Seated Virtual Reality-Guided Exercise Improved Gait in a Postoperative Hallux Valgus Case
Masami Nakamoto1,2, Akihiro Kakuda1,2, Toshinori Miyashita1
1Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, 1-26-16, Nanko-kita, Suminoe-ku, Osaka 559-8611, Japan.
International Journal of Environmental Research and Public Health
|December 24, 2021
Summary
Virtual reality (VR) exercise therapy improved toe function, plantar sensation, and trunk-pelvic stability in a hallux valgus patient post-surgery. These benefits persisted for two weeks after the three-week intervention.
Area of Science:
- Rehabilitation Medicine
- Biomedical Engineering
- Kinesiology
Background:
- Hallux valgus surgery can impact gait mechanics and sensory feedback.
- Virtual reality (VR) offers a novel approach to exercise therapy for rehabilitation.
- Assessing VR's effect on fine motor control and postural adjustments is crucial.
Observation:
- A single postoperative hallux valgus patient underwent a 3-week VR-guided exercise program (mediVR KAGURA).
- Measurements included plantar pressure, trunk-pelvic displacement during gait, and foot tactile thresholds.
- An A-B-A research design (pre-phase, intervention, post-phase) was employed.
Findings:
- VR exercise enhanced hallux plantar pressure and reduced sensory thresholds.
- Postural adjustments showed improved trunk-pelvic displacement patterns during gait.
- Improvements in toe function, plantar sensation, and postural control were observed.
Implications:
- VR-guided therapy can effectively improve gait-related functions post-hallux valgus surgery.
- The study highlights VR's potential for enhancing sensory-motor integration and balance.
- Findings suggest VR exercise may be a valuable tool for foot and ankle rehabilitation.


