Telerehabilitation refers to the delivery of rehabilitation services via information and communication technologies, leading to a more specific treatment even if the patient is far away from the hospital. Early discharge and home/oupatient rehabilitation are recommended by the main helthcare system guidelines. Indeed, many patients after discharge are not provided with an adeguate rehabilitation, due to the high cost of the exhisting technologies, and/or to the impossibility to reach the main hospital because of their disabilities and/or the geografical barriers. Therefore, innovative local and national initiatives aimed at improving sustainable rehabilitative pathways in patients living at home are needed. Some studies have shown that teleneurorehabilitation can be a valuable and effective tool in patients with different chronic neurological conditions, allowing for care continuity.

The aim of the project is to determine if in home-based neurological patients the clinical efficacy of telerehabilitation is at least non inferior in comparison to conventional treatment, regarding motor and cognitive functions, and activities of daily living. Furthermore the project also aims to find a definition of common rehabilitation protocols, to use and develope an IRCCS common platform, evaluate the cost/effectiveness of the practice, determinenational guidelines, methodologies and clinical protocols in order to plan new Rehabilitation Pathways, define the Best National Practice and use the IRCCS network in order to compete on a European level (Horizon 2020).

The Khymeia devices used in this national project are: VRRS EVO, VRRS TR, VRRS Home Tablet, TeleCockpit, Oak.