虚拟现实步行训练在帕金森病步态障碍患者中的临床应用

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中图分类号R49文献标识码A 文章编号2096-7721（2026）03-0503-07

Clinical application of virtual reality walking training in Parkinson's disease patients with gait disorders

， ，， （RehabilitationTreatmentCenter，BeijingRehabilitation Hospital，CapitalMedical University，BeijingOo144，China）

AbstractOetiveToexploeandanalyetheclinicalaplicationefetofteC-Millvirtualreality（VR）walkingtrainingtreadmill inParkinson’sdisease（PD）patientswithgaitdisorders.Methods：FromFebruaryO24toMay2025，76patients withgaitdisorders causedbyParkinson’sdiseasehoreceivedrehabilitationinterventionatBeijingRehabilitation Hospital，CapitalMedicalUniesity were randomly divided into the C-Mill training group （ n =38，treated with C-Mill VR walking training treadmill） and the conventional training group （ n =38，treated with conventional gaitand balance training）using thecomputer-generatedrandomnumber table.Differences ingaitpatiotemporalparameters （gaitspd，stridelngth，rdewidthtridelngthariability）alancefuctionBergblaeale （BBS）score]，trfeeralktst（O），idudst（U]cdeneofdveseevets，ndii trainingsatisfactionwerecompaedetwnthetwogroups.Results：After3weksofhabiliationtraining，teC-Milltrainggoup showedhigherwalkingsped，stridelength，andBBSscorethantheconventioaltraininggroup，whilestridewidthandstridelength variabilityweresignificantlylower，and1OMWTandTUGTtimeswereshorter，withstatisticallysignificantdiffrences （P<0.05） . The total incidence of adverse events was significantly lower in the C-Mill training group（ 18.42% Us. 42.11% ），and the overall satisfaction rate was significantly higher （86.84% us. 71.05% ） compared to the conventional training group （ P <0.05）. Conclusion： The C-Mill VR walkingtraigteailielposatiooalirameslaeutiodotoructoii gaitdisorders，educeadveseeventinideneandhancepatintsatisfactionwithhabiliatintraing，ichiswortyoflinical application.

KeyWordsVirtual Reality;Rehabilitation Training;Parkinson’sDisease;GaitDisorders;BalanceFunction;MotorFunction

帕金森病（Parkinson'sdisease，PD）是一种临床上颇为常见的神经退行性疾病，在全球范围内的发病率持续攀升，其核心病理特征为中脑黑质多巴胺能神经元的进行性、选择性丧失，导致纹状体多巴胺含量显著减少，进而出现静止性震颤、运动迟缓、肌强直和姿势平衡障碍等典型症状[-2]。（剩余11642字）