Clinical Impact of Neuropostural and Neuromuscular Optimization Protocols With Radio Electric Asymmetric Conveyer (REAC) Technology in Older Adults With Femoral Fractures: An Observational Study

Background: Femoral fractures in the elderly often result in long-lasting disability. Standard rehabilitation may fail to address neurofunctional alterations such as functional dysmetria (FD), which limit optimal motor recovery. This study evaluates the clinical utility of Radio Electric Asymmetric Conveyer (REAC) neuromodulation protocols, Neuro Postural Optimization (NPO) and Neuro Muscular Optimization (NMO), as adjuncts to standard rehabilitation in elderly patients post femoral fracture surgery. Methods: This observational study was conducted at Casa di Cura Villa Fiorita (59100, Prato, Italy), within a clinical-scientific collaboration program with the Rinaldi Fontani Institute. Fourteen elderly patients (mean age 81.7 years) received one NPO session, followed by 10 NMO sessions in conjunction with standard physiotherapy. A matched historical control group (n = 14) received only conventional therapy. Assessed parameters included the Barthel Index (BI), Visual Analogue Scale (VAS) for pain, FD presence, and hospital length of stay. Statistical analysis used paired/unpaired t-tests (p < 0.05). Results: FD was completely resolved in all REAC-treated patients following the single NPO session. This neurobiological modulation likely restores subcortical and cerebellar network homeostasis, enabling symmetrical motor output. The NMO protocol supported neuromotor pattern optimization throughout recovery. Compared to controls, the REAC group achieved significantly greater improvements in BI (+47.1 vs. +38.1 points, p = 0.006), pain reduction (-5.2 vs. -3.6, p < 0.001), and shorter hospital stay (-2.2 days, p = 0.027). No adverse effects were reported. Conclusions: The integration of REAC NPO and NMO protocols into conventional rehabilitation enhanced motor symmetry, pain control, and recovery speed. These findings justify further randomized trials and suggest REAC neuromodulation as a valuable, non-invasive, and scalable strategy in orthopedic rehabilitation.

• Publication year

  2025

• Venue

  Cureus

• Publication date

  2025-08-01

• Fields of study

  Medicine, Engineering

• Identifiers
  DOI 10.7759/cureus.90221PMID 40823460PMCID 12357592
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Neuromodulatory Treatment for Dizziness and Chronic Neurological Dysfunction in an Elderly Patient Using Radio Electric Asymmetric Conveyer (REAC) Neuro Psycho Physical Optimization (NPPO) Gamma Brain Wave Optimization (BWO-G): A Case Report

  2025cited by this paper
• Pelvic Asymmetry and Stiffness of the Muscles Stabilizing the Lumbo–Pelvic–Hip Complex (LPHC) in Tensiomyography Examination

  2025cited by this paper
• Costs and Health Outcomes in Economic Evaluations of Person-Centered Care: A Systematic Review.

  2025cited by this paper
• Knowledge, Attitude, and Motivation Regarding Transcranial Direct Current Stimulation (tDCS) Among Rehabilitation Specialists in Saudi Arabia: A Cross-Sectional Study

  2025cited by this paper
• Comparative assessment of Barthel index and functional independence measure in providing rehabilitation care for military personnel with combined injuries

  2025cited by this paper
• Efficacy of Radio Electric Asymmetric Conveyer Neuro Psycho Physical Optimization - Brain Wave Optimization-Gamma (REAC NPPO BWO-G) Treatment in Neurovegetative Dysfunction: A Case Report of Enhanced Cognitive Processing and Stress Resilience

  2024cited by this paper
• Sensorimotor control of functional joint stability: Scientific concepts, clinical considerations, and the articuloneuromuscular cascade paradigm in peripheral joint injury.

  2024cited by this paper
• Efficacy of REAC Neurobiological Optimization Treatments in Post-Polio Syndrome: A Manual Muscle Testing Evaluation

  2024influential reference
• Interlimb coordination and spatiotemporal variability during walking and running in children with developmental coordination disorder and typically developing children.

  2024cited by this paper
• Improving Strength and Fatigue Resistance in Post-Polio Syndrome Individuals with REAC Neurobiological Treatments

  2023influential reference
• Measuring pain intensity in older adults. Can the visual analogue scale and the numeric rating scale be used interchangeably?

  2023cited by this paper
• Impact of REAC Regenerative Endogenous Bioelectrical Cell Reprogramming on MCF7 Breast Cancer Cells

  2023cited by this paper
• Improving Functional Capacity and Quality of Life in Parkinson’s Disease Patients through REAC Neuromodulation Treatments for Mood and Behavioral Disorders

  2023cited by this paper
• REAC Noninvasive Neurobiological Stimulation in Autism Spectrum Disorder for Alleviating Stress Impact

  2022cited by this paper
• Cost-effectiveness analysis of routine follow-up for hip fracture patients after dynamic hip screw and intramedullary nail fixation

  2022cited by this paper
• Long-Lasting Efficacy of Radio Electric Asymmetric Conveyer Neuromodulation Treatment on Functional Dysmetria, an Adaptive Motor Behavior

  2022influential reference
• Neuro Postural Optimization Neuromodulation Treatment of Radio Electric Asymmetric Conveyer Technology on Stress and Quality of Life in Institutionalized Children in a Capital City of the Brazilian Amazon

  2022cited by this paper
• Interventions for improving mobility after hip fracture surgery in adults.

  2022cited by this paper
• REAC Neuromodulation Treatments in Depression, Anxiety and Stress. A Comparative Retrospective Study

  2020cited by this paper
• Post-operative Physical Performance Factors Associated With Gait Speed in Patients Surgically Treated for Hip Fracture: A Cross-Sectional Study

  2019cited by this paper
• Asymmetries Identified in Sit-to-Stand Task Explain Physical Function After Hip Fracture

  2017cited by this paper
• Endogenous Bioelectric Signaling Networks: Exploiting Voltage Gradients for Control of Growth and Form.

  2017cited by this paper
• Electrophysiological effects of non-invasive Radio Electric Asymmetric Conveyor (REAC) on thalamocortical neural activities and perturbed experimental conditions

  2015cited by this paper
• Identification of gait domains and key gait variables following hip fracture

  2015cited by this paper
• Long-lasting changes in brain activation induced by a single REAC technology pulse in Wi-Fi bands. Randomized double-blind fMRI qualitative study

  2014influential reference
• Motor Effects of REAC in Advanced Alzheimer's Disease: Results From a Pilot Trial

  2013cited by this paper
• Noninvasive radioelectric asymmetric conveyor brain stimulation treatment improves balance in individuals over 65 suffering from neurological diseases: pilot study

  2012cited by this paper
• Interventions for improving mobility after hip fracture surgery in adults

  2011cited by this paper
• Timing, Intensity, and Duration of Rehabilitation for Hip Fracture and Stroke: Report of a Workshop at the National Center for Medical Rehabilitation Research

  2004cited by this paper

• No citing papers are available for this paper.