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NCT Number: NCT07568821

Effectiveness of VR Rehabilitation for People With Asymmetrical Gait Patterns

A randomized comparative study will be conducted to evaluate the rehabilitation process using a VR-based application versus conventional therapy in 40 patients (sample size determined using a sample size calculator). After meeting the eligibility criteria, participants will be randomly assigned to two groups: the experimental group (20 patients with gait pattern asymmetry), performing a gait training program using a VR rehabilitation application, and the control group (20 patients with gait pattern asymmetry), performing only a conventional gait training program.

Participants in both groups will take part in a 2-week rehabilitation program (Monday to Friday), with daily training sessions lasting up to 2 hours. Patient assessment will be conducted twice: an initial evaluation before the start of the intervention (Assessment I) and a follow-up evaluation after completion of the 2-week program (Assessment II), at the same time of day, under the same conditions, and using the same measurement tools.

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Key information

Conditions

Disability Evaluation Recovery of Function Rehabilitation

Age range

20 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Individuals with a diagnosed and clinically confirmed asymmetry of gait pattern will be eligible for inclusion in the study.

Exclusion criteria

Active rheumatic diseases, cancer, advanced diabetes, cardiovascular diseases, and other conditions affecting the safety and effectiveness of rehabilitation, Contraindications to VR therapy (epilepsy, motion sickness, dizziness, nausea), Lower limb injuries or surgeries within the last 6 months, Severe mental disorders preventing understanding of instructions.

Training for both groups will include balance and coordination exercises, proprioceptive stimulation, and exercises aimed at improving step length symmetry and lower limb loading. Additionally, the experimental group will receive 15 to 30 minutes (adjusted to the patient's abilities) of training using a VR application in a virtual environment, providing real-time feedback on body position, step length, and balance. The effects of gait training will be evaluated using the following measures: gait speed, walking endurance, independent mobility and risk of falls, balance, gait symmetry, spinal mobility, and functional performance.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed and clinically confirmed gait pattern asymmetry in the course of neurological diseases
  • Informed consent to participate in the study and willingness to comply with rehabilitation recommendations

Exclusion criteria

  • Active rheumatic diseases, cancer, advanced diabetes, cardiovascular diseases, and other conditions that may affect the safety and effectiveness of rehabilitation
  • Contraindications to VR therapy (epilepsy, motion sickness, dizziness, nausea)
  • Lower limb injuries or surgeries within the last 6 months
  • Severe mental disorders preventing understanding of instructions
  • Lack of informed consent to participate in the study

Treatment and study plan

Virtual Reality (VR) and Standard Rehabilitation

Other

The experimental group will participate in a gait training program using a VR rehabilitation application. Participants will take part in a 2-week rehabilitation program (Monday to Friday), with daily training sessions lasting up to 2 hours. Training will include balance and coordination exercises, proprioceptive stimulation, and exercises aimed at improving step length symmetry and lower limb loading. Additionally, the experimental group will receive 15 to 30 minutes (adjusted to the patient's abilities) of training using a VR application in a virtual environment, providing real-time feedback on body position, step length, and balance.

Standard Rehabilitation

Other

The control group will participate only in a conventional gait training program. Participants will take part in a 2-week rehabilitation program (Monday to Friday), with daily training sessions lasting up to 2 hours. Training will include balance and coordination exercises, proprioceptive stimulation, and exercises aimed at improving step length symmetry and lower limb loading.

Primary outcomes

  1. Gait speed - 10-meter walk test

    Time frame: Baseline (Day 1)

  2. Gait speed - 10-meter walk test

    Time frame: Immediately after therapy completion (Day 10)

  3. Walking Endurance - 6-Minute Walk Test

    Time frame: Baseline (Day 1)

  4. Walking Endurance - 6-Minute Walk Test

    Time frame: Immediately after therapy completion (Day 10)

  5. Independent Mobility and Fall Risk - Timed "Get Up & Go" Test

    Time frame: Baseline (Day 1)

  6. Independent Mobility and Fall Risk - Timed "Get Up & Go" Test

    Time frame: Immediately after therapy completion (Day 10)

  7. Lower Limb Loading Symmetry - Two-Scale Test

    Time frame: Baseline (Day 1)

  8. Lower Limb Loading Symmetry - Two-Scale Test

    Time frame: Immediately after therapy completion (Day 10)

Secondary outcomes

  1. Gait and Balance - Dynamic Gait Index

    Time frame: Baseline (Day 1)

  2. Gait and Balance - Dynamic Gait Index

    Time frame: Immediately after therapy completion (Day 10)

  3. Gait Asymmetry - Wisconsin Gait Scale

    Time frame: Baseline (Day 1)

    The Wisconsin Gait Scale is an observational tool used to assess gait quality. Scores range from 13.35 to 42, with higher scores indicating worse gait performance.

  4. Gait Asymmetry - Wisconsin Gait Scale

    Time frame: Immediately after therapy completion (Day 10)

    The Wisconsin Gait Scale is an observational tool used to assess gait quality. Scores range from 13.35 to 42, with higher scores indicating worse gait performance.

Study contacts

Contact information is provided by the study sponsor or research team.

Agnieszka Guzik

CONTACT

[email protected]

+48 17 851 8965

Sponsors and collaborators

Lead sponsor

University of Rzeszow

Other

Registry information

Official study title

Evaluation of the Effectiveness of Rehabilitation in Patients With Gait Pattern Asymmetry Using a Virtual Reality

Important dates

Study start
2027
Primary completion
2027
Study completion
2027
First posted
May 6, 2026
Registry last updated
May 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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