Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Using virtual reality walking games to help with neuropathic pain in spinal cord injury patients

Official title: A Multisite Randomized Clinical Trial to Examine the Efficacy and Mechanisms of Immersive Virtual Walking Treatment for Neuropathic Pain in Spinal Cord Injury

Run by Texas A&M University · NCT05005026 · Data updated 2026-11-12

This study is testing whether playing virtual reality walking games can help adults with spinal cord injuries and ongoing nerve pain feel better.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorTexas A&M University
Academic / other
Locations3 sites (Birmingham, Alabama and 2 other locations)
StatusRecruiting
StartedNovember 23, 2021
Main results expectedSeptember 2026
Study endsSeptember 2026
Registry record updatedDecember 17, 2025
Trial IDNCT05005026 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with complete spinal cord injuries and persistent neuropathic pain symptoms.

Probably not a fit

Patients with incomplete spinal cord injuries or those who have been injured for less than a year may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of a virtual reality walking game in alleviating neuropathic pain in adults with chronic spinal cord injuries classified as complete (ASIA A). The approach focuses on addressing the mismatch between sensory input and motor commands that may contribute to neuropathic pain. Participants will engage in two different virtual reality games designed to create the illusion of walking, potentially reversing brain changes associated with pain. The study will recruit individuals who have experienced persistent neuropathic pain for at least three months and are stable on pain medication.

Why it matters

Potential benefit: If successful, this intervention could significantly reduce neuropathic pain and improve the quality of life for patients with spinal cord injuries.

How similar studies have gone: While the use of virtual reality for pain management is an emerging field, this specific approach targeting neuropathic pain in spinal cord injury patients is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

The study will recruit individuals with complete injury (American Spinal Injury Association \[ASIA\] classification A) with lumbar, paraplegic, or low tetraplegic (C5-C7) injury. Additional criteria will include:

1. Must have persistent NP symptoms that are of daily severity of at least 4/10 for 3 or more months
2. Must endorse more than 2 items on a 7-item Spinal Cord Injury Pain Instrument, SCIPI
3. Must be 18 years of age or older
4. Must be more than one year post-injury to begin study (can be screened at an earlier time for eligibility)
5. Must have mobile connectivity with usable service
6. Must be stable on pain medication for 1 or more months
7. Must be cleared on the VRWalk physical activity clearance scale
8. Must not have motion sickness that interferes with daily life

Exclusion Criteria:

1. Individuals with Injury levels between C1 and C4
2. Individuals under the age of 18
3. Individuals who were injured within the past year
4. Individuals who cannot comprehend spoken English
5. Individuals who are in prison
6. Individuals who are blind
7. Individuals who experience severe motion sickness

Where it's running

  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Texas A&M University
    College Station, Texas, United States
    Recruiting
  • University of New South Wales
    Sydney, New South Wales, Australia
    Completed

Study contacts

  • Principal investigator: Zina Trost, PhD — Texas A&M University
  • Study coordinator: Amanda Sainz-Higgins, M.E.d
  • Email: sci@vrwalk.org
  • Phone: 804-569-5965

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.