Evidence map›Paper›PMID 42889001›Full record

SynthesisFrontiers in neurology2026

Effects of virtual reality and gamified digital rehabilitation on functional recovery in individuals with Spinal Cord Injury: a systematic review and Bayesian multilevel meta-analysis.

Mengnan Xie, Mingyue Jiao, Zelong Duan, Jian Li, Yueying Zhu, Binbin Zhang, Fangfang Wen, Jifeng Long

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in neurology, 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

8 authors.

Mengnan Xie *School of Physical Education, Shanxi University, Taiyuan, Shanxi, China.
Mingyue Jiao *School of Teacher Education, Hezhou University, Hezhou, Guangxi, China.
Zelong DuanDepartment of Physical Education, Lyuliang University, Lyuliang, Shanxi, China.
Jian LiDepartment of Physical Education, Shanxi Institute of Science and Technology, Jincheng, Shanxi, China.
Yueying ZhuSchool of Teacher Education, Hezhou University, Hezhou, Guangxi, China.
Binbin ZhangFaculty of Sports and Leisure, Guangdong Ocean University, Zhanjiang, Guangdong, China.
Fangfang WenSchool of Teacher Education, Hezhou University, Hezhou, Guangxi, China.
Jifeng LongSchool of Teacher Education, Hezhou University, Hezhou, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Virtual reality (VR) and gamified digital rehabilitation can increase task-specific practice and feedback for individuals with Spinal Cord Injury (SCI); however, their incremental effects on functional recovery remain uncertain. Methods: We searched PubMed, Web of Science, Embase, and the Cochrane Library from database inception through July 1, 2026, for randomized controlled trials (RCTs) evaluating VR or gamified digital rehabilitation in adults with SCI. Comparator conditions were classified as active rehabilitation, sham or attention control, or minimal/no intervention. The primary outcome was the Spinal Cord Independence Measure (SCIM). Hedges' Results: Thirteen RCTs involving 295 participants were included; comparator conditions were active rehabilitation in ten trials, sham or attention control in two, and no intervention in one. Seven studies contributed 25 eligible SCIM effect estimates. The pooled posterior mean effect favored digital rehabilitation but was small and imprecisely estimated (Hedges' Conclusion: VR and gamified digital rehabilitation may provide small functional benefits relative to the comparator conditions used in the included trials; however, clinically important and reproducible improvements have not been demonstrated. Current evidence is insufficient to prioritize specific technology types, patient subgroups, intervention durations, or weekly training doses. Systematic review registration: CRD420261458807; https://www.crd.york.ac.uk/PROSPERO/view/CRD420261458807.

Indexed as

Recovery of FunctionSpinal Cord InjuriesVideo GamesVirtual RealityBayes TheoremHumansRandomized Controlled Trials as TopicBayesian multilevel meta-analysisfunctional recoverygamified digital rehabilitationSpinal Cord Independence MeasureSpinal Cord Injuryvirtual reality

Identifiers

PMID42889001
PMCPMC13668546

What OpenQuestion holds

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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.