VR Gait Rehabilitation for Stroke
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new virtual reality (VR) program designed to help stroke survivors improve their walking ability in real life. Participants will engage in immersive VR-assisted walking therapy using the C-Mill VR+ by Motek and compare it to traditional treadmill-based VR therapy. The researchers aim to determine which method better enhances mobility and quality of life for stroke survivors. Individuals who experienced a stroke in the last 1-6 months and have moderate difficulty walking may be suitable candidates. As an unphased trial, this study allows participants to contribute to innovative research that could enhance rehabilitation options for stroke survivors.
What prior data suggests that this VR-based rehabilitation program is safe for stroke survivors?
Research has shown that virtual reality (VR) therapies for walking rehabilitation are generally safe for people who have had a stroke. Studies have found that training with fully immersive VR can improve movement, balance, and walking skills. Importantly, participants usually tolerate this method well.
For example, one study found that immersive VR training improved balance and walking confidence in people with long-term stroke effects. Another study showed that VR-based walking training enhanced both walking performance and balance. These findings suggest that using VR for rehabilitation typically does not cause negative effects.
The evidence supports VR-assisted walking therapy as a safe option for stroke survivors who want to improve their walking abilities.12345Why are researchers excited about this trial?
Researchers are excited about the VR-Assisted Overground Gait Therapy because it offers a novel approach to stroke rehabilitation by immersing patients in realistic virtual environments using HTC VIVE Focus Vision. This allows stroke survivors to practice walking in settings that mimic real-world conditions, potentially improving their ability to walk independently in everyday life. Unlike traditional treadmill therapies, which use less immersive virtual scenarios on screens, this method emphasizes self-propelled, overground walking, aiming for a more natural and engaging rehabilitation experience.
What evidence suggests that this trial's treatments could be effective for stroke rehabilitation?
Research has shown that virtual reality (VR) therapy can significantly aid stroke survivors in improving their walking abilities. In this trial, participants in the VR-Assisted Overground Gait Therapy arm will engage in gait training within an immersive VR environment, potentially enhancing balance, walking speed, and confidence. Meanwhile, participants in the Conventional Treadmill-Based VR Gait Therapy arm will use C-Mill VR+ technology for treadmill-assisted walking. Studies have found that VR can boost balance, walking speed, and confidence, often surpassing improvements from traditional therapies. Overall, VR therapy is emerging as a promising tool for helping stroke patients recover by simulating real-life walking situations.26789
Who Is on the Research Team?
Hee-Tae Jung, Ph.D.
Principal Investigator
Indiana University, Luddy School of Informatics, Computing, and Engineering
Peter Altenburger, Ph.D., PT
Principal Investigator
Indiana University, School of Health & Human Sciences; Indiana University Health, Center for Advanced Neurorehabilitation
Are You a Good Fit for This Trial?
This trial is for adults who have had a stroke and are looking to improve their walking ability. Participants should be able to take part in rehabilitation exercises and not have other serious health issues that would prevent safe participation.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Activity Monitoring
Participants are issued a wearable tracker to gauge baseline activity for at least 5 days
Treatment
Participants undergo 12 treatment sessions, 2x a week for 6 weeks, involving either VR-assisted overground gait therapy or treadmill-based VR gait therapy
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at pre-intervention, post-intervention, and 1-month follow-up
What Are the Treatments Tested in This Trial?
Interventions
- C-Mill VR+ by Motek
- Walk-over-Ground
Trial Overview
The study compares two types of walking rehab after stroke: one uses immersive virtual reality while walking over ground, and the other uses non-immersive VR on a treadmill (C-Mill). The goal is to see which method better improves mobility.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in the treatment group (VG-AOGT) will engage in gait training within a newly developed immersive virtual reality (VR) environment. This setup features self-propelled overground walking influenced by three different virtual environments designed to mimic real-world conditions. The immersive technology used is HTC VIVE Focus Vision, enabling participants to practice walking in real-world environments and gait tasks.
Participants in the control group (VR-CTGT) will engage in gait training using C-Mill VR+ technology, which involves treadmill-assisted walking on a treadmill while interacting with less immersive virtual scenarios presented on screens.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Indiana University
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Citations
Virtual reality-based gait rehabilitation intervention for stroke ...
Improvements were observed in balance and gait abilities after VRGT compared with general physical therapy and were found to be effective in enhancing the ...
Effect of Virtual Reality–Based Therapies on Lower Limb ...
VR therapy has demonstrated significant potential for enhancing lower limb recovery, especially when applied with frequencies of ≥20 sessions.
The Effects of Training with Immersive Virtual Reality ...
Conclusions: Fully immersive VR balance training positively impacted balance, walking, and confidence in patients with chronic stroke. TPT ...
Step Into Recovery with VR:Gait Training After Injury
The study highlights that patients undergoing VR gait training demonstrated improvements in walking speed, balance, and symmetry, particularly ...
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researchgate.net
researchgate.net/publication/392518718_Effectiveness_of_VR_Intervention_Coupled_with_Treadmill_Training_on_Gait_Function_for_Stroke_Patients_A_Systematic_ReviewEffectiveness of VR Intervention Coupled with Treadmill ...
Virtual reality interventions significantly improved gait speed, stride length, and balance compared to conventional training.
Effects of Virtual Reality-Assisted and Overground Gait ...
Conclusions: Stroke patients may benefit from virtual reality-assisted gait adaptation training in improving walking and static balance function ...
The effect of virtual reality-based treadmill gait training on ...
This study demonstrated that VR-based treadmill gait training effectively improved gait performance, functional mobility, balance, and gait ...
Overground Virtual Reality (VR) Gait Rehabilitation for ...
The purpose of this study is to evaluate a new virtual reality (VR)-based rehabilitation program designed to help individuals with traumatic ...
Immersive virtual reality during gait rehabilitation increases ...
The study demonstrated that the immersive presentation of a virtual scenario via an HMD leads to a higher walking speed of patients with MS and ...
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