虚拟现实步行训练在帕金森病步态障碍患者中的临床应用OA

Objective:To explore and analyze the clinical application effect of the C-Mill virtual reality(VR)walking training treadmill in Parkinson's disease(PD)patients with gait disorders.Methods:From February 2024 to May 2025,76 patients with gait disorders caused by Parkinson's disease who received rehabilitation intervention at Beijing Rehabilitation Hospital,Capital Medical University were randomly divided into the C-Mill training group(n=38,treated with C-Mill VR walking training treadmill)and the conventional training group(n=38,treated with conventional gait and balance training)using the computer-generated random number table.Differences in gait spatiotemporal parameters(gait speed,stride length,stride width,stride length variability),balance function[Berg balance scale(BBS)score],motor function[10-meter walk test(10MWT),timed up and go test(TUGT)],incidence of adverse events,and rehabilitation training satisfaction were compared between the two groups.Results:After 3 weeks of rehabilitation training,the C-Mill training group showed higher walking speed,stride length,and BBS score than the conventional training group,while stride width and stride length variability were significantly lower,and 10MWT and TUGT times were shorter,with statistically significant differences(P<0.05).The total incidence of adverse events was significantly lower in the C-Mill training group(18.42%vs.42.11%),and the overall satisfaction rate was significantly higher(86.84%vs.71.05%)compared to the conventional training group(P<0.05).Conclusion:The C-Mill VR walking training treadmill can effectively improve spatiotemporal gait parameters,balance function,and motor function in PD patients with gait disorders,reduce adverse event incidence,and enhance patient satisfaction with rehabilitation training,which is worthy of clinical application.