Evidence map›Paper›PMID 42362865›Full record

Trial reportNature medicine2026

Immersive virtual reality with synchronous neurostimulation for upper-limb recovery after stroke: a randomized feasibility trial.

Giuseppe Valerio Aurucci, Olivera Djordjevic, Andrea Cimolato, Natalija Secerovic, Tijana Dimkic Tomic, Maria Dolores Ardura Carnicero, Haotian Yao, Ljubica Konstantinovic, Stanisa Raspopovic

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06400823 (Multimodal Platform Combining VR and TENS for Stroke Rehabilitation), which is not on this 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.

NCT06400823 naunknown statusnot on this map

Multimodal Platform Combining VR and TENS for Stroke Rehabilitation

TypeinterventionalSponsorInstitute Mihajlo PupinRan2024 to 2026Enrolled40ConditionsStrokeArmsVR+TENS, Conventional rehabilitation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Giuseppe Valerio AurucciNeuroengineering Laboratory, Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.ORCID http://orcid.org/0009-0006-9486-795X
Olivera DjordjevicClinic for Rehabilitation 'Dr. Miroslav Zotović', Belgrade, Serbia.ORCID http://orcid.org/0000-0002-9534-7781
Andrea CimolatoNeuroengineering Laboratory, Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Natalija SecerovicNeuroengineering Lab, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Tijana Dimkic TomicClinic for Rehabilitation 'Dr. Miroslav Zotović', Belgrade, Serbia.
Maria Dolores Ardura CarniceroNeuroengineering Laboratory, Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Haotian YaoNeuroengineering Laboratory, Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Ljubica KonstantinovicClinic for Rehabilitation 'Dr. Miroslav Zotović', Belgrade, Serbia.ORCID http://orcid.org/0000-0001-5906-1594
Stanisa RaspopovicNeuroengineering Laboratory, Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland. stanisa.raspopovic@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-0567-9051

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) MOVEIT N. 197271
6 · The paper itself

Abstract

Stroke affects 15 million people annually and leaves 5 million permanently disabled. In the chronic phase (>3 months after stroke), patients often experience persistent sensorimotor deficits and altered body representation, yet rehabilitation delivery remains partial and inconsistent, highlighting an unmet clinical need. Immersive technologies and noninvasive neurostimulation offer potential for scalable, intensive rehabilitation, but clinical evidence supporting multimodal approaches and objective outcome assessments remains limited. In this study, we evaluate the feasibility, clinical efficacy and assessment capabilities of a multimodal platform (MultiSensy) integrating virtual reality with synchronous transcutaneous sensory neurostimulation. Thirty-four patients with chronic stroke were enrolled in a combined pilot study (n = 9) and randomized, 33-day-long feasibility study (n = 25), where MultiSensy intervention was evaluated against conventional rehabilitation. Primary endpoints included motor function assessed by Fugl-Meyer Assessment Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT) and self-body representation assessed by the Body Landmark Test. Secondary outcomes included sensory and functional independence evaluation. Continuous kinematic data were collected to derive objective performance markers. Compared to conventional rehabilitation, MultiSensy resulted in greater motor improvement, reflected by higher FMA-UE (13.17 ± 1.30 versus 7.54 ± 1.48; P = 0.01) and ARAT (8.25 ± 1.96 versus 2.44 ± 1.08; P = 0.029) scores. MultiSensy further improved body self-representation and hand tactile acuity. The platform enabled continuous performance monitoring and extraction of objective kinematic markers that tracked rehabilitation progress. These findings pave the way for larger trials and highlight the potential treatment of multiple patients with fewer physiotherapist visits needed or even home-based sensorimotor rehabilitation. ClinicalTrials.gov identifier: NCT06400823 .

Indexed as

StrokeStroke RehabilitationUpper ExtremityVirtual RealityAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsRecovery of FunctionTreatment Outcome

Identifiers

PMID42362865
PMCPMC13472961

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.