The effect of transcranial direct current stimulation combined with task oriented training on gait related functions in patients with post-stroke gait disorders
经颅直流电刺激联合任务导向性训练对脑卒中后步态障碍患者步态相关功能的影响

摘要

目的 探究经颅直流电刺激（transcranial direct current stimulation，tDCS）联合任务导向性训练对脑卒中后步态障碍患者步态相关功能的影响。方法 选取2024年11月至2025年4月收治的80例脑卒中后步态障碍患者，随机分为2组，各40例。对照组采用假刺激联合任务导向性训练，观察组采用真刺激联合任务导向性训练。治疗前后分别评估两组患者的步行效率、步行功能、平衡功能及足底压力分布情况。结果 治疗4周后，观察组步行效率、步行功能评分、平衡功能评分均显著高于对照组，且足底压力对称指数更接近0.5，差异均有统计学意义（P＜0.05）。结论 经颅直流电刺激联合任务导向性训练可有效改善脑卒中后步态障碍患者的步态相关功能，提高步行效率及平衡能力，优化足底压力分布。

Abstract

Objective To investigate the effects of transcranial direct current stimulation (tDCS) combined with task oriented training on gait related functions in patients with post-stroke gait disorders.
Methods 80 patients with post-stroke gait disorders admitted from November 2024 to April 2025 were randomly divided into two groups, with 40 patients in each group. The control group received sham stimulation combined with task oriented training, while the observation group received real stimulation combined with task oriented training. Evaluate the walking efficiency, walking function, balance function, and plantar pressure distribution of the two groups of patients before and after treatment.
Results After 4 weeks of treatment, the walking efficiency, walking function score, and balance function score of the observation group were significantly higher than those of the control group, and the plantar pressure symmetry index was closer to 0.5, with statistically significant differences (P<0.05).
Conclusion   Transcranial direct current stimulation combined with task oriented training can effectively improve gait related functions, enhance walking efficiency and balance ability, and optimize plantar pressure distribution in patients with post-stroke gait disorders.