Huang Yuqing, Wang Ning, Yang Xincai, Deng Yun, Yan Shuai
Yuqing Huang, Guizhou Center for Disease Control and Prevention, Guiyang 550000, Guizhou, China. Department of Rehabilitation Medicine, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China.
Ning Wang, Department of Rehabilitation Medicine, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China.
Pak J Med Sci. 2025 Mar;41(3):880-885. doi: 10.12669/pjms.41.3.9572.
To observe the effect of digital treadmill on lower limb motor function in patients with ischemic stroke.
This was a clinical comparative study. A total of 60 patients with ischemic stroke at Hebei University Hospital were selected from October 2020 to September 2022 and randomly divided observation group and control group. The control group was given conventional rehabilitation therapy, with the observation group receiving digital treadmill training. Both groups were assessed using the Holden Functional Ambulation Category Scale(FAC), digital treadmill gait analysis system, and dynamic balance instrument and after four weeks, followed by a statistical analysis.
After four weeks of treatment, both groups showed an improved in FAC grading, gait spatiotemporal parameters (including step speed, step length, stance time and step height), gait kinematic parameters (including hip joint flexion and extension mobility, knee joint flexion and extension mobility, and active ankle dorsiflexion ability) and balance assessment parameters (including motion trajectory area and motion trajectory perimeter) compared to pre-treatment (p< 0.05). Additionally, the gait symmetry parameters, including step length deviation and step height deviation, in the observation group were significantly lower than pre-treatment (p< 0.05), while in the control group, without statistically significant differences(p>0.05). Furthermore, the inter-group comparisons showed significant improvements of all the parameters studied above in the observation group compared to the control group (p< 0.05).
Digital treadmill training may effectively improve gait parameters, gait symmetry, walking and balance ability of patients with ischemic stroke.
观察数字化跑步机对缺血性脑卒中患者下肢运动功能的影响。
这是一项临床对照研究。选取2020年10月至2022年9月在河北大学附属医院就诊的60例缺血性脑卒中患者，随机分为观察组和对照组。对照组给予传统康复治疗，观察组接受数字化跑步机训练。两组均采用霍尔登功能步行分类量表（FAC）、数字化跑步机步态分析系统和动态平衡仪进行评估，4周后进行统计学分析。
治疗4周后，两组患者的FAC分级、步态时空参数（包括步速、步长、站立时间和步高）、步态运动学参数（包括髋关节屈伸活动度、膝关节屈伸活动度和主动踝背屈能力）以及平衡评估参数（包括运动轨迹面积和运动轨迹周长）均较治疗前有所改善（p<0.05）。此外，观察组的步态对称性参数，包括步长偏差和步高偏差，显著低于治疗前（p<0.05），而对照组则无统计学差异（p>0.05）。此外，组间比较显示，观察组上述所有参数的改善均显著优于对照组（p<0.05）。
数字化跑步机训练可有效改善缺血性脑卒中患者的步态参数、步态对称性、行走及平衡能力。
