Feasibility of Non- Immersive Virtual Reality for Distal Upper Extremity Motor Recovery and Quality of Life in Tetraplegia.

This feasibility study investigates the use of non immersive virtual reality for improving distal upper extremity motor recovery and quality of life in individuals with tetraplegia due to cervical spinal cord injury. Upper limb dysfunction significantly affects independence, and conventional therapy often faces challenges related to engagement and adherence. VR-based rehabilitation offers task-oriented, repetitive training that may enhance neuroplasticity and patient motivation. The study aims to evaluate the usability, safety, satisfaction, engagement and adherence of non immersive VR compared to conventional therapy. A total of 12 participants will be randomly allocated into two groups VR plus conventional therapy and conventional therapy alone, over a 4 week intervention period. Outcomes will assess motor recovery, quality of life, and feasibility measures using standardized tools such as GRASSP, Box and Block Test, SCI-QOL, and SCIM III. Descriptive and exploratory statistical analyses will be performed to compare both groups.