The goal of this clinical trial is to learn whether a semi-autonomous digital telerehabilitation program using therapeutic video games ("exergames") can help improve quality of life and functional independence in older adults living in long-term care centers who have mild cognitive impairment (MCI). The main questions we want to answer are: Does this exergame-based program help participants move better, walk more safely, and perform daily activities with more independence? Does it improve confidence while moving and lower the fear of falling? Is this program cost-effective compared with a standard one-to-one physiotherapy program? Researchers will compare two groups: Intervention group: participants will use a CE-marked digital rehabilitation platform that provides lower-limb and balance training through interactive exergames. Control group: participants will receive an individual physiotherapy program of similar duration and intensity. Participants will: Take part in a 6-week training program (using exergames or standard physiotherapy, depending on their group). Complete tests that measure mobility, balance, walking while doing a cognitive task (called "dual task"), confidence in avoiding falls, and daily functioning. Answer short questionnaires about well-being and quality of life. This pilot study will help determine whether the exergame-based program is safe, useful, and feasible for older adults with MCI living in long-term care settings.
Age range
70 Years
Sex
ALL
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Global Cognitive Function (Montreal Cognitive Assessment, MoCA; 0-30)
Timeframe: Baseline (V0), Week 8 (V1, end of treatment), Week 16 (V2, follow-up)
Executive Functions (Trail Making Test, Part A and Part B; completion time in seconds)
Timeframe: Baseline (V0), Week 8 (V1), Week 16 (V2)
Gait Speed Under Single-Task Conditions (10-Meter Walk Test; meters/second)
Timeframe: Baseline (V0), Week 8 (V1), Week 16 (V2)
Dual-Task Cost in Gait Speed (percentage)
Timeframe: Baseline (V0), Week 8 (V1), Week 16 (V2)
Health-Related Quality of Life (EQ-5D-5L Index Score)
Timeframe: Baseline (V0), Week 8 (V1), Week 16 (V2)