中国康复2026,Vol.41Issue(1):54-58,5.DOI:10.3870/zgkf.2026.01.009
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
摘要
Abstract
Proprioception is closely related to motor control,balance,and coordination,and proprioceptive defi-cits 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 inter-ventions,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 augmenta-tion(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 ac-tive and passive participations to promote the functional recovery of the patients,and has significant efficacy in im-proving the proprioceptive and motor functions of patients with stroke,especially in the improvement of spatial-tem-poral 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 rehabili-tation of stroke.关键词
脑卒中/误差放大原理/本体感觉/感觉运动适应Key words
stroke/error augmentation principle/proprioception/sensorimotor adaptation分类
医药卫生引用本文复制引用
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):54-58,5.基金项目
天津市自然科学基金重点项目(22JCZDJC00060,23JCZDJC01230) (22JCZDJC00060,23JCZDJC01230)
天津市中西医结合脊柱康复医学重点专科(ZDZKKF03) (ZDZKKF03)