Teleneurorehabilitation (phase II)

Project Title:

Development and Implementation of an Italian Teleneurorehab Network for Healthcare continuity


Centro Neurolesi "Bonino Pulejo"

Project Manager:

Prof. Placido Bramanti

The project has been supported by the Italian Ministry of Health by means of the 2015 “Conto Capitale” Call. Aim of the project is to verify feasibility, usability and efficacy of telerehabilitation (TR) in patients affected by different neurological disorders, and to evaluate the cost-effectiveness ratio. The network first meeting (on June, 8th 2016) involved the 9 IRCCS centers sharing the same technology, i.e. the VRRS devices, and the informatics/technological partners. The meeting focused on planning the Cloud platform, and a data-sharing repository.

Informatic setup

CBIM was responsible for the platform design and planning, whereas Khymeia furnished the TR devices. Each study center is being provided with the Virtual Reality Rehabilitation System (VRRS) Server Manager, a data repository that will collect all the relevant patient’s information. The VRRS and the VSM are connected by a Windows communication Foundation (WCF), using an encrypted protocol. The planned queries could be administered to the VSM by means of a web interface and a specific WCF service.

Clinical Research This unique research project consists in different phases:
  • Implementation of the innovative technologies at the IRCCS that had the VRSS devices before the study entry: e.g. acquisition of tools for fall prevention, such as the new OAK system.

  • Definition of protocols for the assessment and treatment of neurological patients so to standardize the TR training;

  • Protocols and data sharing with all the network participants.

Stato dell’arte e cronoprogramma Ongoing Trials
  • TELEStroke. PI: IRCCS San Camillo.
    AIM: to evaluate feasibility efficacy and cost-effectiveness ratio in stroke patients. In a first phase this observational study is evaluating upper limb recovery, by using FUGL Meyer, Nine hole peg board test; Box and block; TUG dual task and Ashworth scales.

  • Tele-MS: PI: IRCCS Don Gnocchi
    This RCT is aimed at evaluating the efficacy of a multidisciplinary approach by means of VRRS, as compared to traditional one, in patients with MS.

  • Tele-PD (REPORT): PI: IRCCS Maugeri.
    This RCT aims to evaluate the feasibility and efficacy of TR, as compared to a standard home care training, in patients with PD, also taking into consideration patient’s quality of life.

  • TeleDementia Care: PI: IRCCS Fatebenefratelli
    This study is aimed at evaluating the efficacy of a multidisciplinary approach by means of VRRS, as compared to traditional one, in patients affected by MCI, PPA e bvFTD.

At the end of the studies, protocols will be shared with all the other network IRCCS. Protocols concerning other neurological disorders, such as spinal cord injury and motor neurons diseases, will be designed and shared.

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