虚拟现实联合跑台训练对脑卒中患者平衡功能和步行能力的效果

doi:10.3969/j.issn.1006-9771.2024.03.008

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (3): 310-315.doi: 10.3969/j.issn.1006-9771.2024.03.008

虚拟现实联合跑台训练对脑卒中患者平衡功能和步行能力的效果

于春洋¹^,², 刘然², 赵依双², 郭帅², 周亚楠², 李丽², 张皓¹^,³^,⁴^,⁵()

1.首都医科大学康复医学院，北京市 100068
2.首都医科大学附属北京天坛医院，北京市 100070
3.中国康复研究中心北京博爱医院，北京市 100068
4.康复大学，山东青岛市 266071
5.山东大学齐鲁医学院，山东济南市 250063

收稿日期:2023-12-19 出版日期:2024-03-25 发布日期:2024-04-01
通讯作者: 张皓 E-mail:crrczh2020@163.com
作者简介:于春洋(1992-)，女，汉族，黑龙江绥化市人，硕士研究生，主管技师，主要研究方向：神经系统疾病的康复治疗。
张皓(1965-)，女，汉族，博士，主任医师，主要研究方向：神经康复。
基金资助:
首都卫生发展科研专项项目(2020-1-6011)

Effect of virtual reality treadmill training on balance and gait in stroke patients

YU Chunyang¹^,², LIU Ran², ZHAO Yishuang², GUO Shuai², ZHOU Ya'nan², LI Li², ZHANG Hao¹^,³^,⁴^,⁵()

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
2. Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
3. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
4. University of Health and Rehabilitation Sciences, Qingdao, Shandong 266071, China
5. Cheeloo College of Medicine, Shandong University, Ji'nan, Shandong 250063, China

Received:2023-12-19 Published:2024-03-25 Online:2024-04-01
Contact: ZHANG Hao E-mail:crrczh2020@163.com
Supported by:
Capital Health Development Scientific Research Project(2020-1-6011)

摘要/Abstract

摘要：

目的探讨虚拟现实联合跑台训练对脑卒中患者平衡功能和步行能力的影响。

方法 2022年3月至2023年3月首都医科大学附属北京天坛医院康复科脑卒中患者40例，随机分为对照组和试验组，每组20例。两组均参加常规康复训练，对照组在普通跑台上进行步行训练，试验组在具有虚拟现实的跑台上进行步行训练，共2周。治疗前后采用Berg平衡量表(BBS)、计时起立-行走测试(TUGT)、包络椭圆面积、压力中心(COP)运动平均速度以及步长、步幅、步宽评价平衡功能和步行能力。

结果治疗后，两组BBS评分和TUGT时间均明显改善(|t| > 3.508, P < 0.01)，试验组明显优于对照组(|t| > 3.019，P < 0.01)；两组包络椭圆面积、COP运动平均速度、步宽无明显变化(P > 0.05)；试验组步长和步幅明显改善(|t| > 4.008, P < 0.01)。

结论虚拟现实联合跑台训练可以改善脑卒中患者的平衡功能和步行能力。

关键词: 脑卒中, 虚拟现实, 跑台训练, 平衡, 步态

Abstract:

Objective To explore the effect of virtual reality treadmill training on balance and gait in stroke patients.

Methods From March, 2022, to March, 2023, 40 stroke patients in Beijing Tiantan Hospital, Capital Medical University were randomly divided into control group (n = 20) and experimental group (n = 20). Both groups received routine rehabilitation training. The control group received ordinary treadmill walking training, and the experimental group received treadmill walking training with virtual reality, for two weeks. They were assessed with Berg Balance Scale (BBS) and Timed Up and Go Test (TUGT), and the envelope ellipse area, center of pressure (COP) average speed of movement, step length, stride length and stride width were compared between two groups before and after treatment.

Results After treatment, the scores of BBS and time of TUGT improved in both groups (|t| > 3.508, P < 0.01), and they were better in the experimental group than in the control group (|t| > 3.019，P < 0.01); there was no significant difference in the envelope ellipse area, COP average speed, and stride width between two groups (P > 0.05); however, the step length and stride width improved in the experimental group (|t| > 4.008, P < 0.01).

Conclusion Treadmill training with virtual reality can improve the balance and walking ability of stroke patients.

Key words: stroke, virtual reality, treadmill training, balance, gait

中图分类号:

R743.3

于春洋, 刘然, 赵依双, 郭帅, 周亚楠, 李丽, 张皓. 虚拟现实联合跑台训练对脑卒中患者平衡功能和步行能力的效果[J]. 《中国康复理论与实践》, 2024, 30(3): 310-315.

YU Chunyang, LIU Ran, ZHAO Yishuang, GUO Shuai, ZHOU Ya'nan, LI Li, ZHANG Hao. Effect of virtual reality treadmill training on balance and gait in stroke patients[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(3): 310-315.

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	偏瘫侧(左/右)/n
对照组	20	16/4	62.05±12.12	171.85±7.68	76.30±11.00	9/11
试验组	20	15/5	61.05±9.06	169.55±6.49	70.83±10.66	9/11
χ²/t值		0.143	0.295	1.023	1.597	0.001
P值		0.705	0.769	0.313	0.119	0.999

组别	n	治疗前	治疗后	t值	P值
对照组	20	43.95±6.50	47.20±4.91	-4.806	0.001
试验组	20	46.20±3.16	51.05±2.91	-8.540	0.001
t值		1.392	3.019
P值		0.172	0.005

组别	n	治疗前	治疗后	t值	P值
对照组	20	18.92±7.23	16.24±5.04	3.508	0.002
试验组	20	16.23±3.73	12.10±3.06	8.272	0.001
t值		-1.477	-3.136
P值		0.148	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	20	298.65±144.42	286.85±145.87	0.396	0.697
试验组	20	227.75±69.41	220.85±97.58	0.272	0.789
t值		-1.979	-1.682
P值		0.055	0.101

组别	n	治疗前	治疗后	t值	P值
对照组	20	12.25±3.54	11.70±4.00	0.555	0.585
试验组	20	10.30±2.68	9.50±3.46	0.905	0.377
t值		-2.011	-1.861
P值		0.057	0.071

虚拟现实联合跑台训练对脑卒中患者平衡功能和步行能力的效果

Effect of virtual reality treadmill training on balance and gait in stroke patients

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组别	n	治疗前	治疗后	t值	P值
对照组	20	22.45±9.58	27.35±7.73	-1.609	0.124
试验组	20	19.9±5.31	24.50±4.95	-4.073	0.001
t值		-1.041	-1.389
P值		0.305	0.173

组别	n	治疗前	治疗后	t值	P值
对照组	20	43.25±14.21	52.85±14.68	-1.958	0.065
试验组	20	37.40±10.56	47.40±11.82	-4.008	0.001
t值		-1.478	-1.293
P值		0.148	0.204

组别	n	治疗前	治疗后	t值	P值
对照组	20	11.30±3.63	12.00±3.21	-0.596	0.558
试验组	20	11.95±2.70	12.85±4.15	-1.254	0.225
t值		0.642	0.725
P值		0.525	0.473

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