| 郑羿婕,王春方,张颖.基于误差放大原理的脑卒中患者本体感觉康复研究进展[J].中国康复,2026,41(1):54-58 |
| 基于误差放大原理的脑卒中患者本体感觉康复研究进展 |
| Research progress of proprioceptive rehabilitation for stroke patients based on the principle of error augmentation |
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| DOI：10.3870/zgkf.2026.01.009 |
| 中文关键词: 脑卒中 误差放大原理 本体感觉 感觉运动适应 |
| 英文关键词: stroke error augmentation principle proprioception sensorimotor adaptation |
| 基金项目:天津市自然科学基金重点项目(22JCZDJC00060,23JCZDJC01230)；天津市中西医结合脊柱康复医学重点专科（ZDZKKF03） |
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| 中文摘要: |
| 本体感觉与运动控制、平衡和协调密切相关，本体感觉障碍会导致患者出现异常步态、不协调运动等异常运动模式，并显著增加了脑卒中患者的跌倒风险。脑卒中患者肢体运动的时空不对称可能与肌肉无力及感觉功能障碍（包括皮肤感觉和本体感觉）有关。本体感觉训练的最终目标是改善运动模式和肢体时空对称性。基于误差放大（EA）原理的训练作为一种新兴方法逐渐受到关注。本文将EA原理机制及其在脑卒中患者本体感觉训练中的应用进行综述，旨在为脑卒中的临床康复提供新思路和参考。 |
| 英文摘要: |
| Proprioception is closely related to motor control, balance, and coordination, and proprioceptive deficits can lead to abnormal movement patterns such as abnormal gait and uncoordinated movements, and significantly increase the risk of falls in stroke patients. Spatiotemporal asymmetry of limb movements in stroke patients may be related to muscle weakness and sensory dysfunction (both cutaneous and proprioceptive), and the ultimate goal of proprioceptive training is to improve movement patterns and limb spatiotemporal symmetry. Currently, traditional rehabilitation methods for post-stroke proprioception disorders are mainly divided into peripheral and central interventions, with peripheral interventions including proprioceptive neuromuscular facilitation (PNF), and the central interventions include transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS). Research has shown that a form of proprioceptive training that combines passive and active movements is the most effective way to improve motor function. In recent years, training based on the principle of error augmentation (EA) has gradually gained attention as an emerging method. This method uses proprioceptive reorganization and sensorimotor adaptation as the mechanism, strengthens the active participation of the patient, and combines active and passive participations to promote the functional recovery of the patients, and has significant efficacy in improving the proprioceptive and motor functions of patients with stroke, especially in the improvement of spatial-temporal symmetry of the limbs. In this paper, we will briefly review the principle mechanism of EA and its application in the proprioceptive training of stroke patients, aiming to provide new ideas and references for the clinical rehabilitation of stroke. |
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