Advances in information technology offer new opportunities for rehabilitati
on. In particular, the immersion capability provided by a synthetic environ
ment could be exploited to design novel assistive devices. In virtual reali
ty (VR), users navigate and interact with 3-D, computer-generated environme
nts that are highly flexible and programmable, enabling the therapist to pr
esent a variety of controlled stimuli and to measure and monitor responses.
VR provides a powerful means of increasing levels of environmental interac
tion in a highly controlled and structured manner. In this article, an over
view is given of the design issues of a VR-enhanced orthopedic appliance us
ed in rehabilitation of a person with spinal cord injury.