Effect of visual feedback balance training combined with digital treadmill intervention on walking function in pa-tients with ischemic stroke
10.3969/j.issn.1006-9771.2025.10.013
- VernacularTitle: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
- Author:
Weijing ZHAO
1
;
Hong YOU
;
Zuohong TANG
;
Yongping LI
;
Mingming WEN
;
Hong LIU
;
Juan BAO
Author Information
1. 甘肃省人民医院,神经内科二病区(中-法神经康复科),甘肃 兰州市 730000
- Publication Type:Journal Article
- Keywords:
ischemic stroke;
visual feedback balance training;
digital treadmill;
walking function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(10):1214-1226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of visual balance training combined with digital treadmill intervention on walking func-tion in patients with ischemic stroke.Methods From July,2023 to December,2024,90 patients with ischemic stroke in Gansu Provincial Hospital were ran-domly divided into control group(n=30),treadmill group(n=30)and combined group(n=30).All groups re-ceived routine rehabilitation treatment,while the treadmill group added digital treadmill training,and the com-bined 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 tread-mill training alone.