OBJECTIVE: This pilot study aims to evaluate the combined impact of peripheral nerve mobilization (PNM) and virtual reality (VR) game-based gait training on gait parameters in chronic anterior cerebral artery (ACA) stroke patients. METHODS: Eight chronic ACA stroke patients were randomized into experimental (PNM plus VR) and control (conventional exercises) groups. Interventions were conducted for 45 min per session, five times a week, over 4 weeks. Gait parameters were measured using the OpenPose-based Markerless Gait Analysis System. RESULTS: Both groups showed significant improvements in post-intervention measurements. The control group exhibited a mean increase in gait speed from 0.46 m/s to 0.62 m/s (p < 0.001), while the intervention group showed improvements from 0.41 m/s to 0.54 m/s (p < 0.001). Between-group analyses revealed significant differences in gait parameters post-intervention (p < 0.05). CONCLUSION: PNM and VR game-based gait training emerge as effective interventions for enhancing gait parameters in ACA stroke rehabilitation.
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