视动整合训练对脑卒中后单侧空间忽略的效果

doi:10.3969/j.issn.1006-9771.2026.07.001

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (7): 745-751.doi: 10.3969/j.issn.1006-9771.2026.07.001

• 专题脑卒中并发症康复 • 上一篇下一篇

视动整合训练对脑卒中后单侧空间忽略的效果

周洁^1a, 何志成^1a, 张晓钰^1b, 王雪^1a, 刘大美^1a, 宋宁^1a, 吴珺^1a()

^1a 中国康复研究中心北京博爱医院，眼科，北京市 100068
^1b 中国康复研究中心北京博爱医院，老年医学科，北京市 100068

收稿日期:2026-04-09 修回日期:2026-06-15 接受日期:2026-06-19 出版日期:2026-07-25 发布日期:2026-07-30
通讯作者: 吴珺，E-mail： wlllw@126.com
作者简介:周洁(1991-)，女，汉族，黑龙江巴彦县人，博士研究生，主治医师，主要研究方向：视觉康复和眼底病。
吴珺(1973-)，女，汉族，黑龙江齐齐哈尔市人，硕士，主任医师，主要研究方向：角膜病、白内障和视觉康复。
基金资助:
中国康复研究中心科研基金项目(2023ZX-24)

Effect of visuomotor integration training on unilateral spatial neglect after stroke

Zhou Jie^1a, He Zhicheng^1a, Zhang Xiaoyu^1b, Wang Xue^1a, Liu Damei^1a, Song Ning^1a, Wu Jun^1a()

^1a Department of Ophthalmology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
^1b Department of Geriatrics, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2026-04-09 Revised:2026-06-15 Accepted:2026-06-19 Published:2026-07-25 Online:2026-07-30
Supported by:
China Rehabilitation Research Center Research Fund(2023ZX-24)

摘要/Abstract

摘要：

目的探讨基于Sanet Vision Integrator (SVI)系统开展视动整合训练对脑卒中后单侧空间忽略(USN)患者忽略症状严重程度、上肢运动功能和日常生活活动能力(ADL)的干预效果。

方法 2023年7月至2025年9月，选择北京博爱医院41例脑卒中后USN患者，随机分为对照组(n = 20)和试验组(n = 21)。两组均进行常规康复训练和视觉扫描训练，试验组在此基础上增加基于SVI视觉训练系统的视动整合训练，包括扫视训练、旋转训练和手眼协调训练，共8周。治疗前后分别采用中国行为性忽略测试-香港版(CBIT-HK)、Fugl-Meyer评定量表上肢部分(FMA-UE)和改良Barthel指数(MBI)进行评价。

结果治疗后，两组各项评分均较治疗前显著改善(|t| > 4.004, P < 0.001)；试验组CBIT-HK总分及视觉搜索核心子项(星星删除、划线和字母删除)评分、FMA-UE评分和MBI评分均优于对照组(t > 2.096, P < 0.05)。

结论基于SVI系统的视动整合训练可有效改善脑卒中患者的USN症状，扩大视觉注意广度，促进患侧上肢运动功能的恢复，提升患者的ADL。

关键词: 脑卒中, 单侧空间忽略, 视动整合训练, 上肢, 运动功能, 日常生活活动能力

Abstract:

Objective To investigate the effect of Sanet Vision Integrator (SVI)-based visuomotor integration training on the severity of neglect symptoms, upper limb motor function and activities of daily living (ADL) in patients with post-stroke unilateral spatial neglect (USN).

Methods From July, 2023 to September, 2025, 41 patients with post-stroke USN in Beijing Bo'ai Hospital were enrolled and randomly assigned to control group (n = 20) and experimental group (n = 21). Both groups received conventional rehabilitation and visual scanning training, while the experimental group received supplementary SVI-based visuomotor integration training, including saccadic, rotation and hand-eye coordination training, for eight weeks. They were assessed with Chinese Behavioral Inattention Test-Hong Kong version (CBIT-HK), Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel Index (MBI) before and after treatment.

Results After treatment, all the scores significantly improved in both groups (|t| > 4.004, P< 0.001), and the total scores of CBIT-HK and the core visual search sub-items (star cancellation, line crossing and letter cancellation), FMA-UE and MBI were better in the experimental group than in the control group (t> 2.096, P < 0.05).

Conclusion SVI-based visuomotor training can effectively alleviate the USN symptoms, broaden the span of visual attention, facilitate the functional recovery of the affected upper extremity, and improve ADL in patients after stroke.

Key words: stroke, unilateral spatial neglect, visuomotor integration training, upper extremity, motor function, activities of daily living

中图分类号:

R743.3

周洁, 何志成, 张晓钰, 王雪, 刘大美, 宋宁, 吴珺. 视动整合训练对脑卒中后单侧空间忽略的效果[J]. 《中国康复理论与实践》, 2026, 32(7): 745-751.

Zhou Jie, He Zhicheng, Zhang Xiaoyu, Wang Xue, Liu Damei, Song Ning, Wu Jun. Effect of visuomotor integration training on unilateral spatial neglect after stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(7): 745-751.

图/表 4

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组别	n	性别(男/女/n)	年龄/岁	病程/d	卒中类型(出血/缺血)/n
对照组	20	14/6	52.20±13.56	88.25±50.04	12/8
试验组	21	17/4	55.14±12.50	97.29±79.26	12/9
χ²/t值		0.666	0.723	0.434	0.000
P值		0.414	0.474	0.667	1.000

变量	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
划线	对照组	20	前测	22.00±3.64	-4.004	< 0.001
	对照组	20	后测	24.85±4.83
	试验组	21	前测	21.10±3.36	-8.337	< 0.001
	试验组	21	后测	29.71±5.22
	治疗前两组均值差			-0.90±1.10	-0.827	0.413
	治疗后两组均值差			4.86±1.57	3.095	0.004
字母删除	对照组	20	前测	17.60±6.03	-4.307	< 0.001
	对照组	20	后测	21.00±7.42
	试验组	21	前测	17.81±4.98	-7.851	< 0.001
	试验组	21	后测	26.81±6.45
	治疗前两组均值差			0.21±1.73	0.122	0.904
	治疗后两组均值差			5.81±2.18	2.680	0.011
星星删除	对照组	20	前测	22.75±5.56	-5.063	< 0.001
	对照组	20	后测	27.10±7.95
	试验组	21	前测	23.14±4.32	-6.599	< 0.001
	试验组	21	后测	32.10±6.89
	治疗前两组均值差			0.39±1.56	0.253	0.801
	治疗后两组均值差			5.00±2.33	2.152	0.038
抄写图形和线条	对照组	20	前测	1.55±0.60	-5.596	< 0.001
	对照组	20	后测	2.50±0.95
	试验组	21	前测	1.57±0.60	-7.319	< 0.001
	试验组	21	后测	2.95±1.02
	治疗前两组均值差			0.02±0.19	0.114	0.910
	治疗后两组均值差			0.45±0.31	1.468	0.150
二等分线段	对照组	20	前测	2.05±0.76	-5.107	< 0.001
	对照组	20	后测	2.95±1.00
	试验组	21	前测	2.10±0.77	-6.011	< 0.001
	试验组	21	后测	3.43±1.47
	治疗前两组均值差			0.05±0.24	0.190	0.851
	治疗后两组均值差			0.48±0.39	1.214	0.232
代表性绘图	对照组	20	前测	0.95±0.69	-5.101	< 0.001
	对照组	20	后测	1.80±1.11
	试验组	21	前测	0.76±0.62	-7.204	< 0.001
	试验组	21	后测	1.90±0.94
	治疗前两组均值差			-0.19±0.21	-0.918	0.364
	治疗后两组均值差			0.10±0.32	0.327	0.745
总分	对照组	20	前测	66.90±10.57	-9.042	< 0.001
	对照组	20	后测	80.20±12.96
	试验组	21	前测	66.48±10.02	-16.084	< 0.001
	试验组	21	后测	96.90±10.12
	治疗前两组均值差			-0.42±3.22	-0.132	0.896
	治疗后两组均值差			16.70±3.64	4.614	< 0.001

组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
对照组	20	前测	24.80±23.90	-6.659	< 0.001
		后测	37.30±22.70
试验组	21	前测	26.38±12.84	-7.172	< 0.001
		后测	50.29±13.55
治疗前两组均值差			1.58±6.03	0.266	0.792
治疗后两组均值差			12.99±5.88	2.237	0.031

组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
对照组	20	前测	44.85±26.60	-8.073	< 0.001
		后测	58.45±29.23
试验组	21	前测	34.57±22.45	-5.874	< 0.001
		后测	76.10±24.59
治疗前两组均值差			-10.28±7.71	-1.340	0.188
治疗后两组均值差			17.65±8.46	2.096	0.043

视动整合训练对脑卒中后单侧空间忽略的效果

Effect of visuomotor integration training on unilateral spatial neglect after stroke

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