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

Abstract

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

CLC Number:

R743.3

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.

Figures/Tables 8

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References 34

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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

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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