Virtual reality (VR) is an innovative tool that can enrich physiotherapy treatment in individuals with stroke. The increased use of feedback provides them with useful additional information to improve walking speed, kinematics, and functionality of the lower limb. The authors’ aim is to evaluate these changes in two individuals with stroke.

A 58- year-old man (4.5 months post-stroke) and a 49-year-old man (3 months post-stroke) followed a virtual reality training to improve kinematics, functionality, and gait speed. Each participant underwent 15 sessions (three weeks) of conventional physiotherapy combined with training and virtual reality.

The lower extremity Fugl-Meyer scale (FM) improved in both participants; in motor evaluation, participant 1 increased 4 points and patient 2 increased 6 points. Participant 1 was highly functional but had difficulty in the race at baseline, while participant 2 improved on the Ambulatory Functional Scale (FAC) from 3/5 to 4/5 and the Berg Balance Scale (BBS) from 50 to 53, with a constant permanent score of 122/126 on the Functional Independence Measure scale (FIM). Both participants improved the kinematic parameters in leg stance on plegic lower extremity and walking speed.

These results suggest that VR can contribute to improving kinematics and functionality which are linked to significant clinical increases in gait speed.

This study used our VRRS System for all training exercises.