled pragmatic trial aims at comprehensively and accurately assessing the effectiveness of rehabilitation mediated by RADTs after a stroke, compared to traditional rehabilitation, also considering economic sustainability.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * 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. Exclusion Criteria: * 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.

Primary outcome measure(s)

  • Change from baseline in the modified Barthel Index — baseline; within 24 hours from the 25th rehabilitation session
    The modified Barthel Index for Activities of Daily Living is a validated ordinal scale which measures a person's ability to complete activities of daily living (ADL). Scores range from 0 (total dependence) to 100 (total independence).

Trial sites (27)

FacilityCityRegionStatus
Fondazione Don Carlo Gnocchi, Centro Gala Acerenza Italy Recruiting
IRCCS Istituti Clinici Scientifici Maugeri Bari Italy Recruiting
Azienda Socio Sanitaria Territoriale (ASST) Papa Giovanni XXIII Bergamo Italy Recruiting
Azienda Ospedaliero Universitaria Policlinico "G. Rodolico - San Marco" Catania Italy Recruiting
Università degli Studi Magna Graecia di Catanzaro (A.O.U. "Renato Dulbecco" Catanzaro) Catanzaro Italy Recruiting
Istituto S. Anna di Ezio Pugliese s.r.l. Crotone Italy Recruiting
Università di Foggia (Azienda Ospedaliero-Universitaria "Policlinico Riuniti" - Foggia) Foggia Italy Recruiting
IRCCS Ospedale Policlinico San Martino, Genova Italy Recruiting
IRCCS Centro Neurolesi "Bonino Pulejo" Messina Italy Recruiting
Fondazione Don Carlo Gnocchi, IRCCS Santa Maria Nascente Milan Italy Recruiting
IRCCS Istituti Clinici Scientifici Maugeri Milan Italy Recruiting
IRCCS Istituti Clinici Scientifici Maugeri Montescano Italy Recruiting
Università degli Studi di Padova (Azienda Ospedale Università di Padova) Padova Italy Recruiting
IRCCS Fondazione Mondino Pavia Italy Recruiting
IRCCS Istituti Clinici Scientifici Maugeri Pavia Italy Recruiting
Università di Pisa (A.O.U. Pisana) Pisa Italy Recruiting
Fondazione Don Carlo Gnocchi, Centro Santa Maria della Provvidenza Roma Italy Recruiting
IRCCS San Raffaele Roma s.r.l. Roma Italy Recruiting
Università Humanitas University - Hunimed (IRCCS Istituto Clinico Humanitas - Humanitas Mirasole S.p.A.) Rozzano Italy Recruiting
Fondazione Don Carlo Gnocchi, Centro Santa Maria al Mare Salerno Italy Recruiting
Università degli Studi di Salerno (Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona) Salerno Italy Recruiting
Fondazione Don Carlo Gnocchi, Polo Specialistico Riabilitativo Sant'Angelo dei Lombardi Italy Recruiting
Azienda Sanitaria dell'Alto Adige - Ospedale di Vipiteno Sterzing Italy Recruiting
IRCCS Istituti Clinici Scientifici Maugeri Telese Terme Italy Recruiting
APSS Trento Trento Italy Recruiting
Fondazione Don Carlo Gnocchi, Polo specialistico riabilitativo Tricarico Italy Recruiting
San Camillo IRCCS s.r.l. Venezia Italy Recruiting
Official registry record

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.

View NCT06547827 on ClinicalTrials.gov ↗ ← All trials in Italy