VR and Orthoses for Rehabilitation in Multiple Sclerosis
Virtual Reality for Gait Training in Multiple Sclerosis (VIRTUE): an Interventional Feasibility Study
What it found
No result yet.
What was tested
Treatment tested
- VR and walking brace-based gait rehabilitation
What it measured
Main measures
Score of the standardized tests and gait parameters
From T1 (day 2) to T2 (day 9)
MRI lesionsWalking and mobilityQuality of life (reported by participants)
Other measures (13)
NASA-TLX (NASA Task Load Index) questionnaire score
T1 (day 2); T2 (day 10); T3 (day 70)
Physical functionMSAQ (Motion Sickness Assessment Questionnaire) questionnaire score
T0 (day 1); T1 (day 2); T2 (day 10)
IPQ (iGroupPresence Questionnaire) questionnaire score
T1 (day 2); T2 (day 10)
MusiQoL (Multiple Sclerosis International Quality of Life) questionnaire score
T1 (day 2), T2 (day 10), T3 (day 70)
Quality of life (reported by participants)BBS (Berg Balance Scale) questionnaire score
T1 (day 2); T2 (day 10); T3 (day 70)
Walking and mobilityEDSS (Expanded Disability Status Scale) questionnaire score
T0 (day 1)
Disability progressionThinking and memoryBladder, bowel and sexual functionMFIS (Modified Fatigue Impact Scale) questionnaire score
T0 (day 1); T1 (day 2); Th (day 3-9); T2 (day 10); T3 (day 70)
Thinking and memoryFatigueMSWS-12 (Twelve-Item Multiple Sclerosis Walking Scale) questionnaire score
T1 (day 2); T2 (day 10); T3 (day 70)
Walking and mobilityTimed 25-Foot Walk Test (T25FW) test score
T1 (day 2); T2 (day 10); T3 (day 70)
Disability progressionWalking and mobility2MWT (2-Minute Walk Test) test score
T1 (day 2); T2 (day 10); T3 (day 70)
Walking and mobility
Who could take part
MS (type not specified) · 18 to 65 · EDSS 3 to 6
Show the full criteria
Inclusion criteria
* Confirmed diagnosis of multiple sclerosis * Age between 18 and 65 years * Both sexes * Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS > 100) * Expanded Disability Status Scale (EDSS between 3 and 6 inclusive) * Berg Balance Scale (BBS ≥ 46) * Indication for the use of the Exoband orthosis for gait assistance * Modified Fatigue Impact Scale (MFIS) physical subscale ≤ 20 * Signed informed consent
Exclusion criteria
* Presence of severe or current visual or auditory impairments * Relapses within the last 3 months * Presence of severe anxiety or depression * Severe spasticity patterns in the lower limbs or fixed distal tendon contractures * Presence of motion sickness symptoms induced by virtual reality (VR)
As registered. Criteria can change, so ask the trial team or your neurologist.
Contact details on the registryAbout this trial
In the sponsor's words
This non-drug, non-medical device, interventional study explores the feasibility of integrating virtual reality (VR) with wearable sensors to support gait training using a passive orthosis in individuals with multiple sclerosis (MS). The aim is to determine whether this approach can enhance clinical gait assessment and facilitate orthosis adaptation by replicating real-life scenarios within a safe and controlled environment. The virtual environment, accessed through a head-mounted display, will be delivered via a custom simulator incorporating standardized gait tasks embedded in everyday settings. This system is designed to minimize the artificial influence of clinical settings on walking performance, while providing clinicians with objective gait data for more comprehensive evaluation.
Papers
Results
Interventional Feasibility Study Investigating Virtual Reality-Based Gait Assessment With Orthoses in People With Multiple Sclerosis: A Study Protocol.Clin Transl Sci · 2026
Background
Tsai MF, Bandini A, Wang RH, Zariffa J. Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment. J Vis Exp. 2020 Dec 23;(166). doi: 10.3791/61898.Background
Casuso-Holgado MJ, Martin-Valero R, Carazo AF, Medrano-Sanchez EM, Cortes-Vega MD, Montero-Bancalero FJ. Effectiveness of virtual reality training for balance and gait rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis. Clin Rehabil. 2018 Sep;32(9):1220-1234. doi: 10.1177/0269215518768084. Epub 2018 Apr 13.Background
Peruzzi A, Cereatti A, Della Croce U, Mirelman A. Effects of a virtual reality and treadmill training on gait of subjects with multiple sclerosis: a pilot study. Mult Scler Relat Disord. 2016 Jan;5:91-6. doi: 10.1016/j.msard.2015.11.002. Epub 2015 Nov 6.Background
Bettoni E, Ferriero G, Bakhsh H, Bravini E, Massazza G, Franchignoni F. A systematic review of questionnaires to assess patient satisfaction with limb orthoses. Prosthet Orthot Int. 2016 Apr;40(2):158-69. doi: 10.1177/0309364614556836. Epub 2014 Nov 26.Background
Marimon X, Mengual I, Lopez-de-Celis C, Portela A, Rodriguez-Sanz J, Herraez IA, Perez-Bellmunt A. Kinematic Analysis of Human Gait in Healthy Young Adults Using IMU Sensors: Exploring Relevant Machine Learning Features for Clinical Applications. Bioengineering (Basel). 2024 Jan 23;11(2):105. doi: 10.3390/bioengineering11020105.Background
Panizzolo FA, Cimino S, Pettenello E, Belfiore A, Petrone N, Marcolin G. Effect of a passive hip exoskeleton on walking distance in neurological patients. Assist Technol. 2022 Sep 3;34(5):527-532. doi: 10.1080/10400435.2021.1880494. Epub 2021 Mar 5.Background
Karunakaran KK, Pamula SD, Bach CP, Legelen E, Saleh S, Nolan KJ. Lower extremity robotic exoskeleton devices for overground ambulation recovery in acquired brain injury-A review. Front Neurorobot. 2023 May 25;17:1014616. doi: 10.3389/fnbot.2023.1014616. eCollection 2023.Background
Homayuni A, Abedini S, Hosseini Z, Etemadifar M, Ghanbarnejad A. Explaining the facilitators of quality of life in patients with multiple sclerosis: a qualitative study. BMC Neurol. 2021 May 11;21(1):193. doi: 10.1186/s12883-021-02213-9.Background
Gil-Gonzalez I, Martin-Rodriguez A, Conrad R, Perez-San-Gregorio MA. Quality of life in adults with multiple sclerosis: a systematic review. BMJ Open. 2020 Nov 30;10(11):e041249. doi: 10.1136/bmjopen-2020-041249.
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History
Started
Mar 2026
Main results due
Jun 2026
Finished
Sept 2026