Virtual Reality Foot Reflexology (VRST): A New Alternative in Foot Reflexology

  • Authors

    • Hector Chimeremeze Okere
    • Juliana A. Abu Bakar
    • Ruzinoor Che Mat
  • Virtual reality, Stress therapy, Foot reflexology, Virtual reality stress therapy (VRST),
  • Virtual reality stress therapy (VRST) is an innovative and emerging concept that provides effective modality for relaxation and stress therapy by allowing users to be exposed to similar stimuli as their real-world counterparts using a computer-generated virtual environment. Foot reflexology has been widely used to improve quality of life and well-being, reflected in numerous benefits such as stress relief, distress, insomnia relief, potential diagnostic tool, sleeping disorder, and as a complementary treatment tool. This paper presents the varying alternatives in foot reflexology stress therapy applications and the opportunities VR offers the therapy. Virtual reality foot reflexology stress therapy application utilized VR technologies of visual and aural interactivity, coupled in a Head-Mounted-Display (HMD), alongside a reflexology artifact/device for haptic interaction for relaxation and stress relief. Implications and Future works were also discussed.


  • References

    1. [1] D. P. Subha, P. K. Joseph, R. Acharya U, and C. M. Lim, “EEG Signal Analysis: A Survey,†J. Med. Syst., vol. 34, no. 2, pp. 195–212, 2010.

      [2] H. C. Okere, Sulaiman, D. R. R. Awang, and O. Foong, “Visual and Aural Modal Interactions in Traditional Foot Reflexology Practice,†Aust. J. Basic Appl. Sci., vol. 8, no. 5, pp. 508–514, 2014.

      [3] H. C. Okere, S. Sulaiman, D. R. Rambli, and O. M. Foong, “An exploratory study on the user experience of foot reflexology therapy using reflexology artifacts.,†in Proceedings of The 23rd Scientific Conference Of Microscopy Society Malaysia (SCMSM 2014) (Vol. 1669, p. 020074), 2015.

      [4] E. Blunt, “Foot reflexology.,†Holist. Nurs. Pract., vol. 20, no. 5, pp. 257–259, 2006.

      [5] B. Kunz, Reflexology Health at Your Fingertips: Hands-on Treatment for Vitality and Well-being. 2003.

      [6] D. A. Bisson, N101-Foot Reflexology Course. Ontario College of Reflexology., 2001.

      [7] I. Dougans, Complete Illustrated Guide to Reflexology., 2nd ed. London: Element, 2002.

      [8] E. D. Ingham, Stories the Feet Can Tell Thru reflexology & Stories the feet Have Told Thru Reflexology. Ingham Publisher, 1984.

      [9] J. Hope-Spencer, The Reflexology Workshop. The Crowood Press Ltd., 1999.

      [10] Ministry-of-Health-Malaysia, Good Practice Guidelines on Reflexology: For Reflexologists Practicing in Malaysia. Traditional and Complementary Medicine Division Ministry of Health Malaysia, 2011.

      [11] B. F. Hudson, J. Davidson, and M. S. Whiteley, “The impact of hand reflexology on pain, anxiety and satisfaction during minimally invasive surgery under local anaesthetic: A randomised controlled trial.,†Int. J. Nurs. Stud., vol. 52, no. 12, pp. 1789–1797, 2015.

      [12] C. A. Samuel and I. S. Ebenezer, “Exploratory study on the efficacy of reflexology for pain threshold and tolerance using an ice-pain experiment and sham TENS control.,†Complement. Ther. Clin. Pract., vol. 19, no. 2, pp. 57–62, May 2013.

      [13] F. Sahbaee, S. Abedini, H. Ghandehari, and M. Zare, “The effect of foot Reflexology Massage on pain of scoliosis patients undergoing spinal surgery,†Anesthesiol. Pain, vol. 5, no. 2, pp. 63–71, 2015.

      [14] M. S. Choi and E. J. Lee, “Effects of Foot-Reflexology Massage on Fatigue, Stress and Postpartum Depression in Postpartum Women.,†J. Korean Acad. Nurs., vol. 45, no. 4, p. 587–594., 2015.

      [15] A. Ebadi, P. Kavei, S. T. Moradian, and Y. Saeid, “The effect of foot reflexology on physiologic parameters and mechanical ventilation weaning time in patients undergoing open-heart surgery: A clinical trial study.,†Complement. Ther. Clin. Pract., vol. 21, no. 3, pp. 188–92, Aug. 2015.

      [16] D. Tiran, “The use of complementary therapies in midwifery practice: a focus on reflexology,†Complement. Ther. Nurs. Midwifery, vol. 2, no. 2, pp. 32–37, 1996.

      [17] S. Singh and E. Ernst, How do you determine the truth? Reading: Bantam Press, 2008.

      [18] E. Ernst, “Is reflexology an effective intervention? A systematic review of randomised controlled trials.,†Med. J. Aust., vol. 191, no. 5, pp. 263–6, 2009.

      [19] N. I. for A. B. NIFAB, “undersøkelsen 2007.,†2007. [Online]. Available: // [Accessed: 22-Nov-2013].

      [20] V. F. for A. B. ViFAB, “Reflexology,†2005. [Online]. Available: [Accessed: 05-Oct-2010].

      [21] The-House-of-Lords-Select-Committee-on-science-and-technology, “The individual disciplines examined. 6th Report [session 1999-00]: Complementary and Alternative Medicine. House of Lords papers 123 1999-00.,†The Stationary Office, London: 21, 2000.

      [22] J. Jones and S. J. Leslie, “Reflexology - Science or Belief,†pp. 1–34.

      [23] H. Rossana, “Hands on feet contact & price,†2010.

      [24] C. Smallwood, The role of complementary and alternative medicine in the NHS: an investigation into the potential contribution of mainstream complementary therapies to healthcare in the UK. Fresh Minds, 2010.

      [25] N. Robinson, A. Lorenc, and G. Lewith, “Complementary and alternative medicine (CAM) professional practice and safety: A consensus building workshop,†Eur. J. Integr. Med., vol. 3, pp. 49–53, 2011.

      [26] O. H. Chimeremeze, S. Sulaiman, D. R. A. Rambli, and O.-M. Foong, “Multimodal Interactions in Traditional Foot Reflexology,†in 2014 International Conference on Computer and Information Sciences, ICCOINS 2014 - A Conference of World Engineering, Science and Technology Congress, ESTCON 2014 - Proceedings, 2014.

      [27] Ministry-of-Health-Malaysia, Good Practice Guidelines on Reflexology: For Reflexologists Practicing in Malaysia. Traditional and Complementary Medicine Division Ministry of Health Malaysia, 2011.

      [28] H. C. Okere, S. Sulaiman, D. Rohaya, A. Rambli, and O. Foong, “Multimodal Interactions in Traditional Foot Reflexology,†in Computer and Information Sciences (ICCOINS), 2014 International Conference on, 2014, pp. 1–6.

      [29] H. C. Okere, S. Sulaiman, D. R. Awang, and O. Foong, “Haptic Exploratory Interactions in Foot Reflexology Practice from the Practitioners Perspectives,†in Proceedings of the 2014 fifth International Conference on Intelligent Systems, Modelling & Simulation (ISMS), 2014 5th International Conference on, 2014, pp. 496–501.

      [30] L. L. Flynn, T. R. Bush, A. Sikorskii, R. Mukherjee, and G. Wyatt, “Understanding the role of stimulation in reflexology: Development and testing of a robotic device,†Eur. J. Cancer Care (Engl)., vol. 20, no. 5, pp. 686–696, 2011.

      [31] F. A. Himmelstoss, G. A. Haas, M. F. Strummer, and H. L. Votzi, “Electro foot-reflexology stimulator,†in in Signals, Circuits and Systems, 2007. ISSCS 2007. International Symposium on, 2007, pp. 1–4.

      [32] H. C. Okere, S. Sulaiman, D. R. Awang, O. Foong, O. H. Chimeremeze, S. Sulaiman, D. R. A. Rambli, and O. Foong, “Using AHP approach to determine the hierarchy of multi-modal interactive importance in foot reflexology practice.,†in 3rd International Conference on User Science and Engineering (i-USEr 2014), 2014, pp. 158–163.

      [33] W. Brinkman, “A Virtual Reality Dialogue System for The Treatment of Social Phobia,†Environments, pp. 1099–1102, 2012.

      [34] J. Cukor, M. Gerardi, S. Alley, C. Reist, M. Roy, B. O. Rothbaum, J. Difede, and A. Rizzo, Virtual Reality Exposure Therapy for Combat-Related PTSD. Springer International Publishing., 2015.

      [35] A. Rizzo, J. Cukor, M. Gerardi, S. Alley, C. Reist, M. Roy, B. O. Rothbaum, and J. Difede, “Virtual reality exposure for PTSD due to military combat and terrorist attacks,†J. Contemp. Psychother., no. MAY 2015, pp. 1–10, 2015.

      [36] D. Opriş, S. Pintea, A. García-Palacios, C. Botella, Ş. Szamosközi, and D. David, “Virtual reality exposure therapy in anxiety disorders: a quantitative meta-analysis,†Depress. Anxiety, vol. 29, no. 2, pp. 85–93, 2012.

      [37] D. R. Awang, S. Suziah, H. Halabt, S. Abas, B. Peteras, and Y. N. Mohd, “VReST: An image-based virtual reality stress therapy web application,†in in IT in Medicine and Education (ITME), 2011 International Symposium on, 2011, pp. 733–737.

      [38] N. Morina, H. Ijntema, K. Meyerbröker, and P. M. G. Emmelkamp, “Can virtual reality exposure therapy gains be generalized to real-life? A meta-analysis of studies applying behavioral assessments,†Behav. Res. Ther., vol. 74, no. NOVEMBER, pp. 18–24, 2015.

      [39] [39] R. Nakajima, J. Nomura, S. Fukusima, and T. Ojika, “A Relax-Refresh System Applying Virtual Reality,†in In Robot and Human Communication, 1994. RO-MAN’94 Nagoya, Proceedings., 3rd IEEE International Workshop on, 1994, pp. 145–150.

      [40] S. Sulaiman, H. C. Okere, D. R. R. Awang, and F. O. Mean, “Expert review of the multimodal interaction model for Foot Reflexology VRST application,†2016 3rd Int. Conf. Comput. Inf. Sci. ICCOINS 2016 - Proc., pp. 530–535, 2016.

      [41] H. C. Okere, S. Sulaiman, D. R. Rambli, and O. Foong, “A Multimodal Interaction Design Guidelines for VR Foot Reflexology Therapy Application.,†Int. J. Oper. Res. Inf. Syst., vol. 7, no. 3, pp. 74–91, 2016.

      [42] B. Dumas, D. Lalanne, and S. Oviatt, “Multimodal interfaces: A survey of principles, models and frameworks,†in in Human Machine Interaction Anonymous., 2009, pp. 3–26.

      [43] B. Dumas, R. Ingold, and D. Lalanne, “Benchmarking fusion engines of multimodal interactive systems,†in In Proceedings of the 2009 international conference on Multimodal interfaces, 2009, pp. 169–176.

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  • How to Cite

    Chimeremeze Okere, H., A. Abu Bakar, J., & Che Mat, R. (2018). Virtual Reality Foot Reflexology (VRST): A New Alternative in Foot Reflexology. International Journal of Engineering & Technology, 7(3.7), 383-387.