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ReCode XR
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A man in a VR headset raises his hand; a glowing virtual hand made of light lines mirrors the movement.

Digital therapy platform · MedTech · Ukraine

Rehabilitation that patients want to come back to.

ReCode XR is a VR digital therapy platform for physical rehabilitation after injury, amputation and musculoskeletal trauma — clinically grounded exercises in a game-quality VR format — for the clinic first, and later for the home.

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byMriya Production

Why it matters

Ukrainian soldiers wounded
~400,000
Ukrainian soldiers wounded1
war-related amputations
100,000+
war-related amputations2
people with an amputation live with phantom limb pain
6 in 10
people with an amputation live with phantom limb pain3

1 President of Ukraine, interview with Fox News, late July 2026 — LB.ua, 31.07.2026.2 Ministry of Health of Ukraine, via WHO; the same “over 100,000” estimate confirmed in 2026 — WHO Europe, 24.02.2025; Northwestern University, April 2026.3 Limakatso et al., PLOS ONE, 2020 — meta-analysis of 39 studies, 12,738 participants (global data) — PLOS ONE

The Problem

  • The number of patients recovering from injury and amputation has risen sharply in Ukraine.

  • Conventional rehabilitation is painful and monotonous — and it holds patients across a long course. Up to half of patients do not follow their home exercise programme.4

  • Phantom limb pain is widespread and inadequately addressed.

  • Clinicians have no objective remote monitoring between visits.

  • International solutions are not localised for Ukraine; local ones are often expensive and weaker on engagement.

4 Argent, Daly, Caulfield, JMIR mHealth uHealth, 2018 — 30–50% in musculoskeletal cohorts — JMIR

A man with a lower-leg prosthesis walks with crutches along a bright rehabilitation corridor.

The Patient Journey

Where the gap in the rehabilitation process opens up

  1. Injury / amputation

    The patient completes acute treatment and is referred to rehabilitation.

  2. Start of clinical therapy

    The clinician builds an exercise programme for functional recovery, pain reduction and adaptation.

  3. Where it breaks down

    Between sessions the patient loses motivation and exercises irregularly, and the clinician cannot see the full picture of progress.

  4. Phase 1 — the clinical solution

    ReCode XR is embedded into the clinical process, making exercises more engaging, more structured and measurable.

  5. Next phase

    After clinical testing the platform extends into home use under remote clinical supervision.

The Solution

ReCode XR turns rehabilitation exercises into clinically grounded VR scenarios with gamification, biofeedback and a clinician dashboard. The patient goes through therapy in VR at the clinic — and, in the next phase, at home — while the clinician sees progress, receives metrics and can adjust the load remotely.

A patient in a VR headset reaches forward at a clinic while a therapist follows the session on a tablet.A patient with a leg prosthesis practises balance in a VR headset with a therapist's support.

  • Game-quality visuals

    AAA-level visuals, personalised avatars, RPG progression.

  • Medical expertise

    Clinical scenarios built with rehabilitation specialists; objective metrics + pain scales.

  • Biopsychosocial approach

    Physical rehab, psychological support and patient community in one platform.

  • Accessibility

    Clinic first, home next; Ukrainian localisation; affordable standalone hardware.

The Product

Five modules of one platform

VR view: the patient's real hand and a glowing virtual hand mirror each other above a table.
1

VR mirror therapy for phantom limb pain

The avatar reproduces the missing limb through motion tracking; helps reduce phantom pain.

Concept UI of the clinician dashboard: patient A-1042, pain before and after sessions (VAS), range of motion, sessions, adherence, assigned programme, alerts and patient list.
2

Clinician web dashboard

Real-time movement data, immediate feedback, objective metrics instead of subjective observation.

ReCode XRA 3D avatar of a patient with a prosthetic arm, standing in a ring of light.

Personalised avatar · RPG progression

A Meta Quest headset with controllers, wearable sensor straps and pressure insoles.
3

Real-time biofeedback

EMG, heart rate and IMU sensors; difficulty and load adjusted remotely.

VR view: virtual hands reach for glowing targets in a bright room.
4

Gamified motor rehabilitation

Monotonous exercises become game goals: more motivation, better adherence.

A man with a leg prosthesis trains with a VR headset in his living room.
5Next phase

Home use on a standalone Meta Quest 3 headset

No fixed equipment; the course continues between clinic visits under remote clinical supervision.

Concept UI of the clinician dashboard: patient A-1042, pain before and after sessions (VAS), range of motion, sessions, adherence, assigned programme, alerts and patient list.
Clinician dashboard — Concept UI

How it works

1VR headset2Local storage3Cloud4Web portalReCode XR↻ Loop
  • Meta Quest 3
  • Unreal Engine 5
  • Bluetooth sensors: EMG, motion, heart rate, pressure insoles
  • Works offline
  • GDPR-ready

Therapy modules

Clinical scenarios — the first two are in the MVP

  • VR view: the patient's real hand and a glowing virtual hand mirror each other above a table.MVP

    VR Mirror Therapy

    For:
    Limb loss, phantom limb pain
    Method:
    Mirrored movement + EMG biofeedback
    Duration:
    15–20 min
  • VR view: virtual hands reach for glowing targets in a bright room.MVP

    Motor Rehabilitation

    For:
    Combat wounds, MSK injuries
    Method:
    Gamified ROM, grip, coordination tasks
    Duration:
    15–30 min
  • VR view: a snowy landscape under the northern lights; a virtual hand holds a glowing orb.Planned

    Pain Distraction

    For:
    Burns (dressing changes)
    Method:
    Immersive VR analgesia (SnowWorld protocol)
    Duration:
    5–60 min
  • VR view: glowing stepping discs lead across a sunset meadow.Planned

    Graded Exposure

    For:
    Kinesiophobia (fear of movement)
    Method:
    Gradual increase of movement in a safe VR space
    Duration:
    15–25 min
  • VR view: the patient's feet step along glowing stones across a calm lake.Planned

    Balance Training

    For:
    Lower-limb injuries
    Method:
    Balance & gait tasks, pressure insoles / IMU
    Duration:
    15–20 min

Modules for cognitive rehabilitation (TBI) and psychological support are planned as add-ons for patients with multiple trauma.

Evidence

What published research says about VR therapy

  • 14 / 15

    studies show phantom pain reduction with VR mirror therapy

    Hali, 2024

  • 35–50%

    pain reduction in burns · 16 RCTs, N=535

    Hoffman / Patterson, 2022

  • 190

    studies, 7,188 stroke patients — VR improves limb function

    Cochrane, 2025Phase 2

  • VR improves range of motion, coordination and balance after MSK injury

    Multiple RCTs

What we aim for

  • help people adapt to limb loss
  • reduce phantom limb pain
  • make rehabilitation easier to follow and more continuous
  • give clinicians objective data on progress

How we'll measure it

Pain before and after each session, range of motion, and how many patients complete the course.

These outcomes will be measured during the clinical pilot.

Data refer to VR therapy in general, not to ReCode XR specifically. ReCode XR clinical validation is planned during the MVP pilot.

Market Opportunity — Ukraine First, Global Next

Tier 1 — priority MVP cohort

soldiers wounded
~400,000
soldiers wounded1
war-related amputations
100,000+
war-related amputations2

Tier 2 — expansion after MVP

strokes per year in Ukraine
~130,000
strokes per year in Ukraine5

Serviceable market

50–100 facilities

within 2–3 years (rehab centres, military hospitals, veteran programmes, donor-funded rehabilitation)

  • $1.02B

    virtual rehabilitation market in 2026

  • $2.46B

    by 2030

  • 24.6%

    CAGR

Virtual rehabilitation market, $B
0.66
0.82
1.02
1.27
1.58
1.97
2.46
2024202520262027E2028E2029E2030E

2024–2026forecast

Source: The Business Research Company, Virtual Rehabilitation Global Market Report 2026.6

5 WHO Europe, Report on situational analysis of acute stroke care in Ukraine, 2024 — WHO.6 The Business Research Company, Virtual Rehabilitation Global Market Report 2026 — TBRC

Why ReCode XR

—Game-quality visualsFocus on injury & limb lossUkrainian localisationAffordable for UA marketHome useFDA/CE/MoH certificationOwn clinical validation
MindMaze————availableavailableavailable
XRHealth————availableavailableavailable
VRNOW—availableavailable——availableavailable
ReCode XRin developmentavailableavailabletargetnext phaseplannedplanned (MVP pilot)

✓ available · ◐ in development / planned · ○ not yet

Where ReCode XR is different: game-quality visuals, Ukrainian localisation, a focus on injury and amputation, a planned home-use scenario, and a more affordable model in place of expensive specialised hardware.

Who pays and who uses

  • Clinics

    Buyer / implementer

    Deploy the platform, manage patients, use the dashboard.

  • Foundations & government

    Payer / sponsor

    Fund access, licences or equipment for rehab programmes for the wounded and veterans.

  • Veteran organisations

    Partner / channel

    Access to the audience, partnerships, launching programmes.

  • Patients

    End users

    Rehabilitation at the clinic (and later at home), more engaging and continuous.

B2B

Primary, after MVP

Licence or SaaS subscription for clinics and rehab centres; first step — pilot contracts; scaling through foundations, government programmes (MoH, MoD, Ministry of Veterans Affairs) and partner deployments.

B2C

Second stage

Home subscription after therapy at the clinic; acquisition via clinician referral.

Roadmap

  1. Current stageYou are here

    Market & clinical research, expert interviews with clinicians, product concept defined, first advisers on board

  2. Alpha / technical validation

    1–2 therapeutic scenarios, basic clinician dashboard, analytics

  3. MVP & clinical testing

    Full patient–clinician loop, testing with 2–3 clinical partners

  4. Adaptation & launch

    Core set of modules, deployment in Ukrainian rehab centres & hospitals

  5. Scaling

    Home use, stroke and other cohorts, EU & US markets

Team & Partners

  • Kateryna Karmalita

    Kateryna Karmalita

    Chief Executive Officer · Founder of ReCode XR

  • Dmytro Terokhin

    Dmytro Terokhin

    Chief Product Officer

  • Dmytro Sushchevskyi, PhD

    Dmytro Sushchevskyi, PhD

    Chief Technical Officer

  • Farhad Ostovari, DPT

    Farhad Ostovari, DPT

    Lead rehabilitation expert

  • Artem Ivanenko

    Artem Ivanenko

    Art Director

  • Nadiia Kamash

    Nadiia Kamash

    Medical expert · Project Manager

  • Olha Kukharuk, PhD

    Olha Kukharuk, PhD

    Medical expert · Psychotherapist

  • Maksym Dudko

    Maksym Dudko

    UE5 Developer

Partners

  • Mriya Production

    Mriya Production

    Creative technology studio producing CGI, virtual production and XR solutions for brands, events and media (20+ years of CG experience).

  • MCOP Ukraine

    MCOP Ukraine

    Medical Center Orthotics & Prosthetics — nationwide centre for modern prosthetics and rehabilitation, including complex clinical cases.

  • FFU Foundation

    FFU Foundation

    International charitable foundation running humanitarian and social programmes in medicine.

Let's make rehabilitation after injury more accessible, more motivating and more continuous.

Interested in ReCode XR? Let's talk.

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