PTOTRCTFrontiers in rehabilitation sciences2025

Virtual reality as a potential therapy in a rehabilitation sanatorium for patients after ischemic stroke: impact on quality of life and social participation-a randomized trial.

Marcela Dabrowská, Lucie Honzíková, Dalibor Pastucha and 6 others

PMID 40529533

WHAT IT FOUND

Adding virtual reality to standard stroke rehabilitation did not improve quality of life, cognition, or social participation more than standard therapy alone.

Both groups improved similarly, so VR is not a superior clinical intervention for these outcomes.

Key findings

01There were no significant differences between the group receiving virtual reality and the group receiving only conventional therapy in any measured outcome.

02Both groups showed significant improvement in quality of life and cognitive scores after therapy, indicating the benefit came from the rehabilitation process itself rather than the addition of VR.

03The study was limited by a small final sample size and uneven distribution of comorbidities between the two groups, which may affect the validity of the null result.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The final sample size was small (50 patients), reducing the statistical power to detect subtle differences. Comorbidities were unevenly distributed between the groups, which may have confounded the results. Some patients found the VR tasks too easy, which may have limited the potential for improvement. The study did not include speech-language pathology interventions, so communication outcomes were not directly assessed.

Declared interests

The authors declared financial support for research and publication, but did not specify if a VR vendor funded the study.

The easy way to misread this

Do not conclude that virtual reality is ineffective because both groups improved. The study shows VR is not superior to conventional therapy, but it may still be a useful tool for maintaining patient motivation during standard care.

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