Drużbicki Mariusz, Guzik Agnieszka, Przysada Grzegorz, Kwolek Andrzej, Brzozowska-Magoń Agnieszka
Institute of Physiotherapy, University of Rzeszów, ul. Warszawska 26 a, 35-205 Rzeszów, Poland.
J Rehabil Med. 2015 May;47(5):419-25. doi: 10.2340/16501977-1949.
To evaluate the effects of gait training using a treadmill with and without visual biofeedback in patients in the late period after stroke, and to compare both training methods.
A randomized, controlled study.
Fifty people at least 6 months after stroke, randomly enrolled into groups with a rehabilitation programme of treadmill training with or without visual biofeedback.
Spatio-temporal gait parameters, walking speed, walking distance, self-reliant mobility and functional capacity were evaluated during a programme of 10 sessions over 2 weeks.
Patients in both groups achieved statistically significant improvement. Participants in the intervention group revealed a significantly greater improvement in the shortening of the stance phase (p = 0.0045) and lengthening of the swing phase of the unaffected limb (p = 0.0042) and an increase in the unaffected limb cycle length (p = 0.0021). There were no significant differences between groups in other spatio-temporal parameters of gait or additionally assessed parameters.
Gait training using a treadmill resulted in improvements in the gait and functional capacity of patients. The use of biofeedback gives better results in improving gait cycle length, duration of gait phases and swing phase speed compared with exercise on a treadmill alone.
评估在脑卒中晚期患者中使用带有和不带有视觉生物反馈的跑步机进行步态训练的效果，并比较这两种训练方法。
一项随机对照研究。
五十名脑卒中后至少6个月的患者，随机分为接受有或无视觉生物反馈的跑步机训练康复计划的组。
在为期2周的10节课程计划中，评估时空步态参数、步行速度、步行距离、自主移动能力和功能能力。
两组患者均取得了具有统计学意义的改善。干预组参与者在患侧支撑期缩短（p = 0.0045）、健侧摆动期延长（p = 0.0042）以及健侧肢体周期长度增加（p = 0.0021）方面有显著更大的改善。在步态的其他时空参数或额外评估的参数方面，两组之间没有显著差异。
使用跑步机进行步态训练可改善患者的步态和功能能力。与仅在跑步机上锻炼相比，使用生物反馈在改善步态周期长度、步态阶段持续时间和摆动期速度方面效果更好。
