Virtual Reality Dual Task Training in SCI: Effects on Cognition and Cortical Activation

About this trial

This trial is enrolling 45 participants with spinal cord injury to test the effect of virtual reality (VR)-based dual-task training (includes cognitive and motor tasks) with and without motor imagery. VR is a computer generated experience of visual displays that simulate the real world by way of head-mounted displays such as smart-glasses. Motor imagery refers to mentally visualizing oneself performing a movement without physically executing it, which can activate brain regions involved in the actual movement. If included, participants will be randomly assigned to one of three groups: (1) VR-based dual-task training with motor imagery (e.g., while visualizing themselves standing and walking); (2) VR-based dual-task training without motor imagery; or (3) a control group receiving only upper extremity strengthening. All groups will complete 12 sessions over 6 weeks. Final testing will be performed after 6 weeks.