Rubato uses wristband-collected physiological response data to personalize therapeutic playlists and support timely music-based intervention in dementia and Mild Cognitive Impairment (MCI) care.
Already in clinical use, Rubato helps skilled nursing and rehabilitation teams provide measurable, non-pharmacological support with minimal workflow disruption.
Rubato’s evidence story bridges ongoing NIH-supported clinical study, translational research, and real-world skilled nursing deployment. Our development model combines academic collaboration, physiological response data, clinician-supervised implementation, and practical healthcare workflow integration.
Ongoing NIH-supported clinical study evaluating feasibility, acceptability, and clinical outcomes related to agitation, anxiety, and depression in dementia care, alongside wearable-based physiological response measures.
Conducted at SEMC, Rubato’s personalized music-based intervention abstract showed statistically significant improvements in depression (GDS) and anxiety (STAI).
Rubato’s oncology study was published in the Journal of Geriatric Oncology, supporting feasibility and physiological signal monitoring in chemotherapy care.
Read the JOGS publication →Rubato combines personalized therapeutic playlists, machine learning, and wristband-collected heart rate (HR) and heart-rate variability (HRV) data to refine recommendations, reveal recurring patterns over time, and support responsive care.
Machine learning continuously refines each patient’s personalized playlist by learning how they respond to musical characteristics such as tempo, structure, key, rhythm, and familiarity.
For patients with anxiety, cognitive impairment, behavioral dysregulation, agitation risk, or participation challenges.
Rubato can identify unexpected physiological changes relative to an individual’s established pattern and alert caregivers when agitation risk may be increasing.
Built for care delivery, Rubato combines response insights, PointClickCare integration, therapy visibility, and Medicare Part B-aligned workflows.
Heart rate (HR), heart-rate variability (HRV), and other physiological data help refine personalized playlists, reveal recurring agitation patterns over time, and identify meaningful changes that may require attention now.
Machine learning refines personalized playlists using patient preferences, physiological response, and musical characteristics.
When physiology changes unexpectedly relative to an individual’s established pattern, Rubato can alert caregivers that agitation risk may be increasing.
DORs and therapists can review recurring patterns across days and weeks—such as agitation at a particular time or around a care activity—alongside relevant clinical context to refine treatment scheduling and make therapy delivery more efficient and effective.
Music can remain emotionally and physiologically meaningful for people living with dementia and MCI. Rubato uses biometric response data to personalize music-based intervention over time.
Music can engage emotional and memory pathways when verbal direction, redirection, or routine care are harder to sustain.
Preference, memory, physiology, and current state shape response, so Rubato adapts intervention to the individual patient.
Commercial deployment data from current care settings.
Rubato helps therapists review physiological response and participation patterns to guide timing, delivery, and use before or during physical, occupational, or speech therapy (PT, OT, or ST).
Objective physiological context helps therapists understand immediate response and recognize recurring agitation, engagement, and participation patterns over time.
Improve therapy participation, reduce treatment related anxiety, support attention, and help manage agitation related behaviors.
Physiological response data helps therapists interpret immediate response and recurring patterns across sessions.
Simple setup and focused insight support use within existing therapy routines.
Supports measurable intervention outcomes, documentation, and care plan refinement.
Rubato is built primarily for skilled nursing and rehabilitation operators that need clinically meaningful intervention, measurable documentation, and reimbursable value.
Rubato’s model includes a one-time setup fee and monthly membership fee, tailored to deployment scope, workflow needs, and implementation pathway.
Rubato is deployed with clinical organizations and supported by technology and workflow partners that help bring measurable music-based intervention into real-world care delivery.
PointClickCare (PCC)
Garmin Health
Rhino Mobility
HexnodeConnects Rubato to PointClickCare EHR workflow and documentation processes in SNF settings.
Supports physiological and activity signal collection for personalized care delivery and response insight.
Supports durable tablet and device deployment for real-world clinical environments.
Supports mobile device management for secure, scalable device deployment across clinical environments.
Video and field feedback show that Rubato is designed to be intuitive for therapists, measurable for clinical teams, and operationally meaningful for facility administrators.
Rubato’s customized music has provided our residents with observable concentration and calmness during therapeutic activities.S. Balderas Registered Occupational Therapist
The technology is designed to be user friendly, making it simple for therapists to incorporate into their practice and schedule.Why therapists love us Therapist feedback
Rubato’s intervention provides tools to follow patients’ progress and achievements through objective clinical markers.Measurable and trackable Clinical workflow benefit
Administrators can benefit from reimbursement through a variety of applicable CPT codes for long term patients.Reimbursement support Administrator benefit
With effective therapy applied to patients in need, facilities can maintain a peaceful and calm environment.Keeps facility calm Facility benefit
By improving care and outcomes, facilities can experience lower staff burnout.Lowers team burnout Care team benefit
Rubato’s clinical advisory board supports the company’s evidence driven approach to personalized, measurable music-based intervention in regulated healthcare environments.
