Journal of Neurology and Neurorehabilitation Research

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Perspective - Journal of Neurology and Neurorehabilitation Research (2025) Volume 10, Issue 3

Integrating Virtual Reality and Neurofeedback for Cognitive and Motor Rehabilitation Post-Stroke

Fatima Al-Mansouri*

Department of Neurophysiology, Qatar University, Qatar.

*Corresponding Author:
Fatima Al-Mansouri
Department of Neurophysiology
Qatar University, Qatar
E-mail: f.almansouri@qu.edu.qa

Received: 03-Jul-2025, Manuscript No. JNNR-25-171942; Editor assigned: 04-Jul-2025, PreQC No. JNNR-25-1719425(PQ); Reviewed: 18-Jul-2025, QC No JNNR-25-1719425; Revised: 21-Jul-2025, Manuscript No. JNNR-25-1719425(R); Published: 28-Jul-2025, DOI:10.35841/ aajnnr -10.3.270

Citation: Al-Mansouri F. Integrating virtual reality and neurofeedback for cognitive and motor rehabilitation poststroke. J Neurol Neurorehab Res. 2025;10(3):270.

Introduction

Stroke rehabilitation has traditionally focused on task-specific training to restore motor and cognitive functions. However, the advent of virtual reality (VR) and neurofeedback technologies has introduced innovative approaches that enhance patient engagement and neuroplasticity. VR systems provide immersive, interactive environments that simulate real-life scenarios, allowing patients to practice functional tasks in a controlled, motivating context. Neurofeedback, which enables individuals to monitor and regulate their own brain activity, complements VR training by reinforcing adaptive neural patterns, ultimately improving functional outcomes [1].

VR-based rehabilitation offers numerous advantages, including high-intensity, repetitive practice and real-time feedback. Motor exercises performed in virtual environments engage sensorimotor networks and promote cortical reorganization. Furthermore, immersive VR can stimulate multisensory integration, enhancing both motor coordination and cognitive processing. Studies have demonstrated that combining VR with conventional therapy improves upper-limb function, balance, and gait in post-stroke patients. Importantly, VR interventions can be customized to individual ability levels, progressively challenging patients and maximizing neuroplastic engagement [2].

Neurofeedback techniques involve real-time monitoring of electroencephalography (EEG) or functional near-infrared spectroscopy (fNIRS) signals, providing patients with immediate information about cortical activation. By learning to modulate specific brainwave patterns, patients can strengthen underactive neural circuits and suppress maladaptive activity. Integrating neurofeedback with VR creates a closed-loop system in which neural activity directly influences task performance, reinforcing desired neural pathways and promoting functional recovery. This synergistic approach enhances both cognitive and motor rehabilitation outcomes [3].

Adjunctive interventions, such as non-invasive brain stimulation, can further augment VR and neurofeedback therapies. Techniques like transcranial direct current stimulation (tDCS) enhance cortical excitability and facilitate long-term potentiation, amplifying the effects of behavioral training. When combined with immersive VR tasks, tDCS can accelerate motor learning and cognitive improvements. Personalized protocols that consider lesion location, severity, and patient-specific neural responsiveness are critical to optimizing these multi-modal interventions [4].

Despite promising results, challenges remain in accessibility, cost, and standardization of VR and neurofeedback platforms. Long-term adherence and integration into routine clinical practice require further validation through large-scale studies. Nevertheless, the combination of immersive VR, neurofeedback, and neuromodulation represents a transformative approach in neurorehabilitation, aligning patient engagement with targeted neuroplasticity enhancement to maximize recovery potential [5].

Conclusion

Integrating virtual reality and neurofeedback into post-stroke rehabilitation offers a novel, patient-centered approach to restoring motor and cognitive function. By combining immersive environments, real-time neural feedback, and targeted neuromodulation, these technologies harness adaptive plasticity and enhance recovery outcomes. Continued research and individualized intervention strategies will be essential for maximizing therapeutic efficacy and improving the quality of life for stroke survivors.

References

  1. Ballvé JL, Carrillo-Muñoz R, Rando-Matos Y, et al. Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo?: a randomised clinical trial in primary care. Br J Gen Pract. 2019; 69(678)52-60.

    2. Indexed at, Google Scholar

  2. Uz U, Uz D, Akdal G, et al. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol. 2019; 15(3):420-24.

    3. Indexed at, Google Scholar, Cross Ref

  3. Palm U, Kirsch V, Kübler H, et al. Transcranial direct current stimulation ( tDCS ) for treatment of phobic postural vertigo?: an open label pilot study. Eur Arch Psychiatry Clin Neurosci. 2019; 269:269-72.

    4. Indexed at, Google Scholar

  4. Garcia S, Nalven M, Ault A, et al . l P re of. tDCS as a treatment for anxiety and related cognitive deficits. Int J Psychophysiol. 2020; 158:172-77.

    5. Google Scholar, Cross Ref

  5. Stein DJ, Medeiros LF, Caumo W, et al. Transcranial Direct Current Stimulation in Patients with Anxiety?: Current Perspectives. Neuropsychiatr Dis Treat. 2020; 16:161-69.

    6. Indexed at, Google Scholar, Cross Ref

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