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Updated: Jan 10, 2026

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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
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Evaluating the Effectiveness of Immersive Virtual Reality Rehabilitation Games With Enhanced Visual Training for Hand
Faisal Amin1, Asim Waris1, Muhammad Jawad Khan1
1Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, NUST, H-12, Islamabad, 44000, Pakistan, 92 5190856068.
JMIR Serious Games
|November 25, 2025
Summary
Immersive virtual reality (VR) hand games significantly improved motor function in stroke survivors compared to conventional therapy. This VR intervention also sustained long-term hand motor gains.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Human-Computer Interaction
Background:
- Hand motor dysfunction is a major challenge for stroke survivors, impacting daily activities.
- Conventional rehabilitation methods have limitations in achieving sustained functional improvements.
- Immersive virtual reality (VR) offers a novel approach for cognitive engagement and motor training.
Purpose of the Study:
- To evaluate the effectiveness of immersive VR hand games versus conventional physical therapy for subacute stroke patients.
- To assess correlations between electromyography (EMG) data and clinical outcomes in hand motor function.
- To determine if VR enhances long-term hand motor function recovery.
Main Methods:
- A randomized controlled trial with 52 subacute stroke patients, split into VR + conventional therapy and conventional therapy groups.
- Intervention delivered 4 days/week for 6 weeks, followed by 2 weeks of follow-up.
- Clinical outcome measures included Fugl-Meyer Assessment-upper extremity (FMA-UE), Action Research Arm Test (ARAT), and Box and Block Test (BBT).
Main Results:
- The VR group showed significantly greater improvements in FMA-UE, ARAT, and BBT scores (P<.001).
- Clinically meaningful improvements (MCID) were observed in the VR group.
- Stronger positive correlations between EMG data and clinical outcomes were found in the VR group.
- Higher movement accuracy was sustained in the VR group at follow-up.
Conclusions:
- Immersive VR hand games with visual feedback significantly enhance hand motor function in subacute stroke patients.
- VR-based therapy leads to clinically meaningful and sustained improvements in hand function.
- VR interventions show promise for improving rehabilitation outcomes and motor recovery.

