| 张梦伟,李美,王冰.基于游戏的靶向训练对脑卒中康复期患者肢体运动功能及皮质运动区μ波的干预效果[J].中国康复,2025,40(9):535-539 |
| 基于游戏的靶向训练对脑卒中康复期患者肢体运动功能及皮质运动区μ波的干预效果 |
| Effects of game-based target training on limb motor function and cortical motor area μ-wave intervention in patients recovering from stroke |
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| DOI：10.3870/zgkf.2025.09.005 |
| 中文关键词: 游戏 靶向训练 脑卒中 肢体运动功能 皮质运动区μ波 |
| 英文关键词: game targeted training stroke limb motor function cortical motor area μ-wave |
| 基金项目:河北省重点研发计划项目（22037210632D）；衡水市2022年度科技计划（2022014080Z） |
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| 中文摘要: |
| 目的：评估基于游戏化设计的靶向训练方案对脑卒中康复期患者肢体运动功能及皮质运动区μ波活动的干预效果。方法：选取2022年5月至2023年5月本院收治的80例脑卒中患者，随机分为对照组（常规康复训练）和观察组（常规康复训练+游戏靶向训练），每组40例。采用美国国立卫生研究院卒中量表评分（NIHSS）、痉挛程度评估量表（MAS）、Fugl-Meyer上肢运动功能评分量表（FMA-UE）、巴氏指数（Barthel Index）以及伯格平衡量表（BBS）评估2组患者治疗前后的神经功能、肢体痉挛程度、肢体运动功能、日常生活活动能力以及运动平衡能力；采用μ波抑制指数评估皮质运动区μ波活动。结果：与治疗前相比，治疗后2组患者康复训练依从性、FMA-UE评分、Barthel评分、BBS评分显著升高（P＜0.01），且观察组显著高于对照组（P＜0.01）；NIHSS评分、MAS评分以及大脑皮质运动区μ波抑制指数均显著降低（P＜0.01），且观察组显著低于对照组（P＜0.01）。结论：基于游戏化设计的靶向训练方案可显著提升脑卒中患者的肢体运动功能，并有效调节皮质运动区μ波活动水平。 |
| 英文摘要: |
| Objective: To evaluate the intervention effects of a gamification design-based targeted training program on limb motor function and μ-wave activity in cortical motor areas in patients recovering from stroke. Methods: A total of 80 stroke patients admitted to our hospital from May 2022 to May 2023 were retrospectively selected and randomly divided into a control group (conventional rehabilitation training) and an observation group (conventional rehabilitation training + game-targeted training), with 40 cases in each group. The National Institutes of Health Stroke Scale Score (NIHSS), Motor Assessment Scale (MAS), Fugl-Meyer Motor Function Rating Scale (FMA-UE), Barthel Index, and Berg Balance Scale (BBS) were used to assess the neurological function, limb spasticity, limb motor function, and the degree of spasticity of the limbs, before and after treatment. The Fugl-Meyer Motor Function Scale (FMA-UE), Barthel Index (BI) and Berg Balance Scale (BBS) were used to assess the neurological function, limb spasticity, limb motor function, daily living activities and motor balance of the two groups before and after treatment. Results: The adherence to rehabilitation training, FMA-UE score, Barthel score and BBS score of the two groups were significantly higher after treatment than those before treatment, (P<0.01), and those in the observation group were significantly higher than in the control group (P<0.01). The NIHSS score, the MAS score, and the index of μ-wave inhibition in the cortical motor area in both groups after treatment were significantly lower than those before treatment (P<0.01), and those in the observation group were significantly lower than in the control group (P<0.01). Conclusion: A targeted training program based on gamification design significantly improves limb motor function in stroke patients and effectively modulates the level of μ-wave activity in cortical motor areas. |
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