Digital rehabilitation to improve cognition and mobility after hip fracture in older adults

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter, randomized inpatient study enrolls clinically stable patients aged 65–89 after surgical repair of proximal femoral fracture and randomizes them to usual rehabilitation or to an integrated program combining conventional therapy with sensor-based digital training. The program delivers 18 sessions over about 3–4 weeks (5–6 sessions per week), with the experimental group performing roughly one-third of sessions using sensor devices that provide real-time visual and auditory feedback plus two-thirds conventional therapy. Outcomes include changes in cognitive function, motor function, and overall abilities, and the study also collects feasibility and healthcare-professional perspective data to examine routine implementation. Randomization is centralized and stratified by center and age group in this non-profit post-market evaluation conducted at two Italian rehabilitation centers.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age between 65 and 89 years
* Patients who have undergone one of the following surgical treatments specifically for proximal femur fracture including Total hip arthroplasty (total hip replacement), Partial hip arthroplasty (hemiarthroplasty), Intramedullary nailing
* Time since surgery not exceeding 15 days
* Clinical stability
* Patients admitted to the rehabilitation wards of the centers involved in the study and therefore eligible for rehabilitative therapy.

Exclusion Criteria:

* Age \> 90 years
* Age \< 65 years
* Refusal to sign the informed consent form
* Behavioral or cognitive disorders limiting compliance with the rehabilitative treatment
* Presence of mechanical instability of the implanted surgical device
* Clinical instability (e.g., sepsis, severe anemia, cardiorespiratory failure) or pre-existing comorbidities affecting ambulation (neurological diseases or chronic pre-existing disabilities)
* Concomitant presence of other fractures that prevent the possibility of carrying out a rehabilitative treatment
* Severe visual impairments not correctable with lenses that prevent the patient from performing the treatment using digital tools
* Pre-existing motor disability prior to the femur fracture due to other systemic diseases (e.g., advanced-stage neurodegenerative diseases, severe heart failure)
* Conditions contraindicating the use of sensors (pacemaker, epilepsy, skin lesions, open wounds, and severe allergies in areas of contact with the devices).

Where it's running

• COT - Cure Ortopediche Traumatologiche
  Messina, Italy, Italy Recruiting
• Fondazione Don Carlo Gnocchi - Centro Santa Maria della Provvidenza
  Roma, Italy, Italy Not yet recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.