Overground Virtual Reality (VR) Gait Rehabilitation for Traumatic Brain Injury (TBI)

Inclusion Criteria:

• Diagnosis: A confirmed diagnosis of traumatic brain injury (TBI), confirmed by thereferring physician.

• Cognitive Function: Mini-Mental State Examination (MMSE) score ≥ 24 or MontrealCognitive Assessment (MoCA) score ≥ 20, indicating sufficient cognitive function toparticipate in the study.

• Exercise Clearance: Approval from a physician for participation in exercise-basedinterventions.

• Rehabilitation Need: Demonstrates a need for functional rehabilitation.

• Recent Therapy: Participants should not have received physical therapy (PT) withinthe last month.

• Consent: Must be able to provide informed consent for themselves.

Exclusion Criteria:

• Participants with unstable medication regimens that could interfere with theirparticipation in the study.

• Any comorbidity that could interfere with walking or gait training.

• Participation in VR-assisted gait training within the last 6 months.

• Intolerance to virtual reality environments or motion simulation.

• Severe cognitive, visual, or hearing impairments where the participant cannot followthe therapist's instructions.

• More than 135 kg total body weight.

• More than 2.00 meters in body height.

• Presence of open skin lesions or bandages in areas that would come into contact withthe harness.

• Functional Ambulation Category (FAC): Participants with an FAC score of less than 2indicate they require physical support from more than one person to walk.

Clarification:

• The diagnosis of TBI can be confirmed by their physician or a physical therapist referring to the patient. If a physical therapist makes the referral, the diagnosis must still be officially confirmed by a physician to ensure it meets the study's medical criteria.