A New 360° Dual-task Based Protocol for the Pre-clinical In-hospital and At-home Rehabilitation of Elderly: DUAL-Rehab

Istituto Auxologico Italiano90 enrolled

Overview

The main objective of this project is two-fold 1. to develop a Dual-Task training exploiting the potentiality of the 360° technology in terms of interactivity and ecological validity 2. to investigate its efficacy in improving the cognitive functioning in a randomized clinical trial for 2 different populations: subjects with subjective memory complaints and mild cognitive impairment. Specifically, participants will follow an integrated training including 2 phases: 1)in-hospital rehabilitation, where subjects will be provided sessions of the training in immersive modality; 2)at-home rehabilitation, where older adults will be asked to perform at home the non-immersive version of the training using a tablet. Expected outcome is an improvement in cognitive functioning (assessed with a complete neuropsychological battery) after the training, thus advancing literature about non-pharmacological interventions in the preclinical stages of dementia along with innovative technical instruments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Cognitive Decline

Interventions

sessions with head mounted display in hospital and sessions with tablet at home

Treatment As Usual (TAU)OTHER

sessions of TAU rehabilitation in hospital and sessions TAU rehabilitation at home

In hospital sessionsOTHER

sessions will be carried out under the supervision of a therapist

at home sessionsOTHER

sessions will be carried out without the supervision of a therapist

Mild Cognitive ImpairmentOTHER

half of this group will perform the protocol with 360° videos and the other half will perform the TAU

Subjective Memory ComplainOTHER

half of this group will perform the protocol with 360° videos and the other half will perform the TAU

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria (group of SMC): * \> 65 years old * self-reported memory complaints * score on Mini-Mental State Examination greater than or equal to 27/30 (normal range) Exclusion Criteria: * no evidence of objective impairments on the neuropsychological testing, scores on the Clinical Dementia Rating \< 0.5 Inclusion Criteria (group of MCI): * \> 65 years old * a self-reported (or reported by a caregiver) cognitive decline * an objective impairment on the neuropsychological testing * scores on the Clinical Dementia Rating \< 0.5. Exclusion Criteria: * no dementia

Locations (1)

Istituto Auxologico Italiano IRCCS

Milan, MI, Italy

RECRUITING

Outcomes

Primary Outcomes

Cognitive functions

Improvement in cognitive functioning assessed with a complete neuropsychological battery focused on different domains such as executive function, memory, and attention.

Time frame: Immediately after the training experience

Motor functions

Improvement in motor functioning assessed with specific test focused on balance, functional mobility, and walking speed

Time frame: Immediately after the training experience

Central Contacts

Elisa Pedroli, PsyD

CONTACT

02 61911 2707 e.pedroli@auxologico.it

Data from ClinicalTrials.gov

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