Evidence map›Paper›PMID 42298600›Full record

ArticleTrials2026

Effectiveness of sensory electrical stimulation augmented virtual reality training on sitting balance and quality of life in individuals with incomplete spinal cord injury: study protocol for a randomized controlled trial.

Nikhil Chowdhary, Stuti Khanna, Garima Wadhwa, Shefali Walia

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 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

4 authors.

Nikhil ChowdharyInstitute of Rehabilitation Sciences, Indian Spinal Injuries Centre, New Delhi, India.ORCID http://orcid.org/0009-0007-0099-6476
Stuti KhannaInstitute of Rehabilitation Sciences, Indian Spinal Injuries Centre, New Delhi, India. stuti_sehgal@yahoo.com.ORCID http://orcid.org/0000-0001-9676-7860
Garima WadhwaInstitute of Rehabilitation Sciences, Indian Spinal Injuries Centre, New Delhi, India.ORCID http://orcid.org/0000-0002-6885-9108
Shefali WaliaDepartment of Physiotherapy, Gurugram University, Gurugram, Haryana, India.ORCID http://orcid.org/0000-0002-2296-8704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with incomplete spinal cord injury (iSCI) often face significant impairments in sitting balance and mobility due to trunk instability. These challenges can severely impact functional abilities, participation in daily activities, and overall quality of life (QoL). Studies have demonstrated the potential of virtual reality (VR) training to improve sitting balance in individuals with iSCI. Furthermore, sensory electrical stimulation (SES) has shown positive effects on sitting balance in various neurological populations. However, research exploring the combined effectiveness of virtual reality and sensory electrical stimulation on sitting balance and QoL, specifically within the iSCI population, remains limited. METHODOLOGY: This study will be an assessor-blind, parallel, two-group, randomized controlled trial that aims to evaluate the effectiveness of SES-augmented VR-based balance training on sitting balance and QoL in individuals with iSCI. A total of 22 participants with iSCI, with a neurological level of injury between T6 and T12, will be recruited from the rehabilitation department at the Indian Spinal Injuries Centre, adhering to inclusion criteria. Participants will be randomly assigned to one of two groups using a 1:1 allocation ratio. The experimental group will engage in VR-based balance training along with SES application, while the control group will engage solely in VR-based balance training. Both groups will receive interventions consisting of 30-min sessions five times a week for a duration of 4 weeks. OUTCOME MEASURES: The assessment of sitting balance will be done using the modified functional reach test (mFRT) and the star test using the Tecnobody ProKin 252 trunk sensor. Additionally, the International Spinal Cord Society Quality of Life Basic Data Set (ISCoS QoL BDS) version 1.0 will be used to measure QoL. DISCUSSION: The effectiveness of the SES-augmented VR-based balance training will be evaluated based on the changes in the mFRT, star test (ProKin 252 trunk sensor), and ISCoS QoL BDS version 1.0 following 4 weeks of intervention. This trial aims to enhance understanding of how SES-augmented VR training can improve sitting balance and QoL in individuals with iSCI.

trial registrationThe trial is registered with the Clinical Trials Registry-India on 18th April 2024 with registration number CTRI/2024/04/065897.

Indexed as

Electric Stimulation TherapyPostural BalanceQuality of LifeSitting PositionSpinal Cord InjuriesVirtual RealityVirtual Reality Exposure TherapyAdultFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicRecovery of FunctionTime FactorsTreatment OutcomeQuality of lifeRehabilitationSensory electrical stimulationSitting balanceSpinal cord injuryVirtual reality

Identifiers

PMID42298600
PMCPMC13335207

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Registered trials

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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.