Evidence map›Paper›PMID 42181828›Full record

ArticleFrontiers in rehabilitation sciences2026

Integration of virtual reality and eye-tracking-based feedback system improves rehabilitation observation skills.

Kazuo Saito, Makoto Suzuki, Naoki Iso, Kilchoon Cho, Takuhiro Okabe, Takuya Matsumoto, Junichi Yamamoto

Abstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Kazuo SaitoFaculty of Health Sciences, Tokyo Kasei University, Sayama, Japan.
Makoto SuzukiSchool of Health and Social Services, Saitama Prefectural University, Koshigaya, Japan.
Naoki IsoFaculty of Health Sciences, Tokyo Kasei University, Sayama, Japan.
Kilchoon ChoFaculty of Health Sciences, Tokyo Kasei University, Sayama, Japan.
Takuhiro OkabeFaculty of Health Sciences, Tokyo Kasei University, Sayama, Japan.
Takuya MatsumotoFaculty of Medical Sciences, Shonan University of Medical Sciences, Yokohama, Japan.
Junichi YamamotoFaculty of Systems Design, Tokyo Metropolitan University, Hachioji, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rehabilitation education has traditionally relied on an apprenticeship model, where the acquisition of practical skills, such as the ability to observe subtle patient movements to detect abnormalities, is highly dependent on the tacit knowledge of experienced practitioners. This lack of objective evaluation and standardized education presents a significant challenge. To address this, we integrated virtual reality (VR) and eye-tracking technologies to objectively measure and educate behavioral observation skills. This study aimed to quantitatively verify the educational effectiveness of this approach in novice therapists. Methods: We tested two hypotheses: first, that the integration of VR and eye-tracking can objectively quantify and differentiate the observation skills of expert and novice therapists and second, that feedback education based on this objective data can effectively improve novice skills to an expert level. Using a single-case, multiple-baseline design (A-B design), four novice physical therapy students observed a VR video of a patient with right-sided hemiparesis performing a reaching task. During the intervention, each novice received personalized feedback using their own visual scanning heatmaps compared to the expert average, along with detailed verbal explanations. Results: The novice baseline visual scanning patterns, which showed a concentrated focus on the patient's upper body, were quantitatively distinct from the broad, stable visual scanning patterns of four expert therapists. Through the intervention, data rate (PND) exceeded 70% in many participants and phases, indicating an immediate and powerful effect of the intervention. This improvement was sustained by one-month post-intervention. Concurrently, participants' self-efficacy, feasibility, and social validity scores showed notable increases and high median ratings. Discussion: These results provide the first scientific evidence that an integrated VR and eye-tracking system, offering data-driven feedback, can effectively and lastingly improve rehabilitation observation skills, which have previously been difficult to teach and evaluate.

Indexed as

behavioral observationexpert therapistseye-trackingnovice learnersoccupational therapy educationsingle-case designskill acquisitionvirtual reality

Identifiers

PMID42181828
PMCPMC13190534

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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.