Evidence map›Paper›PMID 40033369›Full record

ArticleJournal of neuroengineering and rehabilitation2025

Recovr reality - Recover after injury or surgery to the brain and spinal cord with virtual Reality: ideal stage 2a clinical feasibility study.

William Stephen Bolton, Rohitashwa Sinha, Sara Cooper, Oluwaseyi Adebola, Elisa Stephenson, Seonaid Ewan, Rachel Hunsley, Victoria Kearton, David Stevens, Ryan Koshy Mathew

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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.

William Stephen BoltonDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK. w.s.bolton@leeds.ac.uk.ORCID 0000-0001-8451-9595
Rohitashwa SinhaDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Sara CooperDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Oluwaseyi AdebolaDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Elisa StephensonDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Seonaid EwanDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Rachel HunsleyDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Victoria KeartonDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
David StevensDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.
Ryan Koshy MathewDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimNeurorehabilitation is fundamental to improve outcomes for patients recovering from injury to the central nervous system. Access to neurorehabilitation is limited by resource shortages; the consequences of which are unfulfilled therapy needs, longer hospital stays and detrimental effects on quality of life. Virtual reality (VR) could be used to enhance neurorehabilitation in a self-directed, safe, virtual environment. The aim of this study is to investigate the feasibility of a VR rehabilitation programme in an acute neurosurgical inpatient environment to improve neurorehabilitation.

methodA single-group, prospective, clinical feasibility study was conducted in a tertiary UK neurosurgical department. The study included patients aged 16 and over who had neurosurgical care following surgery or traumatic brain or spinal cord injury. Participants were offered a VR session at least once per day for the first 14 days post-surgery/injury or until discharge, whichever came first, with reasons for non-engagement collected. Primary outcomes were feasibility outcomes and secondary outcomes included rehabilitation engagement.

resultsOf the thirty-nine eligible participants approached, thirty-two participants were recruited and received VR at least once. Intervention fidelity was deemed a success, as none of the VR equipment or applications failed. Median time between injury or surgery and first VR use was three days (IQR = 8.25). The Hopkins Rehabilitation Engagement scale and Simulation Sickness Questionnaires were deemed feasible instruments to measure outcomes.

conclusionsWe confirmed feasibility of using a VR rehabilitation tool for neurosurgical patients in this study. This now facilitates progression to a multi-centre, prospective, randomised, controlled, unblinded, parallel-group trial of VR-enhanced neurorehabilitation versus standard neurorehabilitation for improving recovery after neurotrauma or neurosurgery.

Indexed as

Brain InjuriesNeurological RehabilitationSpinal Cord InjuriesVirtual RealityAdolescentAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesRecovery of FunctionYoung Adult

Identifiers

PMID40033369
PMCPMC11874843

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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.