中国康复理论与实践2024，Vol.30Issue(5)：526-534,9.DOI:10.3969/j.issn.1006-9771.2024.05.005
基于丰富环境理论的多感官反馈步态训练对脑卒中患者步行功能的效果
Effect of enriched environment theory-based multisensory feedback gait training on walking function in stroke patients
摘要
Abstract
Objective To explore the effect of multi-sensory artificial intelligence feedback gait training on the recovery of walking function in stroke patients based on enriched environment theory. Methods From July,2021 to June,2023,a total of 80 stroke patients in Huashan Hospital Affiliated to Fudan University were randomly divided into control group(n=40)and experimental group(n=40).Both groups received rou-tine rehabilitation in the lying and seated positions,for 40 minutes.The control group received ground walking training,for 20 minutes,while the experimental group received multi-sensory feedback gait training in enriched environment,for 20 minutes.Before and after four weeks intervention,the digital motion monitoring treadmill was used to mearsure step speed,step length,hip and knee swing angle and weight symmetry.They were as-sessed with Berg Balance scale(BBS),Fugl-Meyer Assessment-Lower Extremities(FMA-LE)and Barthel Index(BI). Results After intervention,the hip swing angle,step length of both sides and step speed significantly improved in both groups(|t|＞3.162,P＜0.05),and they were better in the experimental group than in the control group(|t|＞2.568,P＜0.05);the average knee joint swing angle and bilateral weight-bearing symmetry significantly im-proved in the experimental group(|t|＞3.249,P＜0.01);the scores of BBS,FMA-LE and BI improved in both groups(|t|＞3.569,P＜0.01),and they were better in the experimental group than in the control group(|t|＞2.922,P＜0.05). Conclusion Multi-sensory feedback gait training based on enriched environment theory could effectively improve the walking and balance of stroke patients,and increase the ability of independence.关键词
脑卒中/丰富环境/多感官反馈/步行功能Key words
stroke/enriched environment/multisensory feedback/walking function分类
医药卫生引用本文复制引用
徐冬艳,王卫宁,潘力,刘罡,刘加鹏,吴毅,朱玉连..基于丰富环境理论的多感官反馈步态训练对脑卒中患者步行功能的效果[J].中国康复理论与实践,2024,30(5):526-534,9.基金项目
1.上海市科委"科技创新行动计划"生物医药科技支撑专项项目(No.21S31902500) （No.21S31902500）
2.上海申康医院发展中心促进临床专科能力提升项目(No.SHDC22023304-A （）
No.SHDC22023304-B) （）
3.国家科技部重点研发子课题(No.2023YFC3603901) Supported by Shanghai Municipal Science and Technology Commission's"Technology Innovation Action Plan"Biomedical Technology Support Special Project(No.21S31902500),Shanghai Shenkang Hospital Development Center Promotes Clinical Specialty Capacity Improvement Project(No.SHDC22023304-A （No.2023YFC3603901）
No.SHDC22023304-B)and Key Research and Development Sub-Project of National Ministry of Science and Technology(No.2023YFC3603901) （No.2023YFC3603901）
