视觉追踪训练对脑卒中患者步行功能与日常生活能力的影响

Effects of Visual Tracking Training on Walking Function and Daily Living Ability in Patients with Stroke

目的观察视觉追踪训练对脑卒中患者步行功能和日常生活能力的临床疗效。方法将符合纳入标准的60例脑卒中患者,通过随机数字表法随机分为观察组和对照组,各30例。对照组进行常规的康复治疗,观察组在常规康复方案的基础上对眼球进行追踪训练。每天训练2次,上下午各1次,每次30 min,每周训练5 d,持续康复6周。分别在治疗前后使用步态评估量表、简易精神状况检查量表、脑卒中平衡量表以及日常生活能力巴氏指数进行评估。结果2组研究对象在干预前,步态评分、平衡功能、简易精神状态评分以及日常生活能力评估方面差异无统计学意义(P>0.05)。6周康复治疗结束后,观察组患者在步态、平衡功能以及日常生活能力方面的改善程度显著优于对照组,差异具有统计学意义(P<0.05);简易精神量表评分组内改善明显(P<0.001),但与对照组比较差异无统计学意义(P>0.05)。结论视觉追踪训练可以明显提高脑卒中患者的步行功能、平衡能力以及患者的生活自理能力,但能否改善患者的认知功能还有待大样本研究进一步论证。

Objective To observe the clinical effect of visual tracking training on walking function and daily life ability of stroke patients.Methods Sixty stroke patients who met the inclusion criteria were randomly divided into observation group and control group by random digital table method,with 30 patients in each group.The control group underwent routine rehabilitation treatment,and the observation group carried out eyeball tracking training on the basis of routine rehabilitation program,for twice a day,once in the afternoon,30 minutes each time,5 days a week for consecutive 6 weeks.The gait assessment scale,simple mental status assessment scale,stroke balance scale and pasteurization index were used before and after treatment.Results There was no significant difference in gait score,balance function,the scores of simple mental scale,and daily life ability assessment between the two groups before treatment(P>0.05).After 6 weeks of rehabilitation,the improvement of gait,balance function,and daily life ability in the observation group was significantly better than that in the control group(P<0.05).However,after treatment,the scores of simple mental scale in the observation group were not statistically significant compared with those in the control group.Conclusion Visual tracking training can significantly improve walking function,balance ability and self-care ability of stroke patients.But whether it can improve the cognitive function of patients still needs to be further demonstrated by a large sample study.