Evidence map›Paper›PMID 42367675›Full record

SynthesisFrontiers in rehabilitation sciences2026

Virtual reality in autism and physical therapy: a meta-analytical review of clinical outcomes and therapeutic efficacy.

Arar Al Tawil, Siti Hazyanti Mohd Hashim, Bence Király, Eleonóra Leidecker

Abstract readSystematic Review
In one paragraph

Synthesis 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

4 authors.

Arar Al TawilSchool of Computer Sciences, Universiti Sains Malaysia, USM Penang, Malaysia.
Siti Hazyanti Mohd HashimSchool of Computer Sciences, Universiti Sains Malaysia, USM Penang, Malaysia.
Bence KirályInstitute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Eleonóra LeideckerInstitute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Virtual reality (VR) technology has emerged as a transformative therapeutic innovation in healthcare, providing immersive three-dimensional, multisensory environments that facilitate experiential learning, rehabilitation, and engagement. While numerous studies highlight its benefits, empirical research on VR-based interventions for autism spectrum disorder (ASD) and physical therapy (PT) remains limited by methodological inconsistencies, small sample sizes, and variable intervention designs. These limitations constrain the generalizability of findings and delay VR integration into standard therapeutic practice. Objective: This study conducted a systematic review and meta-analysis to assess the therapeutic effectiveness of VR interventions within ASD and PT contexts. It aimed to determine the extent of improvement achieved through VR-based therapies, identify methodological and practical challenges affecting clinical adoption, and classify the dominant types and features of VR interventions applied across both domains. Methods: Following PRISMA 2020 guidelines, a comprehensive search was performed across PubMed, Scopus, and Web of Science for studies published between 2020 and 2025. Eligible peer-reviewed articles provided empirical evidence on VR interventions for autistic individuals or patients undergoing physical rehabilitation. Twenty-three studies meeting inclusion criteria underwent methodological quality assessment and systematic data extraction. Quantitative synthesis used standardized effect size calculations (Hedges' g) and subgroup analyses to evaluate intervention outcomes and contextual moderators. Results: The meta-analysis showed a significant positive impact of VR interventions across both domains (Hedges' g = 0.66, Conclusion: VR is an effective adjunctive therapy that enhances motivation, engagement, and adherence. Despite barriers of cost, training, and protocol variability, its scalability and adaptability support broad clinical use. AI-driven personalization, mobile VR, and tele-rehabilitation offer promising future directions. However, these findings should be interpreted with caution given the median sample size of 45, moderate heterogeneity (I

Indexed as

autism spectrum disorderimmersive environmentsmeta-analysisphysical therapyrehabilitationvirtual reality

Identifiers

PMID42367675
PMCPMC13295101

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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.