Rehabilitation for stroke patients using robotics and digital technologies
Official title: 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
Run by Fondazione Don Carlo Gnocchi ETS · NCT06547827 · Data updated 2026-11-12
This study is testing if using robots and digital tools for rehabilitation can help stroke patients recover better than traditional methods.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 596 (estimated) |
| Sponsor | Fondazione Don Carlo Gnocchi ETS Academic / other |
| Locations | 27 sites (Acerenza and 26 other locations) |
| Status | Recruiting |
| Started | August 12, 2024 |
| Main results expected | November 2026 |
| Study ends | November 30, 2026 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT06547827 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and over who have experienced their first stroke within the last six months and have varying degrees of upper and/or lower limb impairment.
✕Probably not a fit
Patients with clinical instability or severe cognitive deficits that hinder compliance with rehabilitation protocols may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicentre randomized controlled pragmatic trial aims to evaluate the effectiveness of rehabilitation using Robot and Allied Digital Technologies (RADTs) compared to traditional rehabilitation methods in stroke patients. The study will involve a large sample of patients who have experienced a stroke within the last six months, assessing their recovery in activities of daily living. The primary objective is to demonstrate that rehabilitation with RADTs is not inferior to traditional methods, while secondary objectives include comparing improvements in various physical and cognitive domains. The trial will also analyze neurophysiological factors related to recovery and quality of life outcomes.
Why it matters
Potential benefit: If successful, this study could enhance rehabilitation outcomes for stroke patients, leading to improved daily functioning and quality of life.
How similar studies have gone: While there is ongoing debate regarding the effectiveness of robotic rehabilitation, this study aims to provide clearer evidence through a large-scale, pragmatic approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
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.
Where it's running
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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
Show 21 more locations
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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
Study contacts
- Principal investigator: Irene G Aprile — IRCCS Fondazione Don Carlo Gnocchi
- Study coordinator: Irene G Aprile, MD, PhD
- Email: iaprile@dongnocchi.it
- Phone: +390633086553
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Deep phenotyping to explore recovery in young adults after stroke
This project will test whether a detailed health and sample-collection approach (deep phenotyping) is practical and acceptable for people aged 18–55 who have had a stroke.
-
Stem cell therapy for chronic stroke recovery
This study is testing whether using a patient's own stem cells can help people with long-term stroke recovery feel better and improve their daily functioning.
-
AI-based tools to help diagnose, treat and predict stroke outcomes across multiple hospitals
This study tests AI-powered tools on real-world stroke patients to see if they can improve pre-hospital triage, diagnosis, and outcome prediction while data stay securely within each hospital.
-
Web-based therapy using action observation and mirror therapy for arm weakness after stroke
This trial tests whether a mobile telerehabilitation app delivering action observation therapy (AOT) alone or combined AOT with mirror therapy (AOT-MT) can improve upper limb function in people with subacute stroke.
-
Remote Ischaemic Conditioning for Fatigue After Stroke 2
Aat least 12 weeks after stroke, adults with post-stroke fatigue will try a simple hand-arm cuff treatment at home to see if it helps reduce fatigue.
-
Dual-task balance training plus computer-based cognitive training after stroke
In adults who recently had a stroke, the study tests whether adding computerized cognitive exercises to balance training improves balance and other recovery outcomes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.