RecruitingNot ApplicableNCT07201974

Virtual Reality for Post-Stroke Gait Rehabilitation

iWalk in VR: Integration of Virtual Reality-based Locomotor Rehabilitation in Clinical Care

Sponsor

McGill University

Enrollment

40 participants

Start Date

Feb 1, 2026

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

The goal of this clinical trial is to: (1) implement and test the feasibility of a new VR-ODT intervention offered as part of usual therapy time of patients with a sub-acute stoke; (2) explore the acceptability of the intervention from the perspective of clinicians and patients and; (3) implement measures to optimize the uptake and sustainability of the intervention within the clinical setting. Participants will engage in a personalized VR-ODT training for 4 weeks (2X 1hr/week) targeting six well-established community walking demands related to (1) walking speed and (2) distance; (3) postural transitions; (4) obstacle avoidance; (5) dual-task walking and; (6) a combination of demands 1-5. For each demand, patients will progress through levels of increasing difficulty according to personalized goals and success criteria.

Eligibility

Min Age: 40 YearsMax Age: 84 Years

Inclusion Criteria7

Eligible patients with stroke referred by clinicians of the inpatient and outpatient stroke rehabilitation programs at the Jewish Rehabilitation Hospital (CISSS Laval) for mobility problems over a period of 6 months will be recruited. They will:
be aged between 40 and 74 years;
have normal/corrected visual and auditory acuity present;
present a first-ever supratentorial unilateral stroke of 1-24 weeks duration;
present the ability to walk independently with/without walking aids for at least 1 min at a speed of 0.4-0.9 m/s;
present intact or mildly affected cognitive function (MoCA scores ≥ 22/30);
present intact to moderately affected visual- perceptual function (positive scores on a max. of 3/6 tasks on the Behavioural Inattention Test).

Exclusion Criteria3

Subjects with comorbidities interfering with walking
Subjects with comorbidities interfering with visual perception
Subjects without medical clearance for exercise

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Interventions

OTHERVirtual Reality Training

The VR intervention involves the intensive practice of community ambulation skills. The training sessions will be performed in a virtual environment. During the intervention, stroke participants will be invited to practice different dimensions of community ambulation, such as postural transitions, avoiding other pedestrians, dual-task walking, etc.