PhiCube for Bilateral Upper Limb Neuromotor and Cognitive Rehabilitation in Adults
PhiCube-Adults
A Randomized Controlled Trial to Evaluate the Usability, Safety and Impact of PhiCube in Bilateral Neuromotor Rehabilitation of the Upper Limbs and Cognitive Function in Individuals With Neuromotor and Cognitive Impairments
OTHER_GRANT · Italian Ministry of University and Research
Study Type
interventional
Estimated enrollment
80
Locations
1 country
Sites
4
Timeline
Study Start
September 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
This randomized controlled pilot trial evaluates the usability and safety of PhiCube, a compact, portable, bilateral end-effector robotic device for upper limb rehabilitation, and its impact on motor and cognitive function.
Eighty adults aged 18 to 85 years are enrolled in two groups: 60 participants with neuromotor impairment of the upper limbs (stroke, amyotrophic lateral sclerosis, Parkinson's disease, spinal cord injury) and 20 participants with mild cognitive impairment. Within each group, participants are randomly assigned either to conventional rehabilitation combined with PhiCube training or to conventional rehabilitation alone, 5 days a week for 8 weeks.
The primary endpoints are usability, measured with the System Usability Scale, and safety, measured as the incidence of adverse events reported by the participant or observed by the operator at the end of each session. Secondary endpoints address upper limb motor function, executive function, independence in daily activities, quality of life, adherence, satisfaction, perception of technology-assisted rehabilitation, and the effect of acoustic feedback on engagement and enjoyment.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
not yet recruiting
Estimated enrollment
80 participants
Study completion date
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
1 countries · 4 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
August 7, 2026
Actual (reported)
Study Start
September 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
First Posted
October 8, 2026
Actual (reported)
Primary Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Usability of PhiCube measured with the System Usability Scale (SUS)
The System Usability Scale is a 10-item questionnaire rated on a 5-point Likert scale from strongly disagree to strongly agree. The total score ranges from 0 to 100, with higher scores indicating better perceived usability. Administered to participants in the experimental arms after the last PhiCube session.
At the end of the 8-week treatment period (T60)
Incidence of adverse events
Number and frequency of adverse events reported by the participant or detected by the operator at the end of each rehabilitation session and recorded on a dedicated form.
Throughout the 8-week treatment period, assessed at the end of each session
Secondary Outcomes (13)
Study Arms (4)
Group 1 neuromotor: PhiCube plus conventional
EXPERIMENTAL
Thirty participants with neuromotor impairment of the upper limbs receive conventional rehabilitation combined with PhiCube training, 5 days a week for 8 weeks, each PhiCube session lasting 15 minutes of effective use.
Device: PhiCubeOther: Conventional rehabilitation
Group 1 neuromotor: conventional only
ACTIVE COMPARATOR
Thirty participants with neuromotor impairment of the upper limbs receive conventional rehabilitation alone, 5 days a week for 8 weeks.
Other: Conventional rehabilitation
Group 2 cognitive: PhiCube plus conventional
EXPERIMENTAL
Interventions
PhiCubeDevice
Bilateral, portable end-effector robotic device for upper limb rehabilitation, consisting of a central robotic body with two motorized rotary axes and interchangeable handles allowing shoulder, elbow and wrist movements of both arms. The motors assist or resist movement according to residual mobility. Therapy is delivered through exergames whose difficulty, level of robotic assistance and cognitive load are set by the therapist through the RehabApp software; performance is monitored through the Dashboard software. Sessions last 15 minutes of effective use, 5 days a week for 8 weeks, in addition to conventional rehabilitation. Three acoustic feedback conditions are available: no sound feedback, reward sound feedback on goal achievement, and directional or rhythmic sound feedback.
Group 1 neuromotor: PhiCube plus conventionalGroup 2 cognitive: PhiCube plus conventional
Model Details: Participants are allocated to two diagnostic groups according to their clinical profile (neuromotor impairment or cognitive impairment) and are randomized within each group to conventional rehabilitation plus PhiCube training or to conventional rehabilitation alone, giving four parallel arms.
Sponsor Type
OTHER
Responsible Party
SPONSOR
Study Record Dates
First Submitted
August 7, 2026
First Posted
October 8, 2026
Study Start
September 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
NCT07616050
Evaluation of the Impact of Virtual Park on Training Motivation in Adult Patients
Change in upper limb motor function measured with the Fugl-Meyer Assessment (FMA)
Baseline (T0) and end of the 8-week treatment period (T60)
Change in executive function measured with the Trail Making Test A and B (TMT)
Baseline (T0) and end of the 8-week treatment period (T60)
Change in cognitive flexibility and inhibitory control measured with the Stroop test
Baseline (T0) and end of the 8-week treatment period (T60)
Change in visuospatial working memory measured with the Corsi Block-Tapping Test
Baseline (T0) and end of the 8-week treatment period (T60)
Change in frontal lobe function measured with the Frontal Assessment Battery (FAB)
Baseline (T0) and end of the 8-week treatment period (T60)
+8 more secondary outcomes
Other Outcomes (4)
Change in EEG indices of cognitive workload and engagement
Baseline (T0) and end of the 8-week treatment period (T60)
Change in weight of connections between pairs of brain regions
Baseline (T0) and end of the 8-week treatment period (T60)
Change in cortico-muscular coherence
Baseline (T0) and end of the 8-week treatment period (T60)
+1 more other outcomes
Ten participants with mild cognitive impairment receive conventional rehabilitation combined with PhiCube training, 5 days a week for 8 weeks, each PhiCube session lasting 15 minutes of effective use.
Device: PhiCubeOther: Conventional rehabilitation
Group 2 cognitive: conventional only
ACTIVE COMPARATOR
Ten participants with mild cognitive impairment receive conventional rehabilitation alone, 5 days a week for 8 weeks.
Other: Conventional rehabilitation
Other
Standard rehabilitation treatment delivered at the participating centers during ordinary hospitalization or outpatient rehabilitation, 5 days a week for 8 weeks.
Group 1 neuromotor: PhiCube plus conventionalGroup 1 neuromotor: conventional onlyGroup 2 cognitive: PhiCube plus conventionalGroup 2 cognitive: conventional only
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Diagnosis of a neuromotor disorder affecting the upper limbs, such as stroke, amyotrophic lateral sclerosis, Parkinson's disease or spinal cord injury
Able to provide informed consent
Group 2 (cognitive impairment):
Adults aged 18 to 85 years
Diagnosis of mild cognitive impairment defined by a MoCA score between 18 and 25
Able to provide informed consent
You may not qualify if:
Severe cognitive or behavioural impairment (MoCA below 18)
Severe upper limb motor impairment, defined as an MRC score below 3 in deltoid, biceps and triceps
Impairment of upper limb range of motion that is non-modifiable or painful
Recent upper limb joint injury or joint prosthesis, risk of shoulder dislocation (for example shoulder subluxation), severe osteoporosis, or severe spastic hypertonia of elbow and wrist flexors according to medical judgement
Contraindications to robotic therapy, that is unstable health conditions that could make the use of the device dangerous or inappropriate, such as severe cardiovascular disease, severe respiratory disease or other unstable medical conditions
Participation in another clinical trial within the 30 days before enrolment
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 8, 2026
Record last verified: 2026-10
Source record
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Source: ClinicalTrials.gov.
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