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Not yet recruitingNCT07456306Updated Mar 6, 2026

Artificial Intelligence-Driven Virtual Reality Rehabilitation for Upper Limb Recovery in Acute and Subacute Stroke Patients

An interventional study of AI-driven VR rehabilitation therapy and Standard rehabilitation in Stroke and Rehabilitation, sponsored by Complejo Asistencial Universitario de León Urgencias. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-06.

Sponsored by Complejo Asistencial Universitario de León Urgencias · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Background: Upper limb motor deficits are common after stroke, and early rehabilitation is crucial for functional recovery. Virtual reality (VR) combined with artificial intelligence (AI) has shown potential to enhance motor learning, but evidence from randomized controlled trials in acute and subacute hospitalized patients is limited.

Objective: To evaluate whether AI-driven VR rehabilitation in addition to standard care improves upper limb motor recovery compared with standard rehabilitation alone in acute and subacute stroke patients.

Design: Prospective, assessor-blinded, randomized controlled trial with stratified 1:1 allocation by baseline Fulg Meyer Assessment Score.S Participants: Adults (≥18 years) with confirmed acute or subacute stroke, admitted to the hospital, with upper limb motor déficits.

Intervention: Experimental group will receive standard rehabilitation plus AI-driven VR therapy during hospitalization. Control group will receive standard rehabilitation alone.

Primary Outcome: Change in FM-UE score from baseline to hospital discharge. Secondary Outcomes: VR-derived digital biomarkers, therapy adherence, NIHSS, FM-UE, and Modified Ashworth Scale at each session, and the following baseline and treatment variables: etiology, Modified Rankin Scale (mRS), handedness, stroke lateralization, aphasia, acute reperfusion, reperfusion treatment, days from stroke to start of rehabilitation, adverse events, patient satisfaction, and date of discharge. FM-UE at 1 month post-intervention.

Randomization and Blinding: Patients will be randomized in a 1:1 ratio to either group, stratified by baseline FM-UE (≤30 vs >30) to ensure balance between groups for stroke severity. Within each stratum, block randomization will be used. Outcome assessors will be blinded.

Sample Size: 50 patients (25 per group).

Ethics and Registration: Approved by hospital ethics committee. Significance: This trial will provide evidence on the effectiveness of AI-driven VR therapy for early upper limb rehabilitation in hospitalized stroke patients.

02

Conditions studied

  • Stroke
  • Rehabilitation

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Keywords

  • stroke
  • rehabilitation
  • virtual-reality
  • artifficial intelligence
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's planned enrollment of 50 is close to the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Complejo Asistencial Universitario de León Urgencias is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults ≥18 years
  • Confirmed acute or subacute stroke (ischemic or hemorrhagic)
  • Upper limb motor deficits
  • Admitted to hospital
  • Favourable assessment by the rehabilitation service to begin treatment
  • Signing of informes consent

Exclusion criteria

Exclusion Criteria:

  • Moderate to severe cognitive impairment.
  • Severe global aphasia.
  • Language barrier.
  • Visual impairment.
  • Previous stroke with significant sequelae in upper limb.
  • Contraindication for RHB therapy.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Receive standard rehabilitation

    Device: Standard rehabilitation

  • Experimental
    Receive standard rehabilitation plus AI-driven VR therapy

    Device: AI-driven VR rehabilitation therapy

Interventions

  • DeviceAI-driven VR rehabilitation therapy

    AI-drive VR device which improves rehabilitation of upper limb impairment

  • DeviceStandard rehabilitation

    Standard rehabilitation followed by rehabilitation team and physicians

06

What researchers measure

Primary outcomes

  1. Motor function

    Fugl-Meyer Assessment

    Time frame: Through study completion, an average of 3 months

Secondary outcomes

  1. Neurological sequelae

    NIH Stroke Scale (NIHSS)

    Time frame: Through study completion, an average of 3 months

  2. Dependence in daily activities

    Modified Rankin Scale (mRS)

    Time frame: Through study completion, an average of 3 months

  3. Spasticity

    Modified Ashworth Scale (MAS)

    Time frame: Through study completion, an average of 3 months

  4. Muscle strenght

    Medical Research Council (MRC) scale

    Time frame: Through study completion, an average of 3 months

  5. Digital biomarkers from VR sessions

    Velocity and accurance of the movements

    Time frame: Through study completion, an average of 3 months

  6. Patient satisfaction

    Patient self-reporting

    Time frame: Through study completion, an average of 3 months

  7. Therapy adherence

    Patient self-reporting,

    Time frame: Through study completion, an average of 3 months

Other outcomes

  1. Age

    Years from birth

    Time frame: Through study completion, an average of 3 months

  2. Gender

    Sex

    Time frame: Through study completion, an average of 3 months

  3. Ethiology of the stroke

    TOAST clasification

    Time frame: Through study completion, an average of 3 months

  4. Dominant-hemisphere

    Handedness

    Time frame: Through study completion, an average of 3 months

  5. Stroke topography

    Clinical exploration

    Time frame: Through study completion, an average of 3 months

  6. Aphasia

    Clinical Exploration

    Time frame: Through study completion, an average of 3 months

  7. Pre-stroke disability

    Rankin scale pre-stroke

    Time frame: Through study completion, an average of 3 months

  8. Reperfusion treatment

    Time frame: Through study completion, an average of 3 months

  9. Time till the start of rehabilitation therapy

    Days

    Time frame: Through study completion, an average of 3 months

  10. Total of VR-sessions

    Number

    Time frame: Through study completion, an average of 3 months

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Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07456306
Lead sponsor
Complejo Asistencial Universitario de León Urgencias
Collaborators
University of Salamanca
Responsible party
Beatriz Villarrubia (Principal investigator. MD. MSc., Complejo Asistencial Universitario de León Urgencias) — Principal investigator
First posted
Mar 6, 2026
Start date
Mar 1, 2026 (estimated)
Primary completion
Jun 1, 2026 (estimated)
Completion
Aug 1, 2026 (estimated)
Last update
Mar 6, 2026

Study contacts

Beatriz Villarrubia González Villarrubia, MSc, MD, Dr.
Contact
bvillarrubia@saludcastillayleon.es
+34 689189775

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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