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

doi:10.3969/j.issn.1006-9771.2025.10.013

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (10): 1214-1226.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

赵玮婧^1a(), 尤红^1a, 唐佐虹^1a, 李永平^1b, 文明明^1b, 刘虹², 包娟²

1.甘肃省人民医院，a.神经内科二病区(中-法神经康复科)；b. 康复医疗中心，甘肃兰州市 730000
2.甘肃中医药大学，甘肃兰州市 730000

收稿日期:2025-05-13 修回日期:2025-09-15 出版日期:2025-10-25 发布日期:2025-11-10
通讯作者: 赵玮婧，E-mail： 29347170@qq.com
作者简介:赵玮婧(1983-)，女，汉族，甘肃兰州市人，硕士，副主任医师，主要研究方向：神经康复。
基金资助:
甘肃省自然科学基金项目(21JR11RA194);甘肃省自然科学基金项目(21JR1RA020)

Effect of visual feedback balance training combined with digital treadmill intervention on walking function in patients with ischemic stroke

ZHAO Weijing^1a(), YOU Hong^1a, TANG Zuohong^1a, LI Yongping^1b, WEN Mingming^1b, LIU Hong², BAO Juan²

1. a. Department of Neurology, Second Ward (Sino-French Neurorehabilitation Department); b. Rehabilitation Medical Center, Gansu Provincial Hospital, Lanzhou, Gansu 730000, China
2. Gansu University of Chinese Medicine, Lanzhou, Gansu 730000, China

Received:2025-05-13 Revised:2025-09-15 Published:2025-10-25 Online:2025-11-10
Contact: ZHAO Weijing, E-mail: 29347170@qq.com
Supported by:
Natural Science Foundation of Gansu Province(21JR11RA194);Natural Science Foundation of Gansu Province(21JR1RA020)

摘要/Abstract

摘要：

目的探讨视觉平衡训练联合数字化跑台干预脑梗死患者步行功能的效果。
方法 2023年7月至2024年12月，选取甘肃省人民医院90例脑梗死患者，随机分为对照组(n = 30)、跑台组(n = 30)和联合组(n = 30)。各组均接受常规康复治疗，跑台组增加数字化跑台训练，联合组增加视觉反馈平衡训练和数字化跑台训练，共4周。干预前后采用Berg平衡量表(BBS)、Pro-Kin视觉反馈平衡训练系统、Tinetti平衡与步态量表(POMA)、数字化跑台系统、计时起立-行走测试(TUGT)、Fugl-Meyer评定量表下肢部分(FMA-LE)、功能性步行分级(FAC)和改良Barthel指数(MBI)进行评估。
结果 BBS评分、睁/闭眼运动长度轨迹和运动椭圆面积、POMA评分、步长、健/患侧髋/膝关节活动度、TUGT时间、FMA-LE评分和MBI评分的组内效应(F > 147.291, P < 0.001)、组间效应(F > 4.919, P < 0.05)和交互效应(F > 18.386, P < 0.001)均显著。事后检验，治疗后，各组以上指标均明显改善(P < 0.01)；三组间比较，各项指标均为联合组最优，跑台组次之(P < 0.05)。治疗后，各组FAC分级均改善(|Z| > 1.971, P < 0.05)，联合组明显优于对照组(P < 0.01)。
结论视觉反馈平衡训练联合数字化跑台能改善脑梗死患者的平衡功能、步行能力和日常生活活动能力，疗效优于单独跑台训练。

关键词: 脑梗死, 视觉反馈平衡训练, 数字化跑台, 步行功能

Abstract:

Objective To explore the effect of visual balance training combined with digital treadmill intervention on walking function in patients with ischemic stroke.
Methods From July, 2023 to December, 2024, 90 patients with ischemic stroke in Gansu Provincial Hospital were randomly divided into control group (n = 30), treadmill group (n = 30) and combined group (n = 30). All groups received routine rehabilitation treatment, while the treadmill group added digital treadmill training, and the combined 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 treadmill training alone.

Key words: ischemic stroke, visual feedback balance training, digital treadmill, walking function

中图分类号:

R743.32

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.

ZHAO Weijing, YOU Hong, TANG Zuohong, LI Yongping, WEN Mingming, LIU Hong, BAO Juan. Effect of visual feedback balance training combined with digital treadmill intervention on walking function in patients with ischemic stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(10): 1214-1226.

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参考文献 49

[1]	SAINI V, GUADA L, YAVAGAL D. Global epidemiology of stroke and access to acute ischemic stroke interventions[J]. Neurology, 2021, 97(20 Suppl 2): S6-S16.
[2]	王拥军, 李子孝, 谷鸿秋, 等. 中国卒中报告2020(中文版)(1)[J]. 中国卒中杂志, 2022, 17(5): 433-447.
	WANG Y J, LI Z X, GU H Q, et al. China Stroke Statistics 2020 (1)[J]. Chin J Stroke, 2022, 17(5): 433-447.
[3]	BERNHARDT J, CORBETT D, DUKELOW S, et al. The international stroke recovery and rehabilitation alliance[J]. Lancet Neurol, 2023, 22(4): 295-296. doi: 10.1016/S1474-4422(23)00072-8 pmid: 36931801
[4]	HUGUES A, DI-MARCO J, JANIAUD P, et al. Effects of physical therapies aiming directly or indirectly at the recovery of balance after stroke. A meta-analysis[J]. Ann Phys Rehabil Med, 2018, 61(7): e216-e217.
[5]	ZHANG M, YOU H, ZHANG H, et al. Effects of visual feedback balance training with the Pro-kin system on walking and self-care abilities in stroke patients[J]. Medicine, 2020, 99(39): e22425. doi: 10.1097/MD.0000000000022425
[6]	ZHAO W J, YOU H, JIANG S, et al. Effect of Pro-kin visual feedback balance training system on gait stability in patients with cerebral small vessel disease[J]. Medicine, 2019, 98(7): e14503. doi: 10.1097/MD.0000000000014503
[7]	YOU H, ZHANG H, LIU J, et al. Effect of balance training with Pro-kin system on balance in patients with white matter lesions[J]. Medicine, 2017, 96(51): e9057. doi: 10.1097/MD.0000000000009057
[8]	赵玮婧, 李永平, 尤红, 等. 重复经颅磁刺激联合视觉反馈平衡训练对帕金森病患者平衡及步态的影响[J]. 中国康复医学杂志, 2024, 39(9): 1327-1331.
[9]	聂志强, 张灵虎, 门艳军, 等. 等速肌力训练对脑卒中患者步行功能的影响[J]. 中国康复, 2020, 35(6): 299-302.
	NIE Z Q, ZHANG L H, MEN Y J, et al. Effects of digital treadmill training on walking ability of stroke patients[J]. Chin J Rehabil, 2020, 35(6): 299-302.
[10]	宋作新, 刘鑫, 田地, 等. 基于数字化跑台的康复训练对不完全性脊髓损伤患者步行能力的影响[J]. 中华物理医学与康复杂志, 2023, 45(11): 1003-1007.
	SONG Z X, LIU X, TIAN D, et al. Using a digital treadmill can improve the walking ability of patients with an incomplete spinal cord injury better than simple rehabilitation[J]. Chin J Phys Med Rehabil, 2023, 45(11): 1003-1007.
[11]	冀磊磊, 阚秀丽, 周云, 等. 数字化跑台训练对脑卒中患者步行能力的影响[J]. 生物医学工程与临床, 2020, 24(4): 446-449.
	JI L L, KAN X L, ZHOU Y, et al. Effects of digital treadmill training on walking ability of stroke patients[J]. Biomed Eng Clin Med, 2020, 24(4): 446-449.
[12]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志, 2019, 52(9): 710-715.
	Chinese Society of Neurology, Chinese Stroke Society. Diagnostic criteria of cerebrovascular diseases in China (version 2019)[J]. Chin J Neurol, 2019, 52(9): 710-715.
[13]	倪朝民. 神经康复学[M]. 北京: 人民卫生出版社, 2013: 43.
	NI C M. Neurorehabilitation[M]. Beijing: People's Medical Publishing House, 2013: 43.
[14]	金振华, 陈玲, 刘勇. 基于自我效能理论的数字化步行功能训练对脑卒中患者下肢功能的效果[J]. 中国康复理论与实践, 2023, 29(5): 504-509. doi: 10.3969/j.issn.1006-9771.2023.05.002
	JIN Z H, CHEN L, LIU Y. Effect of self-efficacy-based intelligent walking training on function of lower extremities of stroke patients[J]. Chin J Rehabil Theory Pract, 2023, 29(5): 504-509.
[15]	BERG K O, WOOD-DAUPHINEE S L, WILLIAMS J I, et al. Measuring balance in the elderly: validation of an instrument[J]. Can J Public Health, 1992, 83(Suppl 2): S7-S11.
[16]	王晓春, 王俊华, 谢水平. 视觉反馈平衡训练仪训练对脑卒中后平衡及步行能力影响的分析[J]. 循证医学, 2019, 19(2): 91-101.
	WANG X C, WANG J H, XIE S P. Effect of visual-feedback balance training on balance and walking ability after stroke: a meta-analysis[J]. J Evidence-Based Med, 2019, 19(2): 91-101.
[17]	TINETTI M E. Performance-Oriented Assessment of Mobility problems in elderly patients[J]. Am Geriatr Soc, 1986, 34(2): 119-126. doi: 10.1111/jgs.1986.34.issue-2
[18]	肖晗, 沈显山, 王娟, 等. 数字化跑台在中国人中步态时空参数的信度研究[J]. 现代医学与健康研究(电子版), 2019, 3(17): 130-134.
[19]	MATHIAS S, NAYAK U S, ISAACS B. Balance in elderly patients: the "Get-Up and Go" Test[J]. Arch Phys Med Rehabil, 1986, 67(6): 387-389.
[20]	HSIEH Y W, HSUEH I P, CHOU Y T, et al. Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke[J]. Stroke, 2007, 38(11): 3052-3054. doi: 10.1161/STROKEAHA.107.490730
[21]	MEHRHOLZ J, WAGNER K, RUTTE K, et al. Predictive vaidity and responsiveness of the functional ambulation category in hemiparetic patients after stroke[J]. Arch Phys Med Rehabil, 2007, 88(10): 1314-1319. doi: 10.1016/j.apmr.2007.06.764
[22]	LEUNG S O, CHAN C C, SHAH S. Development of a Chinese version of the modified Barthel Index: validity and reliability[J]. Clin Rehabil, 2007, 21(10): 912-922. doi: 10.1177/0269215507077286
[23]	BENSOUSSAN L, MESURE S, VITON J M, et al. Kinematic and kinetic asymmetries in hemiplegic patients' gait initiation patterns[J]. J Rehabil Med, 2006, 38(5): 287-294. doi: 10.1080/16501970600694859 pmid: 16931458
[24]	AN C M, SON Y L, PARK Y H, et al. Relationship between dynamic balance and spatiotemporal gait symmetry in hemiplegic patients with chronic stroke[J]. Hong Kong Physiother J, 2017, 37(9): 19-24. doi: 10.1016/j.hkpj.2017.01.002
[25]	许梦雅, 谭琳琳, 鲁评, 等. 前庭康复训练对脑卒中患者平衡功能及步行能力的影响[J]. 中国实用神经疾病杂志, 2024, 27(6): 758-761.
	XU M Y, TAN L L, LU P, et al. Effect of vestibular rehabilitation on balance function and walking ability in stroke patients[J]. Chin J Pract Nerv Dis, 2024, 27(6): 758-761.
[26]	SZOPA A, DOMAGALSKA-SZOPA M, LASEK-BAL A, et al. The link between international shift asymmetry and gait disturbances in chronic hemiparetic stroke patients[J]. Clin Interv Aging, 2017, 12(1): 2055-2063. doi: 10.2147/CIA
[27]	KIM S H, HUIZENGA D E, HANDZIC I, et al. Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study[J]. J Neuroeng Rehabil, 2019, 16(1): 106. doi: 10.1186/s12984-019-0569-x pmid: 31455358
[28]	HYUN S J, LEE J, LEE B H. The effects of sit-to-stand training combined with real-time visual feedback on strength, balance, gait ability, and quality of life in patients with stroke: a randomized controlled trial[J]. Int J Environ Res Public Health, 2021, 18(22): 12229. doi: 10.3390/ijerph182212229
[29]	王亚囡, 张通, 杜雪晶, 等. 脑卒中偏瘫患者步态参数与平衡功能的关系[J]. 中国康复理论与实践, 2022, 28(1): 38-43. doi: 10.3969/j.issn.1006-9771.2022.01.006
	WANG Y N, ZHANG T, DU X J, et al. Correlation between gait parameters and balance in stroke hemiplegic patients[J]. Chin J Rehabil Theory Pract, 2022, 28(1): 38-43.
[30]	王路, 陈艳, 苏久龙, 等. 三维运动平台训练对脑卒中患者平衡与步行功能的效果[J]. 中国康复理论与实践, 2023, 29(4): 485-490. doi: 10.3969/j.issn.1006-9771.2023.04.015
	WANG L, CHEN Y, SU J L, et al. Effect of three-dimensional motion platform training on balanceand walking function of stroke patients[J]. Chin J Rehabil Theory Pract, 2023, 29(4): 485-490.
[31]	MORAT M, BAKKER J, HAMMES V, et al. Effects of stepping exergames under stable versus unstable conditions on balance and strength in healthy community-dwelling older adults: a three-armed randomized controlled trial[J]. Exp Gerontol, 2019, 127: 110719. doi: 10.1016/j.exger.2019.110719
[32]	赵雅宁, 郝正玮, 李建民, 等. 下肢康复训练机器人对缺血性脑卒中偏瘫患者平衡及步行功能的影响[J]. 中国康复医学杂志, 2012, 27(11): 1015-1020.
	ZHAO Y N, HAO Z W, LI J M, et al. The effect of Lokomat lower limb gait training rehabilitation robot on balance function and walking ability in hemiplegic patients after ischemic stroke[J]. Chin J Rehabil Med, 2012, 27(11): 1015-1020.
[33]	SEO J S, YANG H S, JUNG S, et al. Effect of reducing assistance during robot-assisted gait training on step length asymmetry in patients with hemiplegic stroke: a randomized controlled pilot trial[J]. Medicine, 2018, 97(33): e11792. doi: 10.1097/MD.0000000000011792
[34]	于春洋, 刘然, 赵依双, 等. 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. doi: 10.3969/j.issn.1006-9771.2024.03.008
	YU C Y, LIU R, ZHAO Y S, et al. Effect of virtual reality treadmill training on balance and gait in stroke patients[J]. Chin J Rehabil Theory Pract, 2024, 30(3): 310-315.
[35]	DEMECO A, ZOLA L, FRIZZIERO A, et al. Immersive virtual reality in post-stroke rehabilitation: a systematic reviews[J]. Sensors (Basel), 2023, 23(3): 1712. doi: 10.3390/s23031712
[36]	LEE S H, KIM J, LEE H J, et al. A wearable ankle-assisted robot for improving gait function and pattern in stroke patients[J]. J Neuroeng Rehabil, 2025, 22(1): 89. doi: 10.1186/s12984-025-01624-w
[37]	KUNDI M K, SPENCE N. Efficacy of mirror therapy on lower limb motor recovery, balance and gait in subacute and chronic stroke: a systematic review[J]. Physiother Res Int, 2023, 28(2): e1997. doi: 10.1002/pri.v28.2
[38]	苏盼盼, 叶朋, 卢倩, 等. 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. doi: 10.3969/j.issn.1006-9771.2025.03.002
	SU P P, YE P, LU Q, et al. Effect of visual deprivation training combined with proprioceptive training on balance in hemiplegic patients after stroke[J]. Chin J Rehabil Theory Pract, 2025, 31(3): 254-263.
[39]	MOON Y, BAE Y. The effect of backward walking observational training on gait parameters and balance in chronic stroke: randomized controlled studys[J]. Eur J Phys Rehabil Med, 2022, 58(1): 9-15.
[40]	徐冬艳, 王卫宁, 潘力, 等. 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. doi: 10.3969/j.issn.1006-9771.2024.05.005
	XU D Y, WANG W N, PAN L, et al. Effect of enriched environment theory-based multisensory feedback gait training on walking function in stroke patients[J]. Chin J Rehabil Theory Pract, 2024, 30(5): 526-534.
[41]	MAO Y, CHEN P, LI L, et al. Virtual reality training improves balance function[J]. Neural Regen Res, 2014, 9(17): 1628-1634. doi: 10.4103/1673-5374.141795 pmid: 25368651
[42]	MAREK S, DOSENBACH N U F. The frontoparietal network: function, electrophysiology, and importance of individual precision mapping[J]. Dialogues Clin Neurosci, 2018, 20(2): 133-140. doi: 10.31887/DCNS.2018.20.2/smarek
[43]	OLAFSON E, RUSSELLO G, JAMISON K W, et al. Frontoparietal network activation is associated with motor recovery in ischemic stroke patients[J]. Commun Biol, 2022, 5(1): 993. doi: 10.1038/s42003-022-03950-4 pmid: 36131012
[44]	钟连超, 魏鸿瞻, 董心, 等. 步态适应性训练在脑卒中康复中应用的研究进展[J]. 中国康复理论与实践, 2021, 27(1): 54-59. doi: 10.3969/j.issn.1006-9771.2021.01.008
	ZHONG L C, WEI H Z, DONG X, et al. Advance in gait adaptability training for rehabilitation of stroke (review)[J]. Chin J Rehabil Theory Pract, 2021, 27(1): 54-59.
[45]	张子华, 庞博, 赵盼超, 等. 步态测量评价研究进展:步态指数的应用[J]. 中国康复理论与实践, 2020, 26(2): 210-214. doi: 10.3969/j.issn.1006-9771.2020.02.012
	ZHANG Z H, PANG B, ZHAO P C, et al. Progress in gait measurement and evaluation:application of gait index (review)[J]. Chin J Rehabil Theory Pract, 2020, 26(2): 210-214.
[46]	刘朗, 刘勇国, 李巧勤, 等. 脑卒中患者运动功能自动化评定研究进展[J]. 中国康复理论与实践, 2020, 26(9): 1028-1032. doi: 10.3969/j.issn.1006-9771.2020.09.006
	LIU L, LIU Y G, LI Q Q, et al. Advance in automatic assessment of motor function for patients with stroke (review)[J]. Chin J Rehabil Theory Pract, 2020, 26(9): 1028-1032.
[47]	吴毅. 经颅超声刺激在脑卒中后神经功能康复中的研究进展[J]. 中国康复医学杂志, 2024, 39(8): 1081-1083.
[48]	何惠芳, 龚翔, 王喜荟, 等. 经颅超声刺激在神经康复中应用的文献计量分析[J]. 中国康复理论与实践, 2024, 30(12): 1420-1427. doi: 10.3969/j.issn.1006-9771.2024.12.007
	HE H F, GONG X, WANG X H, et al. Application of transcranial ultrasound stimulation in neurorehabilitation: a bibliometric analysis[J]. Chin J Rehabil Theory Pract, 2024, 30(12): 1420-1427.
[49]	赵焕, 殷其勇, 陈和木, 等. 经颅超声刺激联合低频神经肌肉电刺激对脑卒中患者认知和运动功能的改善作用[J]. 中华行为医学与脑科学杂志, 2025, 34(1): 36-42.
	ZHAO H, YIN Q Y, CHEN H M, et al. The improvement effect of transcranial ultrasound stimulation combined with low-frequency neuromuscular electrical stimulation on cognitive and motor function in patients with stroke[J]. Chin J Behav Med Brain Sci, 2025, 34(1): 36-42.

组别	n	性别(男/女)/n	偏瘫侧(左/右)/n	年龄/岁	病程/d	MoCA评分	体质量指数/(kg·m^-2)
对照组	30	16/14	18/12	67.07±7.01	103.93±33.83	26.97±1.47	23.70±2.49
跑台组	30	12/18	14/16	65.30±6.37	110.80±36.41	27.00±1.62	23.68±3.09
联合组	30	13/17	19/11	65.96±7.20	112.60±34.90	27.33±1.65	24.27±2.78
χ²/F值		1.165	1.900	1.073	1.159	0.493	2.013
P值		0.559	0.387	0.397	0.331	0.612	0.800

变量		组别	n	治疗前		治疗后
变量		组别	n	均值	标准差	均值	标准差
BBS评分		对照组	30	34.03	2.98	40.20	3.02
		跑台组	30	33.73	3.02	42.87	4.27
		联合组	30	33.53	3.81	46.67	3.55
Pro-Kin平衡测试	运动长度轨迹(睁眼)/mm	对照组	30	644.40	79.57	565.47	80.06
		跑台组	30	649.13	76.88	507.33	47.06
		联合组	30	649.93	76.55	441.37	29.59
	运动长度轨迹(闭眼)/mm	对照组	30	1180.77	146.94	1036.93	124.49
		跑台组	30	1177.00	112.04	949.33	85.59
		联合组	30	1128.33	118.51	843.67	105.85
	运动椭圆面积(睁眼)/mm²	对照组	30	1504.57	137.62	1341.13	145.63
		跑台组	30	1492.10	137.56	1210.03	117.28
		联合组	30	1506.90	143.01	1118.13	115.10
	运动椭圆面积(闭眼)/mm²	对照组	30	2001.50	116.71	1855.10	107.93
		跑台组	30	2016.50	219.30	1678.07	251.91
		联合组	30	2004.63	236.66	1421.50	192.24

变量		效应	平方和	自由度	均方	F值	P值
BBS评分		组内	4042.272	1	4042.272	555.091	< 0.001
		组间	270.811	2	135.406	8.048	0.001
		组内×组间	366.678	2	183.339	25.176	< 0.001
Pro-Kin平衡测试	运动长度轨迹(睁眼)	组内	921492.450	1	921492.450	488.873	< 0.001
		组间	105781.544	2	52890.772	7.230	0.001
		组内×组间	126074. 033	2	63037.017	33.443	< 0.001
	运动长度轨迹(闭眼)	组内	2152773.470	1	2152773.470	714.398	< 0.001
		组间	462675.678	2	231337.839	9.484	< 0.001
		组内×组间	150555.278	2	75277.639	24.981	< 0.001
	运动椭圆面积(睁眼)	组内	3480004.360	1	3480004.360	595.614	< 0.001
		组间	376247.878	2	188123.939	6.341	0.003
		组内×组间	381169.344	2	190584.672	32.619	< 0.001
	运动椭圆面积(闭眼)	组内	5702764.010	1	5702764.010	438.568	< 0.001
		组间	1418064.030	2	709032.017	11.150	< 0.001
		组内×组间	1437454.480	2	718727.239	55.273	< 0.001

变量		组别	治疗前后平均差值	平均值差标准差	P值	95%CI
变量		组别	治疗前后平均差值	平均值差标准差	P值	下限	上限
BBS评分		对照组	6.167	1.578	< 0.001	5.578	6.756
		跑台组	9.133	4.732	< 0.001	7.366	10.900
		联合组	13.133	4.337	< 0.001	11.514	14.753
Pro-Kin平衡测试	运动长度轨迹(睁眼)	对照组	536.367	157.624	< 0.001	477.509	595.224
		跑台组	-141.800	57.135	< 0.001	-163.135	-120.465
		联合组	-208.567	77.893	< 0.001	-237.652	-179.481
	运动长度轨迹(闭眼)	对照组	471.467	129.604	< 0.001	423.072	519.861
		跑台组	-227.667	73.268	< 0.001	-255.025	-200.308
		联合组	-284.667	94.351	< 0.001	-319.898	-249.435
	运动椭圆面积(睁眼)	对照组	496.933	186.561	< 0.001	427.270	566.596
		跑台组	-282.067	103.042	< 0.001	-320.543	-243.590
		联合组	-583.133	130.690	< 0.001	-437.567	-339.966
	运动椭圆面积(闭眼)	对照组	513.967	180.149	< 0.001	446.698	581.236
		跑台组	-338.433	174.551	< 0.001	-403.612	-273.255
		联合组	-583.133	201.914	< 0.001	-658.529	-507.737

变量		组别		平均值差	P值	95%CI
变量		组别		平均值差	P值	下限	上限
BBS评分		对照组	跑台组	-2.667	0.006	-4.537	-0.797
		对照组	联合组	-6.467	< 0.001	-8.337	-4.597
		跑台组	联合组	-3.800	< 0.001	-5.670	-1.930
Pro-Kin平衡测试	运动长度轨迹(睁眼)	对照组	跑台组	58.133	< 0.001	29.255	87.012
		对照组	联合组	124.100	< 0.001	95.222	152.978
		跑台组	联合组	65.967	< 0.001	37.088	94.845
	运动长度轨迹(闭眼)	对照组	跑台组	87.600	0.002	32.944	142.256
		对照组	联合组	193.267	< 0.001	138.611	247.922
		跑台组	联合组	105.667	< 0.001	51.011	160.322
	运动椭圆面积(睁眼)	对照组	跑台组	131.100	< 0.001	66.034	196.166
		对照组	联合组	223.000	< 0.001	157.934	288.066
		跑台组	联合组	91.900	0.006	26.834	156.966
	运动椭圆面积(闭眼)	对照组	跑台组	177.033	0.001	77.845	276.222
		对照组	联合组	433.600	< 0.001	334.411	532.789
		跑台组	联合组	256.567	< 0.001	157.378	355.756

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 patients with ischemic stroke

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变量		效应	平方和	自由度	均方	F值	P值
POMA评分		组内	653.606	1	653.606	310.081	< 0.001
		组间	89.200	2	44.600	4.919	0.009
		组内×组间	77.511	2	38.756	18.386	< 0.001
数字化跑台步态测试	步长	组内	2246.493	1	2246.493	286.667	< 0.001
		组间	257.485	2	128.742	6.429	0.002
		组内×组间	608.467	2	304.233	38.822	< 0.001
	髋关节活动度(健侧)	组内	2980.705	1	2980.705	389.461	< 0.001
		组间	583.208	2	291.604	8.407	< 0.001
		组内×组间	902.488	2	451.244	58.960	< 0.001
	髋关节活动度(患侧)	组内	3566.141	1	3566.141	381.110	< 0.001
		组间	846.133	2	423.066	19.319	< 0.001
		组内×组间	558.799	2	279.399	29.859	< 0.001
	膝关节活动度(健侧)	组内	3473.369	1	3473.369	147.291	< 0.001
		组间	936.110	2	468.055	5.818	0.004
		组内×组间	1233.736	2	616.868	26.159	< 0.001
	膝关节活动度(患侧)	组内	4158.247	1	4158.247	458.711	< 0.001
		组间	669.148	2	334.574	13.776	< 0.001
		组内×组间	544.895	2	272.447	30.055	< 0.001

变量	效应	平方和	自由度	均方	F值	P值
TUGT	组内	3382.687	1	3382.687	348.839	< 0.001
	组间	918.911	2	459.456	10.850	< 0.001
	组内×组间	553.652	2	276.826	28.548	< 0.001
FMA-LE评分	组内	1400.022	1	1400.022	458.534	< 0.001
	组间	275.678	2	137.839	10.893	< 0.001
	组内×组间	314.344	2	157.172	51.477	< 0.001

组别	n	治疗前/n						治疗后/n						Z值	P值
组别	n	0	1	2	3	4	5	0	1	2	3	4	5	Z值	P值
对照组	30	0	0	10	12	8	0	0	0	5	10	15	0	-1.971	0.049
跑台组	30	0	0	9	17	4	0	0	0	2	9	18	1	-3.986	< 0.001
联合组	30	0	0	6	16	8	0	0	0	0	5	21	4	-4.605	< 0.001
H值		1.620						11.108
P值		0.445						0.004

组别		平均秩	U值	Z值	P值	Bonferroni校正P值
对照组	跑台组	27.83/33.17	530.000	1.322	0.186	0.056
对照组	联合组	24.08/36.92	642.500	3.248	0.001	0.003
跑台组	联合组	26.48/34.52	570.500	2.111	0.035	0.057

效应	平方和	自由度	均方	F值	P值
组内	30160.556	1	30160.556	373.918	< 0.001
组间	2958.611	2	1479.306	9.623	< 0.001
组内×组间	3721.944	2	1860.972	23.072	< 0.001

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变量		组别	n	治疗前		治疗后
变量		组别	n	均值	标准差	均值	标准差
POMA评分		对照组	30	18.03	2.63	20.33	2.64
		跑台组	30	17.97	2.44	21.60	1.65
		联合组	30	18.13	1.87	23.63	2.72
数字化跑台步态测试	步长/cm	对照组	30	22.65	3.77	25.87	5.28
		跑台组	30	23.03	3.34	28.99	2.58
		联合组	30	21.16	3.95	33.18	2.82
	髋关节活动度(健侧)/°	对照组	30	26.11	4.96	29.50	4.50
		跑台组	30	25.15	5.14	32.04	4.91
		联合组	30	24.89	4.92	39.03	2.74
	髋关节活动度(患侧)/°	对照组	30	20.07	3.04	24.94	3.08
		跑台组	30	20.29	5.78	28.67	6.35
		联合组	30	21.03	3.94	34.49	4.17
	膝关节活动度(健侧)/°	对照组	30	31.77	8.02	34.03	11.04
		跑台组	30	32.06	6.35	41.07	5.42
		联合组	30	30.84	5.51	45.93	5.08
	膝关节活动度(患侧)/°	对照组	30	23.58	4.68	29.20	3.77
		跑台组	30	23.99	3.47	33.11	4.57
		联合组	30	24.06	3.08	38.16	4.64

变量		组别	治疗前后平均差值	平均值差标准差	P值	95%CI
变量		组别	治疗前后平均差值	平均值差标准差	P值	下限	上限
POMA评分		对照组	4.700	0.952	< 0.001	4.344	5.056
		跑台组	3.633	1.732	< 0.001	2.987	4.280
		联合组	5.500	2.910	< 0.001	4.414	6.586
数字化跑台步态测试	步长	对照组	3.220	4.709	0.001	1.462	4.978
		跑台组	5.957	2.734	< 0.001	4.936	6.978
		联合组	12.020	4.167	< 0.001	10.464	13.576
	髋关节活动度(健侧)	对照组	3.388	1.580	< 0.001	2.798	3.978
		跑台组	6.887	4.458	< 0.001	5.223	8.552
		联合组	14.141	4.853	< 0.001	12.329	15.953
	髋关节活动度(患侧)	对照组	4.871	2.820	< 0.001	3.818	5.923
		跑台组	8.381	4.289	< 0.001	6.779	9.982
		联合组	13.455	5.459	< 0.001	11.417	15.493
	膝关节活动度(健侧)	对照组	3.732	6.785	0.005	1.199	6.265
		跑台组	9.006	6.767	< 0.001	6.479	11.533
		联合组	15.085	4.044	< 0.001	13.575	16.595
	膝关节活动度(患侧)	对照组	5.617	2.511	< 0.001	4.679	6.555
		跑台组	9.123	4.894	< 0.001	7.296	10.950
		联合组	14.098	4.913	< 0.001	12.264	15.933

变量	组别	n	治疗前		治疗后
变量	组别	n	均值	标准差	均值	标准差
TUGT/s	对照组	30	45.92	5.15	41.43	5.62
	跑台组	30	46.43	4.88	37.80	4.86
	联合组	30	44.86	5.86	31.78	4.03
FMA-LE评分	对照组	30	14.90	2.52	17.63	2.27
	跑台组	30	15.07	2.73	19.97	3.11
	联合组	30	14.73	2.93	23.83	3.14

组别	n	治疗前		治疗后
组别	n	均值	标准差	均值	标准差
对照组	30	47.50	10.97	61.67	11.70
跑台组	30	45.50	3.98	72.67	10.56
联合组	30	46.33	9.90	82.67	6.40