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. 2025 Jun 2;22(1):124.
doi: 10.1186/s12984-025-01641-9.

Patient-centered insights into virtual reality rehabilitation for stroke: a systematic review and qualitative meta-synthesis

Kun Ding #  1   2 , Yan Ma #  3 , Lingling Zhang #  3 , Yufang Gu  1 , Huixuan Pan  1 , Zhi-E Gu  4 , Hengzhu Zhang  5   6
Affiliations

Patient-centered insights into virtual reality rehabilitation for stroke: a systematic review and qualitative meta-synthesis

Kun Ding et al. J Neuroeng Rehabil. .

Abstract

Background: Virtual reality rehabilitation (VRR) is an emerging technology that offers new possibilities for stroke recovery. Understanding stroke survivors' experiences and expectations is essential for optimizing its application.

Objective: This systematic review synthesizes qualitative evidence on stroke survivors' experiences with and participation in VRR to identify benefits, challenges, and areas for improvement.

Methods: This systematic review follows the meta-aggregation method guided by ENTREQ and PRISMA and uses the Critical Appraisal Skills Programme (CASP) to assess the quality of included studies. We searched eight English and Chinese databases for qualitative or mixed-method studies on stroke survivors' experiences with VRR, published by May 31, 2024. Selected studies were independently reviewed, and data were synthesized into core themes.

Results: Fourteen studies were included, involving a total of 133 participants aged 13 to 85 years. The analysis identified four key themes: (1) perceived self-benefits, including physical and psychological improvements; (2) facilitators, such as user engagement and supportive environments; (3) barriers, including technical and personal limitations; and (4) expectations.The quality of the included studies was assessed using the CASP tool, with scores ranging from 26 to 30, indicating moderate to high quality across the studies.

Conclusion: VRR has the potential to enhance stroke rehabilitation outcomes, but its success depends on addressing individual and systemic challenges. Personalized interventions and multidisciplinary efforts are needed to develop user-friendly, adaptable VRR systems that fully leverage the advantages of this technology.

Keywords: Experiences; Meta-synthesis; Qualitative research; Stroke; Systematic review; Virtual reality.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Not applicable. There is no ethical statement for this trial. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram of included studies
See this image and copyright information in PMC

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References

    1. GBD 2016 Neurology Collaborators. Global, regional, and National burden of neurological disorders, 1990–2016: a systematic analysis for the global burden of disease study 2016. Lancet Neurol. 2019;18(5):459–80. - PMC - PubMed
    1. Saini V, Guada L, Yavagal DR. Global epidemiology of stroke and access to acute ischemic stroke interventions. Neurology. 2021;97(20 Suppl 2):S6–16. 10.1212/WNL.0000000000012781 - PubMed
    1. Lindsay MP, Norrving B, Sacco RL, et al. World stroke organization (WSO): global stroke fact sheet 2019. Int J Stroke. 2019;14(8):806–17. - PubMed
    1. Jia J. Reflections and strategies for full-cycle stroke rehabilitation [J]. Chinese General Practice, 2024.
    1. Teasell R, Salbach NM, Foley N, Mountain A, Cameron JI, Jong A, Acerra NE, Bastasi D, Carter SL, Fung J, et al. Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019. Int J Stroke. 2020;15:763–88. - PubMed

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