中国康复理论与实践2025，Vol.31Issue(3)：254-263,10.DOI:10.3969/j.issn.1006-9771.2025.03.002
视觉剥夺训练联合本体感觉训练对脑卒中偏瘫患者平衡功能的效果
Effect of visual deprivation training combined with proprioceptive training on balance in hemiplegic patients af-ter stroke
摘要
Abstract
Objective To explore the effect of visual deprivation training combined with proprioceptive training on balance function of hemiplegic patients after stroke. Methods A total of 80 stroke patients with hemiplegia in Jiangsu Shengze Hospital were selected from May,2022 to March,2024,and randomly divided into control group(n=20),proprioceptive training group(n=20),visual de-privation group(n=20)and combined group(n=20).All the groups received routine rehabilitation training,while the proprioceptive training group added proprioceptive training,the visual deprivation group added balance training under visual deprivation,and the combined group added visual deprivation training and proprioceptive training,for four weeks.They were assessed with ProKin Balance Test and Training System,Berg Balance Scale(BBS),10-metre walking test(10MWT),Fugl-Meyer Assessment-Lower Extremities(FMA-LE)and Functional Gait Assessment(FGA)before and after treatment. Results The intra-group effect(F>96.618,P<0.001)and interaction effect(F>5.444,P<0.01)were significant in mean longitudinal velocity and mean horizontal velocity.The intra-group effect(F>177.671,P<0.001),inter-group effect(F>3.761,P<0.05)and interaction effect(F>7.555,P<0.001)were significant in movement el-lipse area and movement length both with eyes open and closed.The intra-group effect(F>221.902,P<0.001)and interaction effect(F>7.586,P<0.001)were significant in the time of 10MWT,and the scores of BBS,FMA-LE and FGA;and the inter-group effect were significant in FGA score(F=5.258,P<0.01).Post Hoc test showed that all the indicators were better in the combined group and the visual deprivation group than in the con-trol group(P<0.05);as well as in the proprioceptive training group than in the control group(P<0.05)except mean longitudinal velocity with eyes open,mean horizontal velocity with eyes closed,and movement length with eyes open;while all the indicators were better in the combined group than both in the visual deprivation group and the proprioceptive training group(P<0.05);there was no significant difference between the visual depriva-tion group and the proprioceptive training group for all the indicators(P>0.05). Conclusion Both visual deprivation training and proprioceptive training can improve balance,lower limb motor function and walking of hemiplegic stroke patients,and the combination is more effective.关键词
脑卒中/偏瘫/视觉剥夺/本体感觉训练/平衡/运动/步行Key words
stroke/hemiplegia/visual deprivation/proprioceptive training/balance/motor function/walking分类
临床医学引用本文复制引用
苏盼盼,叶朋,卢倩,何川,陆晓..视觉剥夺训练联合本体感觉训练对脑卒中偏瘫患者平衡功能的效果[J].中国康复理论与实践,2025,31(3):254-263,10.基金项目
苏州市科技局医学应用基础研究项目(No.SKY2023033) Supported by Suzhou Science and Technology Bureau Medical Applications Basic Research Project(No.SKY2023033) （No.SKY2023033）
