- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07664033
AI-based Model for Rehabilitation Engagement and Motor Performance Evaluation in Pediatric Patients: A Pilot Study (AI-REMAP)
AI-based Model for Rehabilitation Engagement and Motor Performance Evaluation in Pediatric Patients
What is the purpose of this study? This study aims to evaluate the usability and feasibility of an artificial intelligence-based model designed to monitor in real-time the engagement and motor performance of pediatric patients during technology-assisted rehabilitation.
Who can take part? 15 participants between 5 and 17 years old with neuromotor impairments will take part, along with at least 5 of their referring physiotherapists.
What will happen in the study? Each pediatric patient will take part in a single, 1-hour rehabilitation session using either the Lokomat or GRAIL system, according to their standard clinical prescription. During the session, the physiotherapist will have access to a display showing real-time data from the AI model, including the patient's heart rate, engagement level, pleasantness, activation, and motor performance. At the end of the session, the physiotherapist will complete a System Usability Scale (SUS) questionnaire and provide direct feedback on how to improve the model.
Why is this study important? Assessing the usability of this real-time monitoring tool is a necessary step to understand if it is practical for clinical use. Providing therapists with objective, real-time insights into a child's psychological and physical state can ultimately help tailor therapy to the specific needs of each patient, improving the overall rehabilitation experience.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Simone Costantini, MSc
- E-post: simone.costantini@lanostrafamiglia.it
Studera Kontakt Backup
- Namn: Fabio Alexander Storm, PhD
- Telefonnummer: +39 031877111
- E-post: fabio.storm@lanostrafamiglia.it
Studieorter
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Bosisio Parini, Italien, 23842
- Scientific Institute IRCCS E.Medea
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Kontakt:
- Emilia Biffi, PhD
- Telefonnummer: +39 031877111
- E-post: emilia.biffi@lanostrafamiglia.it
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Underutredare:
- Simone Costantini, MSc
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Kontakt:
- Fabio Alexander Storm, PhD
- Telefonnummer: +39 031877111
- E-post: fabio.storm@lanostrafamiglia.it
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-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
Tar emot friska volontärer
Beskrivning
Inclusion Criteria:
- Subjects aged between 5 and 17 years with neuromotor impairments who are undergoing rehabilitation therapy using the Lokomat and GRAIL devices, according to the existing clinical plan.
Exclusion Criteria:
- Uncooperative subjects.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Enhetens genomförbarhet
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: Real-Time Engagement Monitoring
Participants in this experimental arm, consisting of pediatric patients with neuromotor impairments, will undergo a single 1-hour technology-assisted rehabilitation session using either the Lokomat or GRAIL system.
During the session, the physiotherapist will use a display showing real-time outputs from the AI-based model, including the patient's heart rate, engagement levels, pleasantness, activation, and motor performance.
The model acts as an observational support tool and will not directly alter the standard rehabilitation protocol.
At the end of the session, the physiotherapist will evaluate the usability of the system.
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The intervention consists of the deployment of a real-time AI-based monitoring system during a standard technology-assisted rehabilitation session.
The physiotherapist is provided with a display showing continuous feedback on the patient's engagement levels, emotional state (pleasantness and activation), motor performance, and heart rate.
The model processes physiological and inertial data collected via wearable sensors, acting purely as an observational support tool without altering the standard rehabilitation protocol.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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System Usability Scale (SUS) Score
Tidsram: Baseline
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This validated questionnaire is intended to evaluate the usability and feasibility of a system or product.
It is composed of 10 items assessing factors such as system complexity, ease of use, and functionality integration.
Each item is proposed on a 5-points Likert scale, with minimum value 1 and maximum value 5. Higher overall values stand for a higher degree of agreement with respect to the statement provided by the single item.
For odd items, higher values stand for higher usability.
For even items, higher values stand for lower usability.
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Baseline
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Serviceleverantörsrankad mått på klientengagemang (Prime-SP)
Tidsram: Baslinje
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Denna åtgärd är avsedd att fånga terapeutens observation av patientengagemang.
Prime-SP är ett validerat självrapporterat frågeformulär som består av tre huvuddelar: del A, där terapeuten kan utföra en övergripande utvärdering av patientengagemang enligt en 5-punkts Likert-skala (från 0 till 4, med högre värden som motsvarar positivt engagemang); Del B, där terapeuten kan utföra en domänberoende (affektiv, kognitiv, beteendemässig domän) utvärdering av patientengagemang enligt en 5-punkts Likert-skala (från 0 till 4, med högre värden motsvarande positivt engagemang); Del C, där terapeuten kan ta gratis anteckningar om faktorer och omständigheter som han/hon tror kan ha påverkat patientengagemanget under sessionen.
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Baslinje
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AI Model-Inferred Engagement Level
Tidsram: Baseline
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This objective measure is intended to capture the patient's continuous engagement level during the rehabilitation session.
The AI-based model infers the engagement state using feed-forward neural networks that process real-time physiological data (such as HRV and EDA) and inertial signals (IMU).
The model provides a categorical evaluation of engagement (low vs high).
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Baseline
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Samarbetspartners och utredare
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Allmänna publikationer
- Costantini S, Falivene A, Chiappini M, Malerba G, Dei C, Bellazzecca S, Storm FA, Andreoni G, Ambrosini E, Biffi E. Artificial intelligence tools for engagement prediction in neuromotor disorder patients during rehabilitation. J Neuroeng Rehabil. 2024 Dec 19;21(1):215. doi: 10.1186/s12984-024-01519-2.
- Koenig A, Omlin X, Zimmerli L, Sapa M, Krewer C, Bolliger M, Muller F, Riener R. Psychological state estimation from physiological recordings during robot-assisted gait rehabilitation. J Rehabil Res Dev. 2011;48(4):367-85. doi: 10.1682/jrrd.2010.03.0044.
- Graffigna G, Barello S, Riva G, Castelnuovo G, Corbo M, Coppola L, Daverio G, Fauci A, Iannone P, Ricciardi W, Bosio AC; CCIPE Working Group. [Recommandation for patient engagement promotion in care and cure for chronic conditions.]. Recenti Prog Med. 2017 Nov;108(11):455-475. doi: 10.1701/2812.28441. Italian.
- Flynn R, Walton S, Scott SD. Engaging children and families in pediatric Health Research: a scoping review. Res Involv Engagem. 2019 Nov 4;5:32. doi: 10.1186/s40900-019-0168-9. eCollection 2019.
- Bray L, Appleton V, Sharpe A. The information needs of children having clinical procedures in hospital: Will it hurt? Will I feel scared? What can I do to stay calm? Child Care Health Dev. 2019 Sep;45(5):737-743. doi: 10.1111/cch.12692. Epub 2019 Jul 18.
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Andra studie-ID-nummer
- L2-246-F2
- RC 2024-2026 to E. Biffi (Annat bidrag/finansieringsnummer: Italian Ministry of Health)
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