Virtual Reality (VR) Treatment for Balance Problems in Traumatic Brain Injury (TBI)

Inclusion Criteria:

- Has sustained a documented TBI that required an inpatient rehabilitation program;

- is at least one year post TBI;

- is at least 18 and no more than 64 years of age at the time of enrollment;

- is English or Spanish speaking

- is at least three months beyond completion of formal PT, including acute inpatient
rehabilitation, outpatient and home-based therapy;

- provides written medical clearance for participation in an in-home balance exercise
program;

- ambulates independently within the home (with assistive devices and/or orthotics as
needed);

- has active range of motion of bilateral upper extremities of at least 90 degrees of
abduction to allow for control of the VR system;

- completes a 15 minute trial using a VR system in the absence of a negative physical or
behavioral reaction;

- self-reports ongoing balance deficits and demonstrate such deficits by scoring at or
below one standard deviation above the mean (75 or below) on the CB&M; and

- provides informed consent, or has a guardian available to provide consent.

Exclusion Criteria:

- has a history of another medical illness or neurological disorder which may affect
balance;

- has experienced a seizure within the last year;

- has a history of psychiatric disorder requiring hospitalization;

- is currently participating in another RCT;

- is currently using VR technology to address specific balance goals;

- is unable to travel to Craig for assessments throughout the study period;

- is unable to communicate effectively to complete standardized assessments;

- has cognitive impairment that precludes completion of baseline testing;

- is unavailable to participate in 12 continuous weeks of therapy;

- has no access to television able to connect to VR-gaming system; and

- reports inadequate space required for VR-gaming system sensors.