Background: Post-stroke rehabilitation increasingly extends beyond hospital settings, creating demand for scalable approaches that can deliver intensive, engaging and monitored therapy in clinics and homes. Virtual reality telerehabilitation and multisensory feedback systems are promising, but their evidence base is uneven and their implementation risks are frequently underestimated.
Objective: This paper synthesizes evidence on VR telerehabilitation and multisensory feedback for post-stroke recovery, with emphasis on upper limb function, balance, cognition, adherence, safety, equity and clinical implementation.
Methods: An integrative review design was used. Peer-reviewed systematic reviews, randomized trials, clinical guidelines and rehabilitation methodology papers were examined. Evidence was organized by VR modality, outcome domain, dose, delivery setting and implementation readiness. Tables and figures summarize search logic, evidence streams and practical deployment considerations.
Results: Evidence most consistently supports VR as an adjunct for upper limb function and activity limitation. Telerehabilitation may improve access and continuity, especially after discharge, but it depends on patient selection, caregiver support, connectivity, remote monitoring and safety protocols. Multisensory feedback may increase embodiment and motor engagement, but evidence remains smaller and more heterogeneous than conventional screen-based VR. Dose and task specificity repeatedly appear more important than technological novelty.
Conclusion: VR telerehabilitation and multisensory systems are best understood as delivery architectures for high-quality rehabilitation practice, not independent cures. Their future value depends on rigorous protocols, equitable access, therapist integration, adverse-event reporting and outcome measures that capture real-world participation.
Nusarath Jaha Gurramkonda, Suresh Jat, "Virtual Reality Telerehabilitation and Multisensory Feedback for Post-Stroke Recovery", Vol. 4, Issue 1, 24-04-2026, pp. 65-79.