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Applied Sciences
Volume 15
Issue 20
10.3390/app152011247
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

A New Assessment Tool for Risk of Falling and Telerehabilitation in Neurological Diseases: A Randomized Controlled Ancillary Study

by
Letizia Castelli
1,
Chiara Iacovelli
2,
Anna Maria Malizia
3,
Claudia Loreti
2,*,
Lorenzo Biscotti
4,
Anna Rita Bentivoglio
1,5,
Paolo Calabresi
1,5 and
Silvia Giovannini
3,6,*
1
Department of Neurosciences, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
2
Department of Emergency, Anaesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
3
UOS Riabilitazione Post-Acuzie, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
4
Unità Supporto Amministrativo Dipartimenti Universitari, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
5
UOC Neurologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
6
Department of Geriatrics and Orthopaedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
*
Authors to whom correspondence should be addressed.
Appl. Sci. 2025, 15(20), 11247; https://doi.org/10.3390/app152011247 (registering DOI)
Submission received: 5 September 2025 / Revised: 8 October 2025 / Accepted: 20 October 2025 / Published: 20 October 2025
(This article belongs to the Special Issue Current Advances in Rehabilitation Technology)
Versions Notes

Abstract

Recently, telerehabilitation has taken on a significant role in rehabilitation programs, with benefits in improving balance. Many neurological diseases are associated with an increased fall risk and, considering the impact of falls on quality of life, the aim of this study is to evaluate the ability of the Silver Index (via the hunova® robotic platform) to identify the fall risk and the effect of a telerehabilitation intervention (by ARC Intellicare) on fall risk in patients with neurological disorders. This is an ancillary study of a single-center, randomized controlled trial. Ninety patients with stroke, Multiple Sclerosis (MS), and Parkinson’s Disease (PD) participated, and were randomized into an ARC Intellicare group (experimental group) and a paper-based group (control group). Each group performed home treatment for 60 min a day, 3 days a week, for 8 weeks. Fall risk was assessed with clinical scales and hunova®. Data analysis showed a correlation between clinical scales and the Silver Index. Furthermore, only the MS patients in the experimental group showed a significant decrease in fall risk (p = 0.015). This study suggested that the Silver Index is a valid tool for assessing fall risk in neurological disorders. It also confirmed that ARC Intellicare is a useful tool for remote rehabilitation at home.
Keywords: neurological disease; falls; balance; telerehabilitation; innovative technologies neurological disease; falls; balance; telerehabilitation; innovative technologies

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MDPI and ACS Style

Castelli, L.; Iacovelli, C.; Malizia, A.M.; Loreti, C.; Biscotti, L.; Bentivoglio, A.R.; Calabresi, P.; Giovannini, S. A New Assessment Tool for Risk of Falling and Telerehabilitation in Neurological Diseases: A Randomized Controlled Ancillary Study. Appl. Sci. 2025, 15, 11247. https://doi.org/10.3390/app152011247

AMA Style

Castelli L, Iacovelli C, Malizia AM, Loreti C, Biscotti L, Bentivoglio AR, Calabresi P, Giovannini S. A New Assessment Tool for Risk of Falling and Telerehabilitation in Neurological Diseases: A Randomized Controlled Ancillary Study. Applied Sciences. 2025; 15(20):11247. https://doi.org/10.3390/app152011247

Chicago/Turabian Style

Castelli, Letizia, Chiara Iacovelli, Anna Maria Malizia, Claudia Loreti, Lorenzo Biscotti, Anna Rita Bentivoglio, Paolo Calabresi, and Silvia Giovannini. 2025. "A New Assessment Tool for Risk of Falling and Telerehabilitation in Neurological Diseases: A Randomized Controlled Ancillary Study" Applied Sciences 15, no. 20: 11247. https://doi.org/10.3390/app152011247

APA Style

Castelli, L., Iacovelli, C., Malizia, A. M., Loreti, C., Biscotti, L., Bentivoglio, A. R., Calabresi, P., & Giovannini, S. (2025). A New Assessment Tool for Risk of Falling and Telerehabilitation in Neurological Diseases: A Randomized Controlled Ancillary Study. Applied Sciences, 15(20), 11247. https://doi.org/10.3390/app152011247

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