This invention provides a
rehabilitation training method, apparatus, device, and medium for
gait symmetry optimization, specifically relating to the technical field of
rehabilitation medical devices. This
rehabilitation training method combines
visual feedback walking with field-oriented
gait analysis (FES), simultaneously collecting
gait symmetry parameters during training to calculate gait symmetry; and also utilizes… f NIRS simultaneously monitors activation in the sensorimotor cortex, supplementary
motor area, and premotor cortex, calculates the
brain activation symmetry index, and dynamically adjusts at least one parameter of the
gait training based on the deviation between the gait symmetry index and the
brain activation symmetry index to achieve gait symmetry regulation. This combined intervention most effectively improves gait symmetry, and its mechanism is related to simultaneously enhancing activation in the affected side of the cortex and inhibiting excessive compensation in the healthy side, thereby optimizing the activation balance between the cerebral hemispheres. The
positive correlation between gait improvement and
brain activation symmetry provides evidence for the neural mechanism of this combined
gait training modality.