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

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.

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Effect of medial arch support foot orthosis on plantar pressure distribution in females with mild-to-moderate hallux valgus after one month of follow-up

Prosthetics and Orthotics International ◽

10.1177/0309364613518229 ◽

2014 ◽

Vol 39 (2) ◽

pp. 134-139 ◽

Cited By ~ 14

Author(s):

Maede Farzadi ◽

Zahra Safaeepour ◽

Mohammad E Mousavi ◽

Hassan Saeedi

Keyword(s):

Pressure Distribution ◽

Hallux Valgus ◽

Plantar Pressure ◽

Peak Pressure ◽

Foot Orthoses ◽

First Metatarsal ◽

Plantar Pressure Distribution ◽

Before And After ◽

Arch Support ◽

Foot Orthosis

Background:Higher plantar pressures at the medial forefoot are reported in hallux valgus. Foot orthoses with medial arch support are considered as an intervention in this pathology. However, little is known about the effect of foot orthoses on plantar pressure distribution in hallux valgus.Objectives:To investigate the effect of a foot orthosis with medial arch support on pressure distribution in females with mild-to-moderate hallux valgus.Study design:Quasi-experimental.Methods:Sixteen female volunteers with mild-to-moderate hallux valgus participated in this study and used a medial arch support foot orthosis for 4 weeks. Plantar pressure for each participant was assessed using the Pedar-X®in-shoe system in four conditions including shoe-only and foot orthosis before and after the intervention.Results:The use of the foot orthosis for 1 month led to a decrease in peak pressure and maximum force under the hallux, first metatarsal, and metatarsals 3–5 ( p < 0.05). In the medial midfoot region, peak pressure, maximum force, and contact area were significantly higher with the foot orthosis than shoe-only before and after the intervention ( p = 0.00).Conclusion:A foot orthosis with medial arch support could reduce pressure beneath the hallux and the first metatarsal head by transferring the load to the other regions. It would appear that this type of foot orthosis can be an effective method of intervention in this pathology.Clinical relevanceFindings of this study will improve the clinical knowledge about the effect of the medial arch support foot orthosis used on plantar pressure distribution in hallux valgus pathology.

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Cerebral Reorganization in Subacute Stroke Survivors after Virtual Reality-Based Training: A Preliminary Study

Behavioural Neurology ◽

10.1155/2017/6261479 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Xiang Xiao ◽

Qiang Lin ◽

Wai-Leung Lo ◽

Yu-Rong Mao ◽

Xin-chong Shi ◽

...

Keyword(s):

Virtual Reality ◽

Sensorimotor Cortex ◽

Brain Regions ◽

Cortical Reorganization ◽

Gait Velocity ◽

Stroke Survivors ◽

Subacute Stroke ◽

Before And After ◽

Primary Sensorimotor Cortex ◽

Gait Function

Background. Functional magnetic resonance imaging (fMRI) is a promising method for quantifying brain recovery and investigating the intervention-induced changes in corticomotor excitability after stroke. This study aimed to evaluate cortical reorganization subsequent to virtual reality-enhanced treadmill (VRET) training in subacute stroke survivors.Methods. Eight participants with ischemic stroke underwent VRET for 5 sections per week and for 3 weeks. fMRI was conducted to quantify the activity of selected brain regions when the subject performed ankle dorsiflexion. Gait speed and clinical scales were also measured before and after intervention.Results. Increased activation in the primary sensorimotor cortex of the lesioned hemisphere and supplementary motor areas of both sides for the paretic foot (p<0.01) was observed postintervention. Statistically significant improvements were observed in gait velocity (p<0.05). The change in voxel counts in the primary sensorimotor cortex of the lesioned hemisphere is significantly correlated with improvement of 10 m walk time after VRET (r=−0.719).Conclusions. We observed improved walking and increased activation in cortical regions of stroke survivors after VRET training. Moreover, the cortical recruitment was associated with better walking function. Our study suggests that cortical networks could be a site of plasticity, and their recruitment may be one mechanism of training-induced recovery of gait function in stroke. This trial is registered with ChiCTR-IOC-15006064.

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Gait Analysis before and after Osteotomy for Hallux Valgus

Foot & Ankle ◽

10.1177/107110078700800303 ◽

1987 ◽

Vol 8 (3) ◽

pp. 134-136 ◽

Cited By ~ 16

Author(s):

Dimitrios Vittas ◽

Erik C. Jansen ◽

Tommy K. Larsen

Keyword(s):

Gait Analysis ◽

Hallux Valgus ◽

Large Series ◽

Female Patients ◽

Gait Parameters ◽

Before And After ◽

Gait Function

Twenty-one female patients with bunions were treated by Mitchell osteotomy. Nineteen had clinically excellent or good results. This included no pain on walking, normal ambulation, and improved appearance. Two patients were dissatisfied. By using an instrumented treadmill the gait function was tested before and a median of 6 ½ months after operation. No significant improvements or losses were found in a large series of gait parameters. The benefits of operation were not due to an improved gait function and other factors must have influenced the final result.

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Pengaruh Pemberian Terapi Musik Terhadap Penurunan Kecemasan dan Tingkat Stress Mahasiswa Semester VII Keperawatan dalam Menghadapi Tugas Skripsi di STIKES ICSADA Bojonegoro

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v1i1.1 ◽

2015 ◽

Vol 1 (1) ◽

Author(s):

Ferawati Ferawati ◽

Siti Amiyakun

Keyword(s):

Music Therapy ◽

Physical Illness ◽

The Body ◽

Nursing Science ◽

Before And After ◽

Science College ◽

Psychological Pressure ◽

Therapy Interventions ◽

Pressure Stress ◽

Quasi Experiment

ABSTRAK Stress adalah suatu kondisi dimana tubuh terganggu karena tekanan psikologis. Stress dikaitkan bukan karena penyakit fisik lebih mengenai kejiwaan. Karena pengaruh stress tersebut maka penyakit fisik bisa muncul akibat lemahnya dan rendahnya daya tahan tubuh. Studi tentang kesehatan jiwa, telah menunjukkan terapi music sangat efektif dalam meredakan kegelisahan dan stress, mendorong perasaan rileks serta meredakan depresi. Tujuan dari penelitian ini adalah mengetahui pengaruh terapi music terhadap tingkat stress mahasiswa sebelum dan sesudah diberikan terapi musik.Penelitian ini merupakan penelitian Quasi Experiment dengan menggunakan rancangan one group pretest-posttest design. Sampel penelitian ini adalah 47 responden. Data dikumpulkan dengan mengisi kuesioner DASS. Pengolahan data dengan uji Wilcoxon Match Pairs Test. Hasil dari penelitian yaitu sebelum dilakukan pemberian terapi music didapatkan 7 mahasiswa atau (16,67%) mengalami stress berat. Setelah diberikan intervensi terapi music diketahui 7 orang mahasiswa (16,67%) mengalami penurunan tingkat stress. Kesimpulannya ada pengaruh pemberian terapi music terhadap tingkat stress pada mahasiswa Program Studi Ilmu Keperawatan Sekolah Tinggi Ilmu Kesehatan Insan Cendekia Husada Bojonegoro ( (0,000) dan nilai Z hitung – 6,557 sedangkan Z table 1,96 (Z hitung Z table) berarti Ho ditolak sehingga Ha diterima). Kata Kunci: Terapi Musik, Tingkat Stress. ABSTRACT Stress is a condition where the body is disrupted due to psychological pressure. Stress is associated not due to physical illness is more about the mental. Because of the influence of the stress then physical illness can arise due to the weakness and lack of endurance. The study of mental health, music therapy has shown very effective in relieving anxiety and stress, encourage relaxation and relieve feelings of depression. The purpose of this study was to determine the effect of music therapy on the stress level of students before and after therapy is given musik.Penelitian a Quasi Experiment study using a design one group pretest-posttest design. The sample was 47 respondents. Data were collected by filling out questionnaires DASS. Data processing by Wilcoxon Match Pairs Test. Results of the research that prior to giving music therapy students or obtained 7 (16.67%) experienced severe stress. After being given music In therapy interventions known 7 students (16.67%) decreased level of stress. In conclusion there is the effect of music therapy on the level of stress in students of Nursing Science College of Health Sciences Insan Scholar (0,000) and the Z count - 6.557 while the Z table  Husada Bojonegoro 1.96 (Z count Z table) means Ho is rejected so Ha is received). Key words: Music Therapy, Stress Levels.

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Effectiveness of Virtual Reality-Based Exercise Therapy in Rehabilitation: A Scoping Review

Informatics in Medicine Unlocked ◽

10.1016/j.imu.2021.100562 ◽

2021 ◽

pp. 100562

Author(s):

Afsoon Asadzadeh ◽

Taha Samad-Soltani ◽

Zahra Salahzadeh ◽

Peyman Rezaei-Hachesu

Keyword(s):

Virtual Reality ◽

Exercise Therapy ◽

Scoping Review

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Gamification and Hazard Communication in Virtual Reality: A Qualitative Study

Sensors ◽

10.3390/s21144663 ◽

2021 ◽

Vol 21 (14) ◽

pp. 4663

Author(s):

Janaina Cavalcanti ◽

Victor Valls ◽

Manuel Contero ◽

David Fonseca

Keyword(s):

Virtual Reality ◽

New Technologies ◽

Training Environment ◽

Hazard Communication ◽

Head Mounted Display ◽

Compliance Behavior ◽

Before And After ◽

Recorded Data ◽

The Impact ◽

Different Levels

An effective warning attracts attention, elicits knowledge, and enables compliance behavior. Game mechanics, which are directly linked to human desires, stand out as training, evaluation, and improvement tools. Immersive virtual reality (VR) facilitates training without risk to participants, evaluates the impact of an incorrect action/decision, and creates a smart training environment. The present study analyzes the user experience in a gamified virtual environment of risks using the HTC Vive head-mounted display. The game was developed in the Unreal game engine and consisted of a walk-through maze composed of evident dangers and different signaling variables while user action data were recorded. To demonstrate which aspects provide better interaction, experience, perception and memory, three different warning configurations (dynamic, static and smart) and two different levels of danger (low and high) were presented. To properly assess the impact of the experience, we conducted a survey about personality and knowledge before and after using the game. We proceeded with the qualitative approach by using questions in a bipolar laddering assessment that was compared with the recorded data during the game. The findings indicate that when users are engaged in VR, they tend to test the consequences of their actions rather than maintaining safety. The results also reveal that textual signal variables are not accessed when users are faced with the stress factor of time. Progress is needed in implementing new technologies for warnings and advance notifications to improve the evaluation of human behavior in virtual environments of high-risk surroundings.

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SURG-03. IMMERSIVE VIRTUAL REALITY APPLICATIONS IN NEUROSURGICAL ONCOLOGY

Neuro-Oncology ◽

10.1093/neuonc/noaa222.800 ◽

2020 ◽

Vol 22 (Supplement_3) ◽

pp. iii461-iii461

Author(s):

Andrea Carai ◽

Angela Mastronuzzi ◽

Giovanna Stefania Colafati ◽

Paul Voicu ◽

Nicola Onorini ◽

...

Keyword(s):

Virtual Reality ◽

Real Time ◽

New Technologies ◽

Young Patients ◽

Spatial Relationship ◽

3D Models ◽

Immersive Virtual Reality ◽

Global Improvement ◽

3D Rendering ◽

Before And After

Abstract Tridimensional (3D) rendering of volumetric neuroimaging is increasingly been used to assist surgical management of brain tumors. New technologies allowing immersive virtual reality (VR) visualization of obtained models offer the opportunity to appreciate neuroanatomical details and spatial relationship between the tumor and normal neuroanatomical structures to a level never seen before. We present our preliminary experience with the Surgical Theatre, a commercially available 3D VR system, in 60 consecutive neurosurgical oncology cases. 3D models were developed from volumetric CT scans and MR standard and advanced sequences. The system allows the loading of 6 different layers at the same time, with the possibility to modulate opacity and threshold in real time. Use of the 3D VR was used during preoperative planning allowing a better definition of surgical strategy. A tailored craniotomy and brain dissection can be simulated in advanced and precisely performed in the OR, connecting the system to intraoperative neuronavigation. Smaller blood vessels are generally not included in the 3D rendering, however, real-time intraoperative threshold modulation of the 3D model assisted in their identification improving surgical confidence and safety during the procedure. VR was also used offline, both before and after surgery, in the setting of case discussion within the neurosurgical team and during MDT discussion. Finally, 3D VR was used during informed consent, improving communication with families and young patients. 3D VR allows to tailor surgical strategies to the single patient, contributing to procedural safety and efficacy and to the global improvement of neurosurgical oncology care.

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Radiographic Measurements in Patients with Hallux Valgus Before and After Proximal Crescentic Osteotomy

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.h.00483 ◽

2009 ◽

Vol 91 (6) ◽

pp. 1369-1376 ◽

Cited By ~ 67

Author(s):

Hiroaki Shima ◽

Ryuzo Okuda ◽

Toshito Yasuda ◽

Tsuyoshi Jotoku ◽

Naoshi Kitano ◽

...

Keyword(s):

Hallux Valgus ◽

Radiographic Measurements ◽

Before And After

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Does Social Exclusion Alter Sensory and Pain Thresholds in Children and Adolescents with Functional Abdominal Pain? – Results from a Preliminary Study

Pain Medicine ◽

10.1093/pm/pny266 ◽

2018 ◽

Vol 20 (8) ◽

pp. 1472-1478

Author(s):

Marco Daniel Gulewitsch ◽

Aiste Jusyte ◽

Katja Weimer ◽

Michael Schönenberg

Keyword(s):

Abdominal Pain ◽

Social Exclusion ◽

Experimental Studies ◽

Control Group ◽

Childhood And Adolescence ◽

Sensory Threshold ◽

Functional Abdominal Pain ◽

Pain Thresholds ◽

Before And After ◽

Underlying Mechanisms

Abstract Objective Functional abdominal pain (AP) is a prevalent issue in childhood and adolescence. The contribution of psychosocial factors in the development and maintenance of this health problem is rather unclear, and experimental studies about underlying mechanisms are lacking. This study investigates whether experimentally induced social exclusion decreases sensory and pain thresholds in children suffering from AP. Subjects Twenty children/adolescents with AP and 22 healthy controls. Methods Children/adolescents participated in the Cyberball paradigm, which affects an experience of social exclusion. Thermal sensory and pain thresholds were measured before and after Cyberball. Results Children/adolescents with AP showed a divergent reaction regarding their sensory threshold after social exclusion: The control group exhibited a tendency toward a decreased sensory threshold whereas the AP group remained stable. Concerning the pain threshold, no effect of social exclusion could be identified. The increase of both thresholds (“numbing”) after Cyberball was positively correlated with symptoms of mental health issues. Conclusions This is the first study to investigate changes in sensory and pain thresholds following painful social interactions in a sample of children/adolescents with a chronic pain condition. Results suggest that AP and control children differ in their reaction of sensory thresholds, which might indicate an altered processing of social exclusion. Replication and further methodological improvements are needed.

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