RT Journal Article T1 Immersive virtual reality–based manual therapy training: a mixed‑methods trial A1 Trinidad‑Fernández, Manuel A1 Bossavit, Benoît A1 Fuentes‑Abolafio, Ivan José A1 García‑Conejo, Celia A1 Mayorga-Vega, Daniel A1 Díaz‑Balboa, Estíbaliz A1 Cuesta-Vargas, Antonio K1 Realidad virtual K1 Educación K1 Aprendizaje K1 Fisioterapia AB Manual therapy mobilizations are common therapeutic practices for musculoskeletal conditions,but their acquisition presents significant challenges as it requires the precise, coordinated,and safe execution of specific movements. Traditional teaching approaches oftenrely on subjective feedback and offer limited real-time guidance, which may hinder skillacquisition. In recent years, immersive Virtual Reality (iVR) has emerged as a promisingeducational tool, showing potential to enhance learning experiences and increase studentmotivation. This study aimed to develop and validate a novel teaching approach for manualtherapy mobilizations by integrating iVR as a complementary tool in undergraduateeducation, allowing students to practice techniques with greater precision and efficiency.A mixed-methods cluster randomized controlled trial was conducted with undergraduatestudents who had no prior experience with the technique. An iVR application for headmounteddisplays was developed to teach a knee mobilization technique. Students in theexperimental group used the iVR application alongside a traditional instructional session,while the control group received traditional teaching only. Quantitative and qualitativedata related to usability, iVR experience, and learning experience were collected after thesession. Results showed that students in the experimental group reported higher engagementand motivation when learning manual therapy techniques, although some perceivedthe traditional method as simpler. Learning experience outcomes indicated improved coordinationof translational and rotational movements among iVR users, which is essentialfor effective manual therapy mobilization. Overall, these findings suggest that iVR canserve as an effective supplementary tool to conventional teaching methods, contributing toenhanced learning and performance outcomes. PB Springer YR 2026 FD 2026 LK https://hdl.handle.net/10630/46576 UL https://hdl.handle.net/10630/46576 LA eng NO Trinidad-Fernández, M., Bossavit, B., Fuentes-Abolafio, I. J., García-Conejo, C., Mayorga-Vega, D., Díaz-Balboa, E., & Cuesta-Vargas, A. (2026). Immersive virtual reality–based manual therapy training: A mixed-methods trial. Educational technology research and development. https://doi.org/10.1007/s11423-026-10620-3 NO Funding for open access charge: Universidad de Málaga / CBUA DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 25 may 2026