Evidence

Clinical evidence for CorteXR Stroke.

The evidence summarised here relates to CorteXR Stroke and predecessor regulated clinical work in cognitive stroke rehabilitation after stroke. It should be read in the context of the published study, the intended use, and local clinical review.

+8Reported median MoCA change in one subgroup
5 daysReported length-of-stay difference versus sham VR
0Serious adverse events reported
40Stroke survivors in phase 2b RCT

Reported in the published VIRTUE study. These figures are not claims for CorteXR Studio.

Where this evidence applies

The clinical evidence summarised here relates to CorteXR Stroke and earlier regulated clinical work in cognitive stroke rehabilitation.

CorteXR Studio uses related immersive activity technology, but it is a separate activity product for therapist-led sessions. The evidence on this page should not be used to describe CorteXR Studio as a medical, rehabilitation, outcome, diagnostic, assessment, or monitoring product.

CorteXR Stroke evidence

Reported cognitive and service-use findings in post-stroke rehabilitation.

The study evaluated immersive virtual reality as an adjunct to standard care for stroke survivors with documented cognitive deficits. The intervention used realistic virtual Activities of Daily Living, tailored difficulty, and repeated practice to support attention, memory, orientation, and task sequencing.

The headline findings included a reported median MoCA change of +8 points in one subgroup, a reported length-of-stay difference compared with sham VR, and no serious adverse events reported.

Summary of CorteXR clinical evidence: phase 2b RCT, 40 stroke survivors, MoCA change, length of stay before home discharge, and safety

How to read this evidence

The published trial provides important evidence for immersive VR cognitive rehabilitation after stroke, but it should be read as one part of a wider clinical and procurement review for CorteXR Stroke. Services should consider the study population, intervention setting, outcome measures, intended use, clinical safety documentation, and local pathway fit before making adoption decisions.

Study design

Randomised, controlled, and focused on real-world cognitive tasks.

Methodology

The trial was a double-blind, randomised controlled study involving 40 stroke patients with documented cognitive deficits. Participants received either VR-based cognitive rehabilitation alongside standard care or a sham VR intervention as placebo control.

Intervention

The predecessor VIRTUE/CorteXR clinical work immersed participants in realistic, interactive scenarios designed to simulate activities of daily living, such as preparing a meal or managing transactions in a cafe. Tasks were tailored to individual ability with adjustable difficulty levels.

Outcome measures

The primary outcome measure was cognitive improvement assessed using the Montreal Cognitive Assessment at the conclusion of treatment and three months post-randomisation. Secondary measures included satisfaction, safety assessments, and duration of hospital stay.

Trial flow infographic showing randomised controlled study design

Trial structure

Participants were randomised between VR-based cognitive rehabilitation and sham VR control conditions, enabling comparison against placebo exposure.

Median MoCA change chart comparing severe impairment, moderate impairment and sham VR groups

Cognitive outcomes

The published study reported median MoCA improvements in intervention groups, with the largest reported change among patients with severe cognitive impairment.

Length of stay chart showing a reported five-day difference compared with sham VR

Length of stay

The published study reported a reduction in length of stay for patients receiving VR treatment compared with sham VR. Services should interpret this finding in the context of the full study and their own pathway.

Patient and staff acceptability chart for VR rehabilitation

Safety and acceptability

The study reported no serious adverse events and high acceptability, with minor issues such as transient dizziness or headset discomfort managed during sessions.

Key findings from the published study

Safety and acceptability

The study reported no serious adverse events. Patients and healthcare staff rated the system highly for usability, engagement, and satisfaction.

Cognitive improvement

Participants in the intervention group showed improvements in cognitive domains including attention, memory, and orientation. The largest reported change was in the subgroup with severe cognitive impairment.

Reduced hospital stays

The published trial reported a reduced length of stay for patients receiving VR treatment compared with sham VR. This may be relevant to service-capacity and patient-flow discussions, subject to local evaluation.

Complement to conventional therapy

The trial used VR-based cognitive rehabilitation as a complement to traditional therapy, providing safe, repetitive, and engaging practice environments without requiring additional staffing for every repetition.

Published paper

Chatterjee, K., Buchanan, A., Cottrell, K., Hughes, S., Day, T.W., and John, N.W., 2022. Immersive virtual reality for the cognitive rehabilitation of stroke survivors. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 30, pp.719-728.

Read the full paper

The figures on this page should be read in the context of the full paper, local clinical judgement, and the intended-use documentation supplied during procurement review.

Clinical safety and NHS assurance

Clinical, regulatory, and deployment documentation is available for review.

CorteXR Stroke is a healthcare technology product, so services also need to understand regulatory status, intended use, clinical safety, information governance, support arrangements, and deployment responsibilities.

For procurement, implementation, or clinical governance review of CorteXR Stroke, we provide the detailed evidence pack, including relevant version numbers, registration details, and formal documents.

Medical device information UKCA Class I and MHRA registration details available to clinical and procurement partners.
Clinical safety Clinical safety documentation aligned with DCB0129 and deployment risk review.
NHS digital assurance DTAC evidence pack covering clinical safety, data protection, technical security, interoperability, and usability.
Deployment support Onboarding, support routes, headset guidance, and operational responsibilities for clinical teams.

Request the assurance pack

Experience

Clinical collaboration has shaped the way CorteXR is built.

The CorteXR platform has grown from work with clinicians and service stakeholders on immersive activity software. That experience informs product quality and usability, while the clinical evidence on this site remains tied to CorteXR Stroke.

CorteXR Stroke

For clinical teams reviewing UKCA-marked software for cognitive stroke rehabilitation.

View CorteXR Stroke

CorteXR Studio

For therapists reviewing non-medical immersive activity software for supervised sessions.

View CorteXR Studio

Ready to explore CorteXR?

Book a focused CorteXR walkthrough.

Tell us whether you are exploring CorteXR Stroke, CorteXR Studio, or product fit, and we will shape the conversation around your setting.