Identify the Most Effective Rehabilitation Method Between a Treatment with a Sensorized Treadmill (Walker View) and a Treatment with Conventional Group Therapy in Balance Disorders and the Use of Artificial Intelligence to Identify Predictive Indices to Prevent Falls and Diagnose Promptly the Risk

NCT ID: NCT06649500

Last Updated: 2025-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-04

Study Completion Date

2026-06-30

Brief Summary

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Falls in the elderly are one of the main sources of disability and hospitalization, with a significant impact on quality of life and social and healthcare costs. Falls represent a significant health concern for people over 60 years old. Numerous studies have shown that falls cause serious health consequences. Around 30% of people over the age of 60 experience a fall during the year.

According to the impact falls have, the investigators decided to analyze the effectiveness of training on a Walker View sensorized treadmill, with the possibility of exercises for coordination and balance, compared to training with a conventional group therapy, in order to understand the best training to reduce the risk of falling and observe the possible improvements in daily life activities.

So the study aims to identify the most effective rehabilitation method between a treatment with a sensorized treadmill (Walker View) and a conventional group therapy in balance disorders.

The study also aims to identify predictive indices, with the use of Artificial Intelligence, that can contribute to the prevention and diagnosis of balance disorders in a short time and prevent falls in the elderly.

Detailed Description

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Conditions

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Balance Disorders Rehabilitation Falls Falls Prevention Artificial Intelligence (AI) Elderly (people Aged 65 or More)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Experimental Sensorized Treadmill

Patients will carry out treatment with a sensorized treadmill, Walker View. This treadmill gives the possibility to patients to see their image reconstructed in a 3D mode in order to observe the bad aligments that increase the patients balance disorders. The feedback systems are necessary to give continuous stimulation to the patients.

Each patients will carry out 18 treatment sessions and each session will last 30 minutes

Group Type EXPERIMENTAL

Treadmill

Intervention Type OTHER

The Walker View system is a treadmill equipped with a loaded cell sensor belt and a 3D camera that allows you to detect every single angular movement of the subject. Furthermore, thanks to the two optics, a classic one for 2D shooting in high resolution, and a revolutionary one for infrared rays, it is possible to reconstruct the position of the subject in space in three-dimensional mode and in real time. The reflected image reconstructed by the system helps to improve movement through the \"continuous feedback system\" method.

Conventional Therapy

Patients in this arm will carry out treatment with a conventional group therapy, consisting in usual treatment according to current clinical practice.

Each patient will undergo 18 sessions of conventional therapy based on group re-education.

Group Type ACTIVE_COMPARATOR

conventional therapy

Intervention Type OTHER

Conventional therapy intervention will follow the usual treatment according to current clinical practice. This treatment will be delivered to patients in a group session in order the balance disorders.

Clinical monitoring

Patients in this arm will take part in the 'no intervention' part of the study and they will not carry out treatment. Patients will undergo only a clinical monitoring with an educational intervention, which does not elvove treatment or exercises, and they will continue to follow their daily habits.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Treadmill

The Walker View system is a treadmill equipped with a loaded cell sensor belt and a 3D camera that allows you to detect every single angular movement of the subject. Furthermore, thanks to the two optics, a classic one for 2D shooting in high resolution, and a revolutionary one for infrared rays, it is possible to reconstruct the position of the subject in space in three-dimensional mode and in real time. The reflected image reconstructed by the system helps to improve movement through the \"continuous feedback system\" method.

Intervention Type OTHER

conventional therapy

Conventional therapy intervention will follow the usual treatment according to current clinical practice. This treatment will be delivered to patients in a group session in order the balance disorders.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 65 years
* Consent to participate in the study
* Positive history of balance disorders
* Absence of cognitive deficits (MMSE ≥ 24)
* Tinetti \< 25

Exclusion Criteria

* Clinical pictures associated with musculoskeletal, cardiovascular, cerebrovascular, neuro-psychic problems and post-surgical outcomes that make the planned evaluation tests unfeasible.
* Inability to carry out a walking test.
* History of more than one fall in the last six months.
* Subjects who have not expressed informed consent to participate in the study.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Policlinico Universitario Campus Bio-Medico

OTHER

Sponsor Role lead

Responsible Party

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Federica Bressi

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Policlinico Universitario Campus Bio Medico di Roma

Rome, Rome, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Federica Bressi, MD

Role: CONTACT

+39 0622541624

Other Identifiers

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PNC0000007

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

180.24 CET2cbm

Identifier Type: -

Identifier Source: org_study_id

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