Evidence map›Paper›PMID 28592282›Full record

Trial reportJournal of neuroengineering and rehabilitation2017

The role of virtual reality in improving motor performance as revealed by EEG: a randomized clinical trial.

Rocco Salvatore Calabrò, Antonino Naro, Margherita Russo, Antonino Leo, Rosaria De Luca, Tina Balletta, Antonio Buda, Gianluca La Rosa, Alessia Bramanti, Placido Bramanti

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02971371 (The Role of Mirror Neuron System in Improving Motor Performance by Using Virtual Reality, as Revealed by EEG), which is not on this map. Cited by 109 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02971371 nacompletednot on this map

The Role of Mirror Neuron System in Improving Motor Performance by Using Virtual Reality, as Revealed by EEG: a Randomized Clinical Trial

TypeinterventionalSponsorIRCCS Centro Neurolesi Bonino PulejoRan2015 to 2016Enrolled24ConditionsStrokeArmsLokomat
3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  3. Virtual reality for stroke rehabilitation.The Cochrane database of systematic reviews · 2025
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  16. Characterizing the Effects of Adding Virtual and Augmented Reality in Robot-Assisted Training.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rocco Salvatore CalabròIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy. salbro77@tiscali.it.
Antonino NaroIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Margherita RussoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Antonino LeoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Rosaria De LucaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Tina BallettaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Antonio BudaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Gianluca La RosaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Alessia BramantiIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Placido BramantiIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany studies have demonstrated the usefulness of repetitive task practice by using robotic-assisted gait training (RAGT) devices, including Lokomat, for the treatment of lower limb paresis. Virtual reality (VR) has proved to be a valuable tool to improve neurorehabilitation training. The aim of our pilot randomized clinical trial was to understand the neurophysiological basis of motor function recovery induced by the association between RAGT (by using Lokomat device) and VR (an animated avatar in a 2D VR) by studying electroencephalographic (EEG) oscillations.

methodsTwenty-four patients suffering from a first unilateral ischemic stroke in the chronic phase were randomized into two groups. One group performed 40 sessions of Lokomat with VR (RAGT + VR), whereas the other group underwent Lokomat without VR (RAGT-VR). The outcomes (clinical, kinematic, and EEG) were measured before and after the robotic intervention.

resultsAs compared to the RAGT-VR group, all the patients of the RAGT + VR group improved in the Rivermead Mobility Index and Tinetti Performance Oriented Mobility Assessment. Moreover, they showed stronger event-related spectral perturbations in the high-γ and β bands and larger fronto-central cortical activations in the affected hemisphere.

conclusionsThe robotic-based rehabilitation combined with VR in patients with chronic hemiparesis induced an improvement in gait and balance. EEG data suggest that the use of VR may entrain several brain areas (probably encompassing the mirror neuron system) involved in motor planning and learning, thus leading to an enhanced motor performance.

trial registrationRetrospectively registered in Clinical Trials on 21-11-2016, n. NCT02971371 .

Indexed as

ElectroencephalographyPsychomotor PerformanceVirtual RealityAgedBiomechanical PhenomenaBrain IschemiaCerebral CortexFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParesisPilot ProjectsRecovery of FunctionRoboticsErspLokomatLoretaMirror neuron systemVirtual reality

Identifiers

PMID28592282
PMCPMC5463350

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.