Tele Cognitive Movement (Tcm): Motor-Cognitive Home Telerehabilitation per Mci: A Pilot Study

lntroduction. The management of Mild Cognitive Impairment (MCI) often involves care demands that exceed the scope of standard in-person rehabilitation intervention. Bringing exercise home, supported by digital tools and the caregiver, can turn rehabilitation into a regular, personalized, and sustainable practice. In this perspective, it is explored a home-based motor–cognitive telerehabilitation model delivered via the Homing device and supported remotely by a dedicated physiotherapist (“Volto Amico”), engaging the patient–caregiver dyad from the outset to foster continuity, motivation, and therapeutic alliance. Metodhs. Study Non-inferiority, single-centre, single-blind pilot with two parallel groups (1:1 allocation) and permuted block randomization. Assessments were conducted at T0, T1 (4 weeks), T3 (12 weeks), and T6 (24 weeks). Primary outcomes: adherence (exercises done/exercises programmed, platform-derived completion/quality indices, retention), non worsening of cognitive status (ACE-III, MMSE), balance (Tinetti), and caregiver well-being (CBI, GDS, UCLA, MSPSS). Results. Adherence was high: 80% of patients exceeded 100% of the target; the average remained >100% in both T0–T3 and T3–T6 (with a slight decrease in the latter phase). Program execution quality consistently exceeded 85% in patients and caregivers. Global cognition remained essentially stable (MMSE unchanged; ACE-III total showed a slight increase, with mixed domain-level patterns). Functionally, the study group showed improvements on Tinetti-E and an increase on the Barthel; the control group exhibited more stable trends. Psychosocial outcomes were mixed: in study-group patients, GDS and UCLA tended to increase slightly; among caregivers, MSPSS increased (e.g., Family, Particular People), whereas CBI worsened; the control group showed a more stable/favorable profile. Some unfavorable shifts may reflect methodological aspects (different assessors across time-points and reduced assessor–patient rapport) rather than a true negative effect of the intervention. Conclusions. A home-based motor–cognitive pathway with remote supervision and dyadic involvement appears feasible, showing signals of functional benefit and cognitive stability. Larger samples is needed to confirm these findings and to standardize processes and evaluation metrics.