| Objective:Based on the conventional exercise therapy of stroke patients,this study carried out the intervention of Virtual Reality Walking Intelligent Treadmill Training,through the analysis of lower limb motor function,balance ability and various space-time parameters during walking,to explore the impact of Virtual Reality Walking Intelligent Treadmill Training on the balance and walking ability of stroke patients,and seek more accurate and effective rehabilitation treatment methods and evaluation methods for patients with hemiplegia after stroke,to provide theoretical basis and experimental technology and practical reference for clinical selection and implementation of rehabilitation exercise therapy.Methods:We selected stroke patients who were admitted to the Rongjun Hospital of Shanxi Province from April 2020 to October 2020 as the research subjects.Under the condition of voluntary informed consent,30 patients who met the inclusion criteria were randomly recruited(25 cases completed the test and 5 case fall off),according to the principle of random grouping,the patients were divided into the experimental group(Virtual Reality Walking Intelligent Treadmill Training combined with conventional exercise therapy,13 cases completed the test,2 cases fell off)and the control group(conventional exercise therapy,12 cases completed the test,3 cases fall off).The two groups of patients were evaluated before treatment,after 8 weeks of treatment,and after 12 weeks of treatment,lower limb function was evaluated by Fugl-Meyer(lower limb)motor function score,balance function was evaluated by Berg scale,walking ability was evaluated by Functional Walking Scale(FAC),and walking speed was evaluated by 10-meter maximum speed(10 m WT),at the same time,the Gait parameters(stride length,stride width and stride frequency)were evaluated by using Virtual Reality Walking Intelligent Treadmill Training.The test data were processed with SPSS17.0 statistical software.The statistical methods were t test(measurement data)and rank sum test(rank data).The test standard was p <0.01,which was very significant difference.,and P < 0.05,which was significant difference.The difference was statistically significant.Results:1.Balance function: Before treatment,there was no difference in the balance function(Berg score)between the two groups of patients(P>0.05);after 8 weeks and12 weeks of treatment,the Berg score of the control group and the experimental group were significantly improved(P<0.01),and the balance function in experimental group was more significantly improved than that in control group(P <0.05).2.Lower limb motor function: Before treatment,there was no difference in the lower limb motor function(Fugl-Meyer score)between the two groups(P>0.05);after 8 weeks and 12 weeks of treatment,the Fugl-Meyer scores of the control group and the experimental group were significantly improved(P < 0.01),and the lower limb motor function of the experimental group was improved more significantly than that of the control group(P < 0.05).3.Gait time and space parameters: Before treatment,there was no difference in gait parameters(stride length,stride width,stride frequency,and stride speed)between the two groups(P>0.05);after 8 weeks and 12 weeks of treatment,the gait parameters(stride length,stride width,stride frequency,and stride speed)of patients in both control group and experimental group were significantly improved(P < 0.01),and the gait parameters(stride length,stride width,stride frequency,step speed)of the experimental group were significantly improved(P<0.01).and the gait parameters(stride length,stride width,stride frequency and stride speed)of the experimental group were significantly improved than those of the control group(P < 0.05).4.Walking ability: Before treatment,there was no difference in the functional walking scale(FAC)between the two groups of patients(P>0.05);after 8 weeks and12 weeks of treatment,the functional walking scale(FAC)of the control group and the experimental group were significantly improved(P<0.01),and compared with the control group,the walking ability of the experimental group was more significantly improved(P < 0.05).Conclusion:1.Both conventional exercise therapy and Virtual Reality Walking Intelligent Treadmill Training can improve the balance function and lower limb motor function of stroke patients,and compared with conventional exercise therapy,Virtual Reality Walking Intelligent Treadmill Training has a more obvious improvement effect;2.Both conventional exercise therapy and Virtual Reality Walking Intelligent Treadmill Training can improve the gait parameters(stride length,stride width,stride frequency,and stride speed)and walking ability of stroke patients.Compared with conventional exercise therapy,Virtual Reality Walking Intelligent Treadmill Training tries to intervene in weight-loss walking training under the intervention of gait adaptability,and its effect on gait parameters(stride length,stride width,stride speed)of stroke patients is better Walking frequency,walking speed and walking ability were better improved. |
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