中国康复理论与实践2025，Vol.31Issue(10)：1214-1226,13.DOI:10.3969/j.issn.1006-9771.2025.10.013
视觉反馈平衡训练联合数字化跑台对脑梗死患者步行功能的效果
Effect of visual feedback balance training combined with digital treadmill intervention on walking function in pa-tients with ischemic stroke
摘要
Abstract
Objective To explore the effect of visual balance training combined with digital treadmill intervention on walking func-tion in patients with ischemic stroke. Methods From July,2023 to December,2024,90 patients with ischemic stroke in Gansu Provincial Hospital were ran-domly divided into control group(n=30),treadmill group(n=30)and combined group(n=30).All groups re-ceived routine rehabilitation treatment,while the treadmill group added digital treadmill training,and the com-bined group added visual feedback balance training and digital treadmill training,for four weeks.All groups were assessed with Berg Balance Scale(BBS),Pro-Kin visual feedback balance training system,Tinetti Performance-Oriented Mobility Assessment(POMA),digital treadmill system,Timed Up and Go Test(TUGT),Fugl-Meyer Assessment-Lower Extremities(FMA-LE),Functional Ambulation Category(FAC)and modified Barthel Index(MBI)before and after intervention. Results The effects of intra-group(F>147.291,P<0.001),inter-group(F>4.919,P<0.05)and interaction(F>18.386,P<0.001)were all significant for the indicators including BBS score,length trajectory and elliptical area of eyes open or closed,POMA score,step length,hip and knee range of motion on the healthy and affected side,TUGT time,FMA-LE score,and MBI score.Post-hoc tests showed that after treatment,all the above indicators improved in each group(P<0.01),and they were the best in the combined group,followed by the treadmill group(P<0.05).After treatment,the FAC grades improved in all the groups(|Z|>1.971,P<0.05),and it was better in the combined group than in the control group(P<0.01). Conclusion Visual feedback balance training combined with digital treadmill intervention can improve balance function,walking ability and activities of daily living in patients with ischemic stroke,which is more effective than tread-mill training alone.关键词
脑梗死/视觉反馈平衡训练/数字化跑台/步行功能Key words
ischemic stroke/visual feedback balance training/digital treadmill/walking function分类
医药卫生引用本文复制引用
赵玮婧,尤红,唐佐虹,李永平,文明明,刘虹,包娟..视觉反馈平衡训练联合数字化跑台对脑梗死患者步行功能的效果[J].中国康复理论与实践,2025,31(10):1214-1226,13.基金项目
甘肃省自然科学基金项目(No.21JR11RA194 （）
No.21JR1RA020) Supported by Natural Science Foundation of Gansu Province(No.21JR11RA194 （）
No.21JR1RA020) （）
