Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial.
Featured on Physle Daily · Tuesday, 21 July 2026
Researchers in Spain wanted to see whether adding virtual reality games to standard stroke rehabilitation might help patients recover better. They split 24 stroke patients into two groups: one received traditional physiotherapy alone, and the other received the same physiotherapy plus customized VR sessions, all over six weeks. The group using VR showed measurable improvements in muscle strength, trunk stability, balance, and walking ability compared to the traditional therapy group.
The differences were small but consistent across multiple measures. While this is a pilot study with a modest number of participants, the findings suggest that combining VR with conventional physiotherapy may offer some additional benefit for stroke recovery.
This study looked at whether using virtual reality games alongside regular physiotherapy might help people recover better after a stroke. Researchers compared two groups of stroke patients who were both in rehabilitation.
One group did standard physiotherapy exercises, while the other group did the same exercises plus spent time with VR programs designed for their recovery. The group that used VR ended up showing better improvements in their muscle strength, their ability to keep their trunk steady, their balance, and their walking ability.
The gains weren't dramatic, but they were measurable. This was a small study, so more research is needed to fully understand how helpful VR might be for different people and different types of stroke.
This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.
This pilot RCT examined whether VR supplementation enhances outcomes when layered onto a standardized neurological physiotherapy protocol in acute to subacute stroke. Both groups received equivalent duration and intensity of conventional physiotherapy, making this a true additive design.
The experimental group showed statistically significant improvements across five outcome measures: Motricity Index (p=0.005), Trunk Control Test (p=0.008), Tinetti Balance Scale (p=0.004), Berg Balance Scale (p=0.007), and Functional Ambulation Classification (p=0.038). The consistency of improvement across motor, balance, and functional domains is noteworthy.
That said, the sample size is modest (n=24), and the abstract provides no data on effect sizes, clinical meaningfulness, or whether improvements were sustained beyond the six-week intervention period. The work suggests VR may complement conventional rehabilitation, but stronger evidence would require a larger sample, longer follow-up, and comparison with attention-matched controls.
Stroke patients who received traditional physiotherapy plus VR showed statistically significant improvements in muscle strength, trunk control, balance, and walking ability compared to those receiving physiotherapy alone.
Five standardized outcome measures all showed improvements favoring the VR-supplemented group, with p-values ranging from 0.004 to 0.038.
This was a pilot study with 24 participants, meaning the findings are promising but require larger-scale research to confirm and clarify the practical magnitude of benefit.
Source
International journal of environmental research and public health
Peláez-Vélez FJ, Eckert M, Gacto-Sánchez M et al. · 2023
doi: 10.3390/ijerph20064747