Research and evaluation

The evidence behind NeuroVive-XR

A snapshot of service evaluations carried out in NHS organisations and research with universities, from the acute stroke unit to the patient’s home.

The NeuroVive-XR platform: XR headset, tablet and clinician dashboard

Platform usage · last updated October 2026

  • 11deployment sites, including 7 NHS organisations
  • 64participants in NeuroVive-XR studies
  • 1,849therapy sessions delivered
  • 95 hof VR therapy (5,692 minutes)
  • UKCA Class I SaMD
  • ISO 13485:2016
  • NHS DTAC
  • FDA registered
  • HIPAA
Clinical results

What happened in practice.

Completed service evaluations in NHS settings and research studies across inpatient, acute and home rehabilitation, including results presented as posters at UK Stroke Forum 2026.

Royal Free London NHS FT

Level 3 inpatient neurorehab · 15 inpatients

UK Stroke Forum 2026 poster
+5.43Barthel Index (p < .001)−0.86Modified Rankin (p = .001)

Significant gains in independence and disability alongside VR-supported therapy; 94% of patients would use it again.

Completed

University of Hertfordshire

Home use · stroke · 5 participants

5 of 5did more arm exercise5 of 5improved FMA-UE

Every participant increased weekly upper-limb exercise at home, by up to 193%, with no withdrawals.Ethics-approved feasibility study

Completed

Mid and South Essex NHS FT

Acute stroke unit · 12 patients

UK Stroke Forum 2026 poster
40supervised sessions0 → 3MRC grade (case study)

Higher therapy intensity and early upper-limb activation; now in routine use after the evaluation.Case study alongside multimodal therapy

Completed

Hillingdon Hospitals NHS FT & Brunel University of London

Hospital to home · NHP Innovation Award

4co-design stages with therapists£8.27mmodelled 5-year saving

Clinician dashboard co-designed with NHS therapists, plus health-economic modelling of a remote VR pathway.

Completed
£8.27m

potential five-year saving for North West London

£2,035 vs £6,118rehab cost per patient
80% vs 45%patients reaching full rehab
0.096 vs 0.023health gain (QALYs)

ModelledNeuroVive VR pathway vs standard care. Brunel University of London, using NICE NG236 and NHS unit costs. Pending real-world validation.

Research and development

Building the evidence further.

Working with NHS organisations and universities, we are taking NeuroVive-XR into home rehabilitation after discharge, AI-guided self-management and new hardware.

Wearable EMG and FES sleeve

Brunel University London · Electronics, 2025 ↗

11stroke survivors shaped the design

A closed-loop prototype combining muscle sensing, electrical stimulation and VR for personalised upper-limb therapy.Read the published paper ↗

Published

UL MAP VR

Betsi Cadwaladr UHB

UK Stroke Forum 2026 poster
3VR modules with AI Q&A9 + 6clinicians and stroke survivors gave feedback

The UL MAP upper-limb self-management programme rebuilt as an immersive demonstrator. Rated acceptable and engaging; Welsh-language delivery also validated.

Phase 1 complete

NeuroBike VR

Manchester Metropolitan University, Institute of Sport

+42%oxygen uptake+47%energy expenditure

Adding VR cognitive gameplay to arm-crank exercise raised exercise intensity compared with the same exercise without VR.7 healthy adults

Phase 1 complete

Leeds Teaching Hospitals NHS Trust

Service evaluation · funded by Leeds Hospitals Charity

Evaluating NeuroVive-XR within rehabilitation at Leeds Teaching Hospitals, supported by a Leeds Hospitals Charity Innovation in Healthcare Delivery grant.

Ongoing

Early Supported Discharge feasibility study

Betsi Cadwaladr UHB, Wales · Innovate UK RTO scheme

10–15adults within 6 months of stroke6–8 wksprescribed home use

Testing feasibility, adherence and safety of NeuroVive-XR at home within the Early Supported Discharge pathway, with weekly remote review.

Ongoing

VR mirror therapy and the brain

Laboratory TMS study

36participants: 18 stroke survivors, 18 controls

Measuring whether gamified VR mirror tasks with haptic feedback engage the motor cortex more than simple movements.

Ongoing

NeuroMind AI

Reneural · patient education and wellbeing

AIanswers patients’ questions about strokeXRimmersive mental health exercises

An AI assistant giving patients key information about their condition, alongside immersive mental health exercises already used in NeuroVive-XR.

In development
Learn more

See the full evidence on a 20-minute call.

We’ll walk you through the studies that match your service, share the full Evaluation and Research Pack, and show NeuroVive-XR in action.

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