Kochman Maciej, Kasprzak Marta, Kielar Aleksandra
Department of Clinical Physiotherapy in Musculoskeletal Disorders, Institute of Physiotherapy, Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, Poland.
Faculty of Medicine, Collegium Medicum, University of Rzeszów, Rzeszów, Poland.
Front Neurol. 2025 May 12;16:1577919. doi: 10.3389/fneur.2025.1577919. eCollection 2025.
Stroke survivors often experience sensory, cognitive, and motor consequences with gait disorders as a common problem. Therefore, there is a need for a deeper understanding of how neurological deficits affect the functioning of patients after a stroke. Current scientific literature lacks research on proprioception impairment, and gait recovery after stroke. In this narrative review, we discussed and summarized the current knowledge about the abnormal post-stroke gait pattern, the role of proprioception in motor control, methods of proprioception assessment, and the association between abnormal gait and proprioception deficit in stroke survivors. The present findings must be interpreted with some caution as current evidence is limited, as well as the correlation does not imply causation and might be underestimated by attributes of current tests for proprioception and motor function. Further studies are needed to better explain the mechanisms behind proprioception deficits and their association with functional recovery, as well as to investigate the cause-effect relationship.
中风幸存者常常会出现感觉、认知和运动方面的后果,步态障碍是一个常见问题。因此,有必要更深入地了解神经功能缺损如何影响中风后患者的功能。当前的科学文献缺乏关于本体感觉障碍以及中风后步态恢复的研究。在这篇叙述性综述中,我们讨论并总结了关于中风后异常步态模式、本体感觉在运动控制中的作用、本体感觉评估方法以及中风幸存者异常步态与本体感觉缺陷之间关联的现有知识。由于目前的证据有限,同时相关性并不意味着因果关系,而且当前本体感觉和运动功能测试的特性可能会低估这种相关性,所以对本研究结果的解读必须谨慎。需要进一步开展研究,以更好地解释本体感觉缺陷背后的机制及其与功能恢复的关联,并探究因果关系。