Table 1 Research interventions of the VR training group and the non-VR training group base on TIDieR template
Item | VR training group | Non-VR training group |
|---|---|---|
1. Brief name | VRT | Non-VRT |
2. Why | 1. From the mechanism of action, VR training can induce cortical recombination of neural motor pathways; 2. From a neurological point of view, repeated training can enhance the synaptic function of the affected limb and increase the neuroplasticity induced by movement [25]; 3. From the perspective of kinematics, repetitive movement is the basic condition for acquiring a motor skill. However, to further strengthen the mastery of this skill, successful feedback and pleasant experience are needed. | |
3. What materials | (1) Headsteal display (HMD) (HIC Vive Pro); (2) Vive wireless suite; (3) Vive locator, which senses the accurate position and motion of subjects by using SteamVR tracking technology, g-sensor correction, gyroscope, proximity distance sensor, and pupil distance sensor; (4) two operating handles; (5) computer configuration; (6) VR lower limb gait training scenarios for patients to choose from (nine-grid training, single-plank bridge training, climbing stairs training, and crossbar training) | Routine training equipment, lower limb training treadmill, rehabilitation training bicycle |
4. Procedures | The VR training group will receive (1) 30 min per day for 3 weeks (5 days/week) of VR-assisted gait rehabilitation training. Specific process of VR training: patients wear HTC Vive virtual glasses on the open ground and are synchronously equipped with different scenes such as nine-grid training, single-plank bridge training, climbing stairs training, and crossbar training. VR scenes are immersive. Patients are placed in virtual scenes and receive corresponding scores after completing tasks according to the training requirements of different scenes. (2) 30 min per day for 3 weeks (5 days/week) of regular active exercise training (unarmed drafting, muscle strength training, trunk balance, transfer). | The non-VR training group receives (1) 30 min per day for 3 weeks (5 days/week) of functional gait rehabilitation training (standing balance training, separation promoting exercise, center of gravity training, body position change training, step separation training, parallel bar walking training). (2) 30 min per day for 3 weeks (5 days/week) of regular active exercise training (unarmed drafting, muscle strength training, trunk balance, transfer). |
5. Who provided | The intervention measures of the two groups in this study were carried out by rehabilitation therapists with over 3 years of experience. Intervention measures were developed by experimental researchers. | |
6. How | Both interventions in this study will be conducted in one-on-one training sessions daily. | |
7. Where | The intervention will be carried out in the inpatient ward of the Department of Neurology of the union hospital affiliated with Fujian Medical University. | |
8. When and how much | During 3 weeks of rehabilitation training, both groups will receive training lasting 30 min/day and 5 days/week for 3 weeks. The intensity was adjusted immediately according to the gait function of patients’ lower limbs. | |
9. Tailoring | The intervention of the two groups can be adjusted according to the gait function of patients. Before training, therapists will make a simple and rapid assessment of the lower limb function of patients to select the personalized intervention intensity suitable for patients. It can also be adjusted according to patients’ own preferences. | |
11. How well | Evaluators overseeing intervention results will be blinded to the group allocation process and randomization results to ensure the objectivity and impartiality of the evaluation results. | |