基于丰富环境的增强现实训练对脑卒中步行功能的影响

doi:10.3969/j.issn.1006-9771.2023.12.008

Abstract

Abstract:

Objective To observe the effect of augmented reality training based on enriched environment on walking dysfunction after stroke.

Methods From January, 2021 to June, 2022, 36 stroke patients in the Affiliated Suzhou Hospital of Nanjing University Medical School were randomly divided into control group (n = 18) and experimental group (n = 18). Both groups received conventional rehabilitation treatment. The control group was supplemented with conventional walking training, and the experimental group was supplemented with augmented reality training based on enriched environment, for four weeks. They were assessed with Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), 10-meter walk test (10MWT) and Barthel Index (BI) before and after treatment, and the gait parameter was compared.

Results No adverse event occurred during treatment. After treatment, the BBS score, TUGT time, 10MWT speed, BI, gait speed, gait frequency and the proportion of single-leg support on the affected side significantly improved in both groups (|t| > 5.161, P< 0.001). All the above indexes were better in the experimental group than in the control group (|t| > 2.106, P < 0.05), except for BI (t = 1.099, P = 0.282).

Conclusion Augmented reality training based on enriched environment could improve the walking function of paitents after stroke, which is better than conventional walking training.

Key words: stroke, augmented reality, enriched environment, walking function, activities of daily living

CLC Number:

R743.3

WEI Tianqi, LUO Jiaqi, LI Zijuan, WU Xueliang, XU Panpan, ZHANG Yanmei, ZHAO Xiaomeng, WU Qinfeng. Effect of augmented reality training based on enriched environment on walking function after stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1439-1445.

Figures/Tables 9

References 35

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组别	n	性别(男/女)/n	年龄/岁	病程/月	卒中类型(梗死/出血)/n	偏瘫侧(左/右)/n	MMSE评分	FAC分级/级
对照组	18	10/8	52.44±9.46	9.78±8.74	12/6	10/8	27.72±1.53	4.11±0.83
试验组	18	7/11	58.61±11.00	5.70±6.30	9/9	8/10	27.39±1.94	3.94±0.08
χ²/F值		1.003	1.803	-1.608	1.029	0.000	-0.572	-0.612
P值		0.317	0.080	0.117	0.310	1.000	0.571	0.545

组别	n	治疗前	治疗后	t值	P值
对照组	18	32.11±10.13	38.72±7.87	-5.202	< 0.001
试验组	18	34.67±9.04	44.78±8.01	-13.047	< 0.001
t值		0.799	2.288
P值		0.430	0.028

组别	n	治疗前	治疗后	t值	P值
对照组	18	24.17±5.98	19.94±5.43	10.135	< 0.001
试验组	18	19.83±8.13	12.05±4.56	6.102	< 0.001
t值		-1.822	-4.723
P值		0.077	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	18	0.68±0.25	0.97±0.38	-5.161	< 0.001
试验组	18	0.60±0.33	1.30±0.55	-7.342	< 0.001
t值		-0.800	2.106
P值		0.429	0.043

组别	n	治疗前	治疗后	t值	P值
对照组	18	68.33±13.28	84.44±6.39	-6.985	< 0.001
试验组	18	66.94±17.08	88.06±12.38	-11.519	< 0.001
t值		-0.272	1.099
P值		0.787	0.282

Effect of augmented reality training based on enriched environment on walking function after stroke

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组别	n	治疗前	治疗后	t值	P值
对照组	18	0.66±0.31	0.93±0.31	-12.467	< 0.001
试验组	18	0.81±0.33	1.18±0.35	-11.231	< 0.001
t值		1.419	2.324
P值		0.165	0.026

组别	n	治疗前	治疗后	t值	P值
对照组	18	67.83±16.51	71.61±16.47	-19.825	< 0.001
试验组	18	66.22±15.56	83.39±15.74	-14.541	< 0.001
t值		-0.301	2.193
P值		0.765	0.035

组别	n	治疗前	治疗后	t值	P值
对照组	18	20.99±8.34	30.08±8.56	-10.652	< 0.001
试验组	18	20.08±9.60	36.28±7.30	-13.335	< 0.001
t值		-0.304	2.334
P值		0.763	0.026

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