Clinical trial Recruiting at 27 sites Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment596 (estimated)
SponsorFondazione Don Carlo Gnocchi ETS
Academic / other
Locations27 sites (Acerenza and 26 other locations)
StatusRecruiting
StartedAugust 12, 2024
Main results expectedNovember 2026
Study endsNovember 30, 2026
Registry record updatedJuly 24, 2026
Trial IDNCT06547827 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

  • 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
  • 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

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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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.