【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。更多还原

【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 PerformanceOriented 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.更多还原