Effect of enriched environment theory-based multisensory feedback gait training on walking function in stroke patients
10.3969/j.issn.1006-9771.2024.05.005
- VernacularTitle: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
- Author:
Dongyan XU
1
;
Weining WANG
;
Li PAN
;
Gang LIU
;
Jiapeng LIU
;
Yi WU
;
Yulian ZHU
Author Information
1. 复旦大学附属华山医院康复医学科,上海市 200040
- Keywords:
stroke;
enriched environment;
multisensory feedback;
walking function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(5):526-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of multi-sensory artificial intelligence feedback gait training on the recovery of walking function in stroke patients based on enriched environment theory. Methods From July,2021 to June,2023,a total of 80 stroke patients in Huashan Hospital Affiliated to Fudan University were randomly divided into control group(n=40)and experimental group(n=40).Both groups received rou-tine rehabilitation in the lying and seated positions,for 40 minutes.The control group received ground walking training,for 20 minutes,while the experimental group received multi-sensory feedback gait training in enriched environment,for 20 minutes.Before and after four weeks intervention,the digital motion monitoring treadmill was used to mearsure step speed,step length,hip and knee swing angle and weight symmetry.They were as-sessed with Berg Balance scale(BBS),Fugl-Meyer Assessment-Lower Extremities(FMA-LE)and Barthel Index(BI). Results After intervention,the hip swing angle,step length of both sides and step speed significantly improved in both groups(|t|＞3.162,P＜0.05),and they were better in the experimental group than in the control group(|t|＞2.568,P＜0.05);the average knee joint swing angle and bilateral weight-bearing symmetry significantly im-proved in the experimental group(|t|＞3.249,P＜0.01);the scores of BBS,FMA-LE and BI improved in both groups(|t|＞3.569,P＜0.01),and they were better in the experimental group than in the control group(|t|＞2.922,P＜0.05). Conclusion Multi-sensory feedback gait training based on enriched environment theory could effectively improve the walking and balance of stroke patients,and increase the ability of independence.
