中国组织工程研究

中国组织工程研究 ›› 2026, Vol. 30 ›› Issue (24): 6267-6274.doi: 10.12307/2026.411

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

频闪视觉干扰结合平衡训练提升老年人的平衡能力

胡  哲，孙宇翔，韩  潇，刘亚斌，司路遥，李周雨，贾  谊   

  1. 中北大学体育学院，山西省太原市   030051
  • 收稿日期:2025-09-02 修回日期:2025-11-27 出版日期:2026-08-28 发布日期:2026-02-02
  • 通讯作者: 贾谊，博士，教授，中北大学体育学院，山西省太原市 030051
  • 作者简介:胡哲，女，2000年生，湖北省罗田县人，汉族，2022年湖北医药学院毕业，主要从事康复治疗学方面的研究。
  • 基金资助:
    中北大学研究生科技立项(20242048)，项目负责人：胡哲

Stroboscopic visual interference combined with balance training improves the balance ability of older adults

Hu Zhe, Sun Yuxiang, Han Xiao, Liu Yabin, Si Luyao, Li Zhouyu, Jia Yi   

  1. School of Sport and Physical Education, North University of China, Taiyuan 030051, Shanxi Province, China
  • Received:2025-09-02 Revised:2025-11-27 Online:2026-08-28 Published:2026-02-02
  • Contact: Jia Yi, MD, Professor, School of Sport and Physical Education, North University of China, Taiyuan 030051, Shanxi Province, China
  • About author:Hu Zhe, School of Sport and Physical Education, North University of China, Taiyuan 030051, Shanxi Province, China
  • Supported by:
    Graduate Student Science and Technology Project of North University of China, No. 20242048 (to HZ) 

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摘要：




文题释义：
频闪视觉干扰：通过间歇性视觉输入限制(频闪眼镜)，增强多感觉整合及视觉认知功能来促进姿势稳定，降低老年人跌倒发生率。
平衡：指人体在运动或静止状态下维持身体稳定的能力，分为静态平衡和动态平衡。老年人由于生理性退化，平衡能力减弱，故特指老年人维持身体姿势稳定、预防跌倒的生理功能。常用“平衡功能”评估老年人的独立生活能力。

背景：大量文献指出频闪视觉干扰结合平衡训练可通过减少训练中中枢神经系统的视觉补偿，增加剩余本体感觉和前庭的输入来促进姿势稳定。
目的：通过比较不同视觉条件下的平衡训练效果，明确频闪视觉干扰结合平衡训练对提升老年人平衡能力的影响。
方法：招募43例老年人，随机分为传统训练组(n=23)和频闪训练组(n=20)，其中平衡训练内容相同，每周训练3次，连续训练8周；频闪训练组在平衡训练过程中佩戴频闪眼镜，自适应调节频闪难度等级(1-8级)。分别在第0，4，8，10周进行指标测试，评估两组受试者的动、静态姿势稳定性和Berg平衡量表评分。
结果与结论：①静态姿势稳定性：两组受试者在平面闭目单足站立测试中具有显著的时间主效应(P < 0.001)，但组别效应(P=0.530)和组别×时间交互效应(P=0.780)均不显著；在软榻闭目单足站立测试中，两组受试者时间(P < 0.001)、组别(P=0.024)效应显著，但无组别×时间交互效应(P=0.063)；与训练前相比，两组受试者在这两项测试中，训练8周(P=0.034，P < 0.001)、10周(P=0.003，P < 0.001)后的静态姿势稳定性均有明显改善；②动态姿势稳定性：具有显著的组别×时间交互效应(P < 0.001)，组别(计时-起立-行走和3 m脚跟脚尖走测试分别为P=0.461，P=0.926)和时间(两测试分别为P=0.120，P=0.937)因素对该测试的主效应无统计学意义；与训练前比较，两组受试者训练4，8，10周后的动态姿势稳定性均显著提高(均P < 0.05)；③Berg平衡量表评分：具有显著的时间效应(P < 0.001)；组别(P=0.420)、组别×时间(P=0.239)因素对Berg平衡量表评分无统计学意义；与训练前比较，两组受试者在4周(P=0.025)、8周(P < 0.001)、10周(P=0.003)后的Berg平衡量表评分均高于训练前；④提示传统平衡能力训练与频闪训练均能显著提升老年人的动态和静态稳定性；与传统平衡能力训练相比，基于频闪视觉干扰的平衡训练能显著提升老年人群体的动态平衡能力。

https://orcid.org/0009-0001-7693-0699 (胡哲)


中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程

关键词: 频闪视觉, 老年人, 平衡训练, 摔倒, 动态姿势稳定性

Abstract: BACKGROUND: Numerous studies have indicated that stroboscopic visual interference combined with balance training can promote postural stability by reducing visual compensation in the central nervous system and increasing residual proprioceptive and vestibular input during training. 
OBJECTIVE: To clarify the effects of stroboscopic visual interference combined with balance training on improving balance ability of older adults by comparing the effects of balance training under different visual conditions.
METHODS: Forty-three older adults were recruited and randomized into a normal balance training group (n=23) and a strobe vision training group (n=20). Among them, the balance training content was the same, and the training was conducted 3 times per week for 8 weeks. For the strobe vision training group, strobe glasses were worn during the balance training, and the strobe difficulty level (levels 1-8) was adjusted adaptively. Indicator tests were conducted at weeks 0, 4, 8, and 10 to assess the dynamic and static postural stability and the scores on the Berg Balance Scale of all subjects.
RESULTS AND CONCLUSION: (1) Static postural stability: Subjects in both groups had a significant time main effect (P < 0.001) but not a group effect (P=0.530) or a group×time interaction effect (P=0.780) in the plane closed-eye, one-legged standing test. In the soft couch, closed-eye, one-legged standing test, there was a significant time (P < 0.001) and group (P=0.024) effect in both groups, but no group×time interaction effect (P=0.063). Compared with pre-training, subjects in both groups showed significant improvements in static postural stability after 8 weeks (P=0.034; P < 0.001) and 10 weeks (P=0.003; P < 0.001) of training in both tests. (2) Dynamic postural stability: There was a significant group×time interaction effect on dynamic postural stability (P < 0.001). The main effects of group (timed-up-walk and 3-meter heel-toe walk test were P=0.461 and P=0.926, respectively) and time (two tests were P=0.120 and P=0.937, respectively) on the test were not statistically significant. Compared with pre-training, the dynamic postural stability of the two groups was significantly improved after 4, 8, and 10 weeks of training (all P < 0.05). (3) Berg Balance Scale score: There was a significant time effect (P < 0.001); the factors of group (P=0.420) and group×time (P=0.239) were not statistically significant for Berg Balance Scale Score. When compared with the pre-training period, subjects in the two groups had higher Berg Balance Scale Scores after 4 (P=0.025), 8 (P < 0.001), and 10 (P=0.003) weeks had higher Berg Balance Scale scores than before training. (4) In summary, both traditional balance training and stroboscopic training can significantly improve the dynamic and static stability of the elderly. Compared with the traditional balance training, the balance training based on stroboscopic visual interference can significantly improve the dynamic balance ability of the elderly group.

Key words: stroboscopic vision, older adults, balance training, fall, dynamic postural stability

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