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Seated Virtual Reality-Guided Exercise Improved Gait in a Postoperative Hallux Valgus Case

Author

Listed:
  • Masami Nakamoto

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    Department of Physical Therapy, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

  • Akihiro Kakuda

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    Department of Physical Therapy, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

  • Toshinori Miyashita

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

  • Takashi Kitagawa

    (Graduate School of Health Science, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

  • Masashi Kitano

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    Graduate School of Health Science, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

  • Masahiko Hara

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    mediVR, Inc., 106-2-3-8, Terauchi, Toyonaka-shi, Osaka 561-0872, Japan)

  • Shintarou Kudo

    (Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    Department of Physical Therapy, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan
    Graduate School of Health Science, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan)

Abstract

Virtual reality (VR)-guided exercise therapy using mediVR KAGURA has been reported to improve gait function by extending the arm to spatial targets while sitting. We aimed to investigate toe and trunk–pelvic function and plantar sensation during gait in a postoperative patient with hallux valgus. A 60-year-old woman, whose foot deformities had improved 6 months earlier, participated in the study. The exercise therapy interventions were performed twice weekly for 15 min. This study used an A-B-A design: 1-week pre-phase, 3-week intervention phase, and 2-week post-phase. The plantar pressure distribution and thoracic and pelvic displacements during gait were recorded at the end of each phase. The tactile pressure thresholds of the foot were determined before and after each exercise. The maximum force and impulse under the hallux increased after the intervention. The sensory threshold of the hallux was reduced. The amplitude of the thoracic and pelvic displacement was shortened in lateral and extended in the vertical and progressional directions after the intervention. We found that a 3-week VR-guided exercise improved toe function, plantar sensation, and postural adjustment of the trunk and pelvis during gait in a patient who had undergone surgery for hallux valgus, and the effects continued for 2 weeks.

Suggested Citation

  • Masami Nakamoto & Akihiro Kakuda & Toshinori Miyashita & Takashi Kitagawa & Masashi Kitano & Masahiko Hara & Shintarou Kudo, 2021. "Seated Virtual Reality-Guided Exercise Improved Gait in a Postoperative Hallux Valgus Case," IJERPH, MDPI, vol. 18(24), pages 1-9, December.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13267-:d:703831
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