视觉反馈平衡训练联合渐进式阻力弹力带技术对脑卒中偏瘫患者下肢运动和平衡功能的影响OA
The Effect of Visual Feedback Balance Training Combined with Progressive Resistance Elastic Band Technique on Lower Limb Movement and Balance Function in Stroke Patients with Hemiplegia
目的:观察视觉反馈平衡训练联合渐进式阻力弹力带技术对脑卒中偏瘫患者下肢运动和平衡功能的影响.方法:筛选 2023 年 12 月—2024 年 12 月在山东省第二荣军优抚医院康复中心就诊的脑卒中偏瘫患者 60 例,按随机数字表法分为对照组和观察组,每组 30 例,两组均采用常规康复治疗,对照组增加渐进式阻力弹力带训练,观察组在对照组基础上增加视觉反馈平衡训练,共治疗 4 周.治疗前后,评估并比较两组平衡功能相关指标及下肢运动功能相关指标.结果:治疗 4 周后,两组患者 10 m 步行试验(10-meter walk test,10MWT)、起立行走计时测试(timed up and go test,TUGT)时间、睁、闭眼重心轨迹总面积、重心轨迹总长度及 Fugl-Meyer 下肢运动功能量表(FMA-LE)评分、Berg 平衡量表(BBS)评分均较治疗前显著改善(P<0.05),且观察组 10MWT 快于对照组,FMA-LE 评分、BBS 评分显著高于对照组(P<0.05),观察组睁、闭眼重心轨迹总面积、重心轨迹总长度小于对照组,TUGT 时间显著短于对照组(P<0.05).结论:视觉反馈平衡训练联合渐进式阻力弹力带技术能够有效改善脑卒中偏瘫患者下肢运动和平衡功能.
Objective:To observe the effects of visual feedback balance training combined with progressive resistance elastic band technique on lower limb movement and balance function in stroke patients with hemiplegia.Method:Sixty stroke patients with hemiplegia who received treatment at the Rehabilitation Center of the Second Veteran Hospital of Shandong Province from December 2023 to December 2024 were selected and divided into a control group and an observation group by the random number table method,with 30 patients in each group.Both groups underwent conventional rehabilitation treatment.The control group additionally received progressive resistance elastic band training,while the observation group further incorporated visual feedback balance training on the basis of the control group's regimen.The treatment lasted for 4 weeks.Before and after treatment,relevant indicators of balance function and lower limb movement function were assessed and compared between the two groups.Result:After 4 weeks of treatment,both groups of patients showed significant improvement in the 10-meter walk test(10MWT)and timed up and go test(TUGT)time,total area of center of gravity trajectory with eyes open and closed,total length of center of gravity trajectory with eyes open and closed,Fugl-Meyer assessment of lower extremity(FMA-LE)score,and Berg balance scale(BBS)score compared to before treatment(P<0.05).Furthermore,the observation group had significantly faster 10MWT and higher scores in FMA-LE,and BBS than those in the control group(P<0.05),while the total area of center of gravity trajectory with eyes open and closed and total length of center of gravity trajectory with eyes open and closed were significantly smaller in the observation group than those in the control group,and the TUGT time was significantly shorter than that of the control group(P<0.05).Conclusion:Visual feedback balance training combined with progressive resistance elastic band technique can effectively improve lower limb movement and balance function in stroke patients with hemiplegia.
苏琳琳;冯焕;张坤
山东省第二荣军优抚医院康复中心 山东 泰安 271000山东省第二荣军优抚医院康复中心 山东 泰安 271000山东省第二荣军优抚医院康复中心 山东 泰安 271000
医药卫生
脑卒中视觉反馈平衡训练渐进式阻力弹力带下肢运动功能平衡功能
StrokeVisual feedback balance trainingProgressive resistance elastic bandLower limb movement functionBalance function
《中国医学创新》 2026 (22)
16-21,6
泰安市科技创新发展项目(2023NS335)
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