Symptoms of Posttraumatic Stress and Disturbances in Self-Organization Differentially Predict Functional Impairment in Women Veterans with Military Sexual Trauma.

Extended Reality (XR) technologies, particularly immersive Virtual Reality (VR), can redefine how physical rehabilitation is delivered by enabling embodied telepresence, full-body motion tracking, and AI-driven biomechanical assessment. These advancements can potentially improve access to specialized care, enhance patient engagement, and provide clinicians with quantifiable movement data to guide remote interventions (; ; ). However, despite rapid technological progress, XR-based rehabilitation platforms face significant adoption barriers, including usability challenges, accessibility concerns, and workflow integration gaps within clinical settings (; ). Considering these challenges, this paper aims to contribute to the emerging field of Meaningful XR, experiences that create lasting cognitive, emotional, or behavioral changes beyond the moment of use for physical rehabilitation. This work explores a co-design approach to prioritize user-centered systems by ensuring that stakeholder needs and values directly shape the XR experience through participatory design rather than pure technology capabilities driving user requirements (). Existing XR rehabilitation tools are often developed without direct input from end-users, potentially leading to interfaces that may be difficult to navigate, unintuitive interactions, and features that lack clinical relevance or importance (; ). While VR and computer vision motion tracking offer new ways to deliver remote rehabilitation, their success depends on how well these systems align with patients’ and clinicians’ cognitive, physical, and clinical needs (). Co-design methodologies, which involve end-users in the design process, have been recognized as a crucial approach for ensuring that emerging XR technologies are not only innovative but can also be practical, user-friendly, and clinically effective (; ).