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中风患者外骨骼辅助体重支持跑步机训练和非沉浸式虚拟现实康复计划
中风患者外骨骼辅助体重支持跑步机训练和非沉浸式虚拟现实康复计划
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JoVE Journal Medicine
A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients

中风患者外骨骼辅助体重支持跑步机训练和非沉浸式虚拟现实康复计划

Full Text
1,350 Views
06:00 min
May 16, 2025

DOI: 10.3791/67342-v

Zhengwei Chen1, Qing Li1, Yi Zheng1, Houqiang Zhang1, Lixia Chen1

1Department of Rehabilitation Medicine,Peking Union Medical College Hospital

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This study investigates the combination of exoskeleton-assisted treadmill training and game-based virtual reality to enhance dual-task capability in stroke survivors. The approach aims to improve both physical recovery and cognitive engagement during rehabilitation.

Key Study Components

Area of Science

  • Neuroscience
  • Rehabilitation
  • Stroke Recovery

Background

  • Stroke survivors often face challenges in balance and task performance during rehabilitation.
  • Maintaining patient engagement is crucial for effective recovery.
  • Combining physical and cognitive training may enhance rehabilitation outcomes.
  • Existing methods may not fully address the needs of stroke patients in early recovery.

Purpose of Study

  • To explore the efficacy of a combined rehabilitation approach.
  • To assess improvements in walking capability and balance.
  • To provide preliminary evidence for future randomized control trials.

Methods Used

  • Exoskeleton-assisted treadmill training was utilized.
  • Game-based virtual reality was integrated into the training sessions.
  • Patient performance was measured using the Berg Balance Scale and Timed Up and Go test.
  • Data was collected over a four-week treatment period.

Main Results

  • Berg Balance Scale scores increased significantly.
  • Timed Up and Go test times showed improvement, though not statistically significant.
  • Functional Independence Measure scores reflected a positive trend.
  • The combined approach may enhance both physical and cognitive rehabilitation.

Conclusions

  • Combining exoskeleton training with VR may improve rehabilitation outcomes.
  • Further research is needed to validate these findings.
  • This approach supports the integration of multimodal technologies in stroke rehabilitation.

Frequently Asked Questions

What is the main focus of this study?
The study focuses on the efficacy of combining exoskeleton-assisted treadmill training with game-based virtual reality for stroke rehabilitation.
How does the combined approach benefit stroke survivors?
It enhances both physical recovery and cognitive engagement, potentially improving balance and task performance.
What measurements were used to assess patient progress?
The Berg Balance Scale and Timed Up and Go test were used to evaluate improvements in balance and mobility.
What were the main findings of the study?
The study found significant improvements in balance scores and positive trends in functional independence.
Is further research planned based on these findings?
Yes, the study provides preliminary evidence to guide future randomized control trials.
What challenges do stroke patients face during rehabilitation?
Patients often struggle with maintaining engagement and managing fatigue and attention deficits during intensive sessions.

将外骨骼辅助、体重支持的跑步机训练与基于游戏的虚拟现实相结合对中风幸存者双重任务能力的疗效尚未研究。因此,本康复计划旨在探讨这种组合在增强中风恢复期间步行能力方面的潜在功能和优势。

我们探讨了将外骨骼辅助跑步机训练与基于游戏的 VR 相结合是否可以提高中风幸存者在早期康复期间的任务表现和平衡能力。在整个强化治疗过程中保持患者的参与仍然具有挑战性,尤其是在疲劳和注意力缺陷很常见的中风早期恢复中。我们的研究表明,这种联合方法可以帮助中风患者更好地管理步行过程中的平衡。这种方法可以增强身体恢复和认知参与,提供更丰富、更有效的康复体验。我们的研究结果支持将多模式技术整合到中风康复中,并提供初步证据来指导未来的随机对照试验。

[旁白]首先,逆时针转动机械臂上的两个手柄以松开它们。向外拉动外骨骼以清理跑步机跑道并为患者创造空间。引导患者从后坡道到前部进入跑步机跑道。对于无法行走的患者,协助他们使用轮椅进入,并将他们放在前面。使用遥控器降低悬架系统的线束。调整安全带以与患者后脑勺齐平或略低于患者后脑勺,以确保正确对齐。然后解开安全带,开始给病人穿衣。如果患者站立,请将解开的安全带从后面涂抹在躯干上。并将带子固定在躯干和大腿周围。确保所有带子都舒适地拉紧。如果患者坐在轮椅上,请将躯干稍微抬离靠背。将解开的安全带缠绕在躯干上并舒适地固定带子。将腿带缠绕在大腿上并系紧。现在,抬高重量支撑系统,使患者处于站立位置。使用遥控器根据需要调整减重幅度,并观察机组屏幕上的数据。稍微抬起患者,同时确保他们的脚不会悬垂。如果患者坐在轮椅上,请使用悬挂系统逐渐将他们抬高到站立位置。直立后,将轮椅从跑道上移开。根据需要使用遥控器调整减重幅度。通过将外骨骼从打开位置向内推来重置外骨骼。然后,顺时针旋转两个手柄以接合固定装置。按下折叠和悬挂的外骨骼,将其从坐姿变为站立式。然后指导患者向后靠在外骨骼的躯干支撑上,并将胸椎锚固带牢固地固定在患者的胸部周围。调整外骨骼的高度,使手臂的运动轴与患者的髋关节和膝关节对齐。然后固定大腿和小腿带,确保紧密和安全贴合。对于外骨骼作,请在计算机上启动控制软件。将患者的基本信息输入系统。在软件中调整治疗参数。将步行速度设置为每小时 1.5 公里,持续时间设置为 20 分钟,并对臀部和膝盖应用默认的关节活动度设置。然后单击开始开始治疗。接下来,在计算机上启动ZEPU步态训练和评估软件。选择游戏选项以激活 VR 训练模式。在外骨骼辅助运动期间引导患者。当一条腿处于摆动阶段时,指导患者主动控制它。当腿部准备好推进时,指导患者用力推动并进行髋关节屈曲。治疗 4 周后,Berg 平衡量表评分从 43.88 分显着增加到 48.38 分,具有统计学意义。Timed Up and Go 测试时间从 21.88 秒减少到 17.63 秒,表明有所改善,但没有统计学意义。功能独立性测量评分从 92.75 增加到 98.75,反映了临床积极趋势,但没有统计学意义。

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