About this trial
This study investigates how different types of extended reality, Virtual Reality (fully immersive) and Mixed Reality (partly real-world), can be used in rehabilitation for people with Parkinson's disease. Participants will attend a single 45-minute session at the Rehabilitation Center of UZ Ghent, where they will perform a simple balloon-popping task twice using a VR headset, once in each environment. During the exercises, they will be safely supported to prevent falls, while a wearable device measures physical responses such as heart rate and skin conductance. After each task, participants will complete short questionnaires about their experience and mental effort. The study aims to determine which type of extended reality is preferred and how each affects physical and mental responses, supporting the development of more accessible rehabilitation approaches.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
you have been diagnosed with Parkinson's disease
you can walk independently without the use of aids
you are not experiencing pain at the time of the test
you are 18 years of age or older
Disqualifiers
you have a known, excessive sensitivity to motion sickness (e.g. car sickness)
you have a medication pump
you have a brain stimulator
Trial population
Parkinson's Disease
Trial design
Case-crossover
Cross-sectional
Treatments tested in this trial
Extended reality balance training
DeviceParticipants perform a balloon-popping task for balance training using a VR headset in two conditions: Virtual Reality (fully immersive) and Mixed Reality (real-world combined with virtual elements). The task includes visual changes to challenge how participants see and respond to their environment, including eye movements. The goal is to compare how these two formats affect mental effort and experience.
Treatment groups
Trial outcomes
Primary outcomes
Score on the Igroup presence questionnaire (IPQ)
The Igroup Presence Questionnaire (IPQ) is a scale for measuring the sense of presence experienced in a virtual environment. It will be used as one of the measures to identify the subjective preference during Virtual Reality (fully immersive) and Mixed Reality (real-world combined with virtual elements). This questionaire consists of 14 items where participants indicate their spatial presence, involvement or realness on a Likert scale (1-7). Max score is 98. Higher score is higher feeling of presence, immersion and engagement.
Score on the NASA Task Load Index (Nasa-TLX)
The NASA-TLX is a questionnaire to examine the subjective workload. It contains 6 items where participants again score each item on a 7 point Likert scale. A higher score indicates more cognitive workload.
Score on the Virtual Reality Sickness Questionnaire
Questionnaire to document potential side effects of using extended reality (e.g. cybersickness). Participants are asked to indicate for 9 symptoms on a 4 point Likert scale if they experience side effects and how intense they are present. A higher score indicates more adverse events.
Hartrate (variability) during the extended reality sessions
Physiological responses during VR and MR conditions are measured continuously using a wearable device. These measures reflect autonomic nervous system activity and objective load during task performance. Differences between VR and MR conditions will be analyzed.
Secondary outcomes
Eye tracking during the extended reality task as a measure of visual function
Exploration of the relationship between visual function and subjective cognitive load scores obtained after the MR condition, to assess whether eye movement behavior contributes to perceived mental effort.
Education level
Participants will be questioned to know their highest education level. This will be used to assess if this a co-variate for the primary outcome measures
Experience with the use of extended reality
Participants will be questioned to know if they have any experience using extended reality. This will be used to assess if this a co-variate for the primary outcome measures
Technological skilled
Participants will be questioned to know if they consider themselves technological skilled. This will be used to assess if this a co-variate for the primary outcome measures
Sponsors and contacts
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University Hospital, Ghent
Lead sponsor
University Ghent
Collaborator
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