Abstract
BACKGROUND: Immobility in bedridden patients-especially those with stroke or traumatic brain injury-leads to multiple complications such as pressure ulcers, muscle atrophy, and circulatory disorders. Emerging automated systems for verticalization and repositioning offer a promising rehabilitation tool. OBJECTIVE: To systematically evaluate the effectiveness of automated systems for postural changes and early mobilization in improving motor recovery, preventing pressure ulcers, and enhancing quality of life in bedridden patients. METHODS: This protocol follows PRISMA-P guidelines. Studies will be identified through systematic searches in PubMed, Embase, Web of Science, Scopus, CINAHL, and the Cochrane Library. Inclusion criteria: clinical studies evaluating automated systems for bedridden patients. Two reviewers will independently extract data using a standardized form. The quality and risk of bias will be assessed using appropriate tools (e.g., ROBINS-I or RoB 2). A narrative synthesis or meta-analysis will be performed based on data availability and homogeneity. The results of this review will inform best practices in the use of rehabilitation technologies for immobile patients.