StrokeNCT07125170
Immersive Virtual Reality in Cognitive Rehabilitation of Patients With Post-Stroke Cognitive Impairment
A study testing Kinesix XR on Meta Quest 3 in people with Stroke and Post-Stroke Cognitive Impairment (PSCI), run by University of Chile at 1 site in Chile.
Trial summary
This pilot study aims to evaluate the feasibility of implementing immersive virtual reality (VR) in cognitive rehabilitation for adults with post-stroke cognitive impairment receiving outpatient therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Stroke, Post-Stroke Cognitive Impairment (PSCI), Cognitive Dysfunction
- What is being tested?
- Kinesix XR on Meta Quest 3
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteChile
- Study dates
- 6 Aug 2025to 1 May 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients over 18 years of age
- Patients with a cerebrovascular accident of any etiology with less than 3 months of progression
- Patients with mild to moderate cognitive impairment post-stroke (impairment in at least one cognitive domain)
- MoCA score of less than 24 points
- Referred for cognitive rehabilitation at the Occupational Therapy Unit of HCUCH
Who cannot join
- Patients with refractive errors that prevent the use of the headset
- Patients with any type of aphasia that prevents the administration of the MoCA test
- Patients with severe psychiatric disorders (presence of psychotic symptoms or derealization)
- Patients with severe motor impairments (lack of trunk control or global strength of both upper limbs < M3)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Chile1 site, 1 recruiting
- Recruiting
Hospital Clinico de la Universidad de Chile
Independencia, Santiago Metropolitan
Natalia Gattini, MD, +56989019110, ngattini@hcuch.cl
Diego Elizondo, MD, +56951087567, diegoelizondo@ug.uchile.cl
About this study
Official title: Immersive Virtual Reality in Cognitive Rehabilitation of Patients With Post-Stroke Cognitive Impairment: A Pilot Study at the Department of Physical Medicine and Rehabilitation, Clinical Hospital of the University of Chile
This pilot study aims to evaluate the feasibility of implementing immersive virtual reality (VR) in cognitive rehabilitation for adults with post-stroke cognitive impairment receiving outpatient therapy. Participants will use a head-mounted display and interactive software to engage in gamified cognitive exercises that simulate memory, attention, and executive function tasks. The intervention consists of 10 sessions, delivered two to three times per week over a period of approximately four weeks. The study will assess multiple feasibility indicators, including the recruitment rate based on eligibility criteria, the safety and tolerability of VR sessions for participants, and the usability and satisfaction reported by occupational therapists administering the intervention. Additionally, exploratory outcomes include changes in global cognition and specific cognitive domains, as well as self-reported quality of life. Adverse effects related to VR use will be tracked. This pilot study will help inform the design and implementation of future, larger-scale clinical trials.
Read the detailed description
This is a single-arm pilot study designed to evaluate the feasibility of implementing immersive virtual reality (VR) in cognitive rehabilitation for adults with post-stroke cognitive impairment. The study is conducted at the Occupational Therapy Unit of the Hospital Clínico Universidad de Chile and targets adult patients with documented cognitive impairment following a cerebrovascular accident (CVA).
Participants will undergo ten individual VR-assisted cognitive rehabilitation sessions, scheduled at a frequency of two to three sessions per week. Each session lasts approximately one hour, with the first 30 minutes incorporating immersive VR using the Meta Quest 3 headset and the Hand Physics Lab application. This application provides interactive cognitive exercises in a motivating and safe virtual environment. All sessions are supervised by occupational therapists trained in VR therapy.
The study aims to collect feasibility data, including recruitment rates based on inclusion and exclusion criteria, participant adherence to the intervention schedule, and reasons for withdrawal if any. Safety and tolerability will be assessed through patient-reported adverse effects (e.g., dizziness, nausea, or eye strain) using the Simulator Sickness Questionnaire (SSQ). Usability and satisfaction with the VR system will be evaluated from the perspective of the occupational therapists delivering the intervention.
Exploratory outcomes include changes in cognitive function measured with the Montreal Cognitive Assessment (MoCA) and in quality of life using the NeuroQoL short form. These measurements are taken before and after the intervention period. No compensation is provided for participation, and patients continue receiving standard care.
This pilot study does not aim to establish efficacy. Instead, it will provide essential data regarding the feasibility, safety, user experience, and preliminary clinical trends necessary to inform the development of future, larger-scale trials
- Conditions
- Stroke, Post-Stroke Cognitive Impairment (PSCI), Cognitive Dysfunction, Virtual Reality Therapy, Virtual Reality Cognitive Training, Cognitive Rehabilitation
- Being tested
- Kinesix XR on Meta Quest 3
- Keywords
- virtual reality, Cognitive rehabilitation, Immersive Therapy, Meta Quest 3, Kinesix XR, Occupational Therapy, Montreal Cognitive Assessment (MoCA), Simulator Sickness Questionnaire (SSQ)
- Medical subject headings
- Stroke, Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Kinesix XR on Meta Quest 3Device
Participants receive cognitive rehabilitation using immersive virtual reality through the Meta Quest 3 headset and the Kinesix XR application. Each session lasts one hour, with the first 30 minutes involving VR-based tasks guided by an occupational therapist. The intervention consists of a total of ten sessions, delivered two to three times per week. The VR component is integrated into the standard outpatient cognitive rehabilitation program. The study aims to evaluate the feasibility, safety, and acceptability of using this device during therapy.
| Study group | Role | What they receive |
|---|---|---|
| VR-based Cognitive Rehabilitation | Experimental | Participants receive cognitive rehabilitation supported by immersive virtual reality using the Meta Quest 3 headset and the Kinesix XR application. Each session lasts 60 minutes, with the first 30 minutes involving VR-based cognitive tasks supervised by an occupational therapist. A total of ten sessions are completed over a period of approximately four weeks, with a frequency of two to three sessions per week. This arm is designed to assess the feasibility, safety, usability, and preliminary effects of VR-assisted rehabilitation in patients with post-stroke cognitive impairment. Receives: Device: Kinesix XR on Meta Quest 3 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants who complete ≥80% of planned sessions.
Number of participants who complete at least 8 of 10 sessions divided by total enrolled participants.
Measured: From first session to week 5 (after completion of the 10-session VR program)
Incidence of VR-related adverse events requiring session interruption
Percentage of participants with one or more adverse events related to virtual reality that result in stopping a session, as documented in the patient's clinical record by the occupational therapist. Adverse events include, but are not limited to, nausea, dizziness, headache, and visual fatigue. In addition, symptoms associated with virtual reality will be monitored using the full Spanish-validated version of the Simulator Sickness Questionnaire (SSQ) after sessions 1, 5, and 10. The outcome measure will consider both sources of information -therapist-recorded clinical notes and SSQ scores- to identify and classify safety-related events.
Measured: From first session to week 5 (after completion of the 10-session VR program)
Therapist-reported usability and satisfaction with immersive virtual reality in cognitive rehabilitation
Therapist-reported usability and satisfaction with the immersive virtual reality intervention, measured using a custom-designed questionnaire rated on a 5-point Likert scale (1 = strongly disagree / very dissatisfied, 5 = strongly agree / very satisfied). The questionnaire includes five statements assessing ease of device setup, ability to personalize VR activities to the patient's cognitive needs, patient motivation during VR sessions, facilitation of active participation through immersion, and overall recommendation of the technology for cognitive rehabilitation. Total scores range from 5 to 25, with higher scores indicating greater usability and satisfaction. The questionnaire will be administered once, at week 5 (after completition of the 10-session VR program)
Measured: At week 5 (after completion of the 10-session VR program)
Secondary outcomes (2)
Change in "Montreal Cognitive Assessment (MoCA)" score
Change in the "Montreal Cognitive Assessment (MoCA)" score (range 0-30, higher values indicate better cognitive function). The MoCA is a validated cognitive screening tool designed to detect mild cognitive impairment and assess multiple domains, including visuospatial/executive function, naming, memory, attention, language, abstraction, delayed recall, and orientation. The Chilean validated version will be administered by a certified occupational therapist at two time points: at baseline (prior to the start of the intervention) and at week 5 (the end of the intervention period). The change will be calculated as the post-intervention score minus the baseline score.
Measured: Measured at baseline (before the intervention) and at week 5 (after completion of the 10-session VR program)
Change in quality of life measured by NeuroQoL (Cognitive Function Short Form)
Change in the "Quality of Life in Neurological Disorders (Neuro-QoL) Cognitive Function Short Form" score (range 8-40, higher scores indicate better self-reported cognitive function and quality of life). The Cognitive Function Short Form is a validated patient-reported outcome measure designed to assess perceived cognitive abilities in adults with neurological conditions. For this study, the validated spanish version will be used. Participants will self-complete the questionnaire at two time points: at baseline (prior to starting the intervention) and at week 5 (after completing the 10-session immersive virtual reality cognitive rehabilitation program). The change will be calculated as the post-intervention score minus the baseline score.
Measured: Measured at baseline (before the intervention) and at week 5 (after completion of the 10-session VR program)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Aug 2025
- Study start6 Aug 2025
- Primary completion1 May 2026 (estimated)
- Study completion1 May 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- This is a pilot, prospective, interventional, uncontrolled clinical study with a single assigned group. All participants will receive immersive virtual reality cognitive rehabilitation (Meta Quest 3, Kinesix XR application) for 30 minutes at the start of each occupational therapy session, followed by 30 minutes of conventional cognitive rehabilitation. Each participant will complete 10 sessions over an approximate period of 4 to 5 weeks. The study model is designed to assess the feasibility, safety, usability, and satisfaction of using immersive virtual reality in patients with post-stroke cognitive impairment, as well as its preliminary impact on cognitive function and quality of life.
- Masking
- None (open label)
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Chile
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Natalia Gattini, University of Chile
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07125170
- Sponsor's protocol ID
- 1497/25
- Status last verified
- Aug 2025
- First submitted
- 29 Jul 2025
- Last updated
- 15 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017 Nov 20;11(11):CD008349. doi: 10.1002/14651858.CD008349.pub4.
PubMed 29156493Pallesen H, Andersen MB, Hansen GM, Lundquist CB, Brunner I. Patients' and Health Professionals' Experiences of Using Virtual Reality Technology for Upper Limb Training after Stroke: A Qualitative Substudy. Rehabil Res Pract. 2018 Feb 8;2018:4318678. doi: 10.1155/2018/4318678. eCollection 2018.
PubMed 29593910Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil. 2011 Apr;92(4):519-30. doi: 10.1016/j.apmr.2010.11.015.
PubMed 21440699
Study at a glance
From the registry record, last updated by the sponsor on 15 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Immersive Virtual Reality in Cognitive Rehabilitation of Patients With Post-Stroke Cognitive Impairment: A Pilot Study at the Department of Physical Medicine and Rehabilitation, Clinical Hospital of the University of Chile
- ClinicalTrials.gov ID
- NCT07125170
- Acronym / sponsor ID
- 1497/25
- Conditions
- Stroke, Post-Stroke Cognitive Impairment (PSCI), Cognitive Dysfunction, Virtual Reality Therapy, Virtual Reality Cognitive Training, Cognitive Rehabilitation
- Keywords
- virtual reality, Cognitive rehabilitation, Immersive Therapy, Meta Quest 3, Kinesix XR, Occupational Therapy, Montreal Cognitive Assessment (MoCA), Simulator Sickness Questionnaire (SSQ)
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- University of ChileUniversity, hospital or other
- Study start
- 6 Aug 2025 (actual)
- Primary completion
- 1 May 2026 (estimated)
- Study completion
- 1 May 2026 (estimated)
- First posted
- 15 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This pilot study aims to evaluate the feasibility of implementing immersive virtual reality (VR) in cognitive rehabilitation for adults with post-stroke cognitive impairment receiving outpatient therapy. Participants will use a head-mounted display and interactive software to engage in gamified cognitive exercises that simulate memory, attention, and executive function tasks. The intervention consists of 10 sessions, delivered two to three times per week over a period of approximately four weeks. The study will assess multiple feasibility indicators, including the recruitment rate based on eligibility criteria, the safety and tolerability of VR sessions for participants, and the usability and satisfaction reported by occupational therapists administering the intervention. Additionally, exploratory outcomes include changes in global cognition and specific cognitive domains, as well as self-reported quality of life. Adverse effects related to VR use will be tracked. This pilot study will help inform the design and implementation of future, larger-scale clinical trials.
Detailed description
This is a single-arm pilot study designed to evaluate the feasibility of implementing immersive virtual reality (VR) in cognitive rehabilitation for adults with post-stroke cognitive impairment. The study is conducted at the Occupational Therapy Unit of the Hospital Clínico Universidad de Chile and targets adult patients with documented cognitive impairment following a cerebrovascular accident (CVA).
Participants will undergo ten individual VR-assisted cognitive rehabilitation sessions, scheduled at a frequency of two to three sessions per week. Each session lasts approximately one hour, with the first 30 minutes incorporating immersive VR using the Meta Quest 3 headset and the Hand Physics Lab application. This application provides interactive cognitive exercises in a motivating and safe virtual environment. All sessions are supervised by occupational therapists trained in VR therapy.
The study aims to collect feasibility data, including recruitment rates based on inclusion and exclusion criteria, participant adherence to the intervention schedule, and reasons for withdrawal if any. Safety and tolerability will be assessed through patient-reported adverse effects (e.g., dizziness, nausea, or eye strain) using the Simulator Sickness Questionnaire (SSQ). Usability and satisfaction with the VR system will be evaluated from the perspective of the occupational therapists delivering the intervention.
Exploratory outcomes include changes in cognitive function measured with the Montreal Cognitive Assessment (MoCA) and in quality of life using the NeuroQoL short form. These measurements are taken before and after the intervention period. No compensation is provided for participation, and patients continue receiving standard care.
This pilot study does not aim to establish efficacy. Instead, it will provide essential data regarding the feasibility, safety, user experience, and preliminary clinical trends necessary to inform the development of future, larger-scale trials
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This is a pilot, prospective, interventional, uncontrolled clinical study with a single assigned group. All participants will receive immersive virtual reality cognitive rehabilitation (Meta Quest 3, Kinesix XR application) for 30 minutes at the start of each occupational therapy session, followed by 30 minutes of conventional cognitive rehabilitation. Each participant will complete 10 sessions over an approximate period of 4 to 5 weeks. The study model is designed to assess the feasibility, safety, usability, and satisfaction of using immersive virtual reality in patients with post-stroke cognitive impairment, as well as its preliminary impact on cognitive function and quality of life.
| Arm | Type | Receives |
|---|---|---|
| VR-based Cognitive Rehabilitation | Experimental | Device: Kinesix XR on Meta Quest 3Participants receive cognitive rehabilitation supported by immersive virtual reality using the Meta Quest 3 headset and the Kinesix XR application. Each session lasts 60 minutes, with the first 30 minutes involving VR-based cognitive tasks supervised by an occupational therapist. A total of ten sessions are completed over a period of approximately four weeks, with a frequency of two to three sessions per week. This arm is designed to assess the feasibility, safety, usability, and preliminary effects of VR-assisted rehabilitation in patients with post-stroke cognitive impairment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients over 18 years of age
- Patients with a cerebrovascular accident of any etiology with less than 3 months of progression
- Patients with mild to moderate cognitive impairment post-stroke (impairment in at least one cognitive domain)
- MoCA score of less than 24 points
- Referred for cognitive rehabilitation at the Occupational Therapy Unit of HCUCH
Key exclusion criteria (4 listed)
- Patients with refractive errors that prevent the use of the headset
- Patients with any type of aphasia that prevents the administration of the MoCA test
- Patients with severe psychiatric disorders (presence of psychotic symptoms or derealization)
- Patients with severe motor impairments (lack of trunk control or global strength of both upper limbs < M3)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Kinesix XR on Meta Quest 3Participants receive cognitive rehabilitation using immersive virtual reality through the Meta Quest 3 headset and the Kinesix XR application. Each session lasts one hour, with the first 30 minutes involving VR-based tasks guided by an occupational therapist. The intervention consists of a total of ten sessions, delivered two to three times per week. The VR component is integrated into the standard outpatient cognitive rehabilitation program. The study aims to evaluate the feasibility, safety, and acceptability of using this device during therapy. | Device | VR-based Cognitive Rehabilitation |
Primary outcome
Proportion of participants who complete ≥80% of planned sessions.
Time frame: From first session to week 5 (after completion of the 10-session VR program)
Number of participants who complete at least 8 of 10 sessions divided by total enrolled participants.
Incidence of VR-related adverse events requiring session interruption
Time frame: From first session to week 5 (after completion of the 10-session VR program)
Percentage of participants with one or more adverse events related to virtual reality that result in stopping a session, as documented in the patient's clinical record by the occupational therapist. Adverse events include, but are not limited to, nausea, dizziness, headache, and visual fatigue. In addition, symptoms associated with virtual reality will be monitored using the full Spanish-validated version of the Simulator Sickness Questionnaire (SSQ) after sessions 1, 5, and 10. The outcome measure will consider both sources of information -therapist-recorded clinical notes and SSQ scores- to identify and classify safety-related events.
Therapist-reported usability and satisfaction with immersive virtual reality in cognitive rehabilitation
Time frame: At week 5 (after completion of the 10-session VR program)
Therapist-reported usability and satisfaction with the immersive virtual reality intervention, measured using a custom-designed questionnaire rated on a 5-point Likert scale (1 = strongly disagree / very dissatisfied, 5 = strongly agree / very satisfied). The questionnaire includes five statements assessing ease of device setup, ability to personalize VR activities to the patient's cognitive needs, patient motivation during VR sessions, facilitation of active participation through immersion, and overall recommendation of the technology for cognitive rehabilitation. Total scores range from 5 to 25, with higher scores indicating greater usability and satisfaction. The questionnaire will be administered once, at week 5 (after completition of the 10-session VR program)
2 secondary outcomes
Change in "Montreal Cognitive Assessment (MoCA)" score
Time frame: Measured at baseline (before the intervention) and at week 5 (after completion of the 10-session VR program)
Change in quality of life measured by NeuroQoL (Cognitive Function Short Form)
Time frame: Measured at baseline (before the intervention) and at week 5 (after completion of the 10-session VR program)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Aug 2025.
- Background: PubMed 29156493Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017 Nov 20;11(11):CD008349. doi: 10.1002/14651858.CD008349.pub4.
- Background: PubMed 29593910Pallesen H, Andersen MB, Hansen GM, Lundquist CB, Brunner I. Patients' and Health Professionals' Experiences of Using Virtual Reality Technology for Upper Limb Training after Stroke: A Qualitative Substudy. Rehabil Res Pract. 2018 Feb 8;2018:4318678. doi: 10.1155/2018/4318678. eCollection 2018.
- Background: PubMed 21440699Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil. 2011 Apr;92(4):519-30. doi: 10.1016/j.apmr.2010.11.015.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Kinesix XR on Meta Quest 3 in people with Stroke and Post-Stroke Cognitive Impairment (PSCI), run by University of Chile at 1 site in Chile.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 15 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Chile. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Natalia Gattini, MD (+56989019110, ngattini@hcuch.cl), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of participants who complete ≥80% of planned sessions. (time frame: From first session to week 5 (after completion of the 10-session VR program)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07125170, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Aug 2025.