Influence of motivation on rehabilitation outcomes after subacute stroke in convalescent rehabilitation wards Article Swipe
Taiki Yoshida
,
Yohei Otaka
,
Shin Ya Kitamura
,
Kazuki Ushizawa
,
Masashi Kumagai
,
Jun Yaeda
,
Rieko Osu
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1185813
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1185813
Background The motivation for rehabilitation is important in encouraging stroke patients to participate in rehabilitation; however, its relationship with outcomes is not well known. In addition, changes in patient motivation during hospitalization have not been examined. Aim To examine the relationship between motivation and rehabilitation outcomes for subacute stroke patients and to investigate the changes in motivation. Design Prospective cohort study. Setting Subacute rehabilitation hospital. Population The study enrolled a consecutive sample of patients ( n = 201) with stroke admitted to a subacute rehabilitation ward from October 2017 to March 2019. Methods The functional independence measure and motivation in stroke patients for rehabilitation scale was evaluated at admission; at one, two, and three months after admission; and at discharge. The effectiveness and efficiency of the functional independence measure were calculated as rehabilitation outcomes. The effect of motivation on outcomes and the change in motivation in stroke patients for rehabilitation scale scores over time were analyzed using a linear mixed model. Results The median (interquartile range) converted motivation in stroke patients for rehabilitation scale scores (converted to a range of 0–100) at admission; one, two, and three months after admission; and discharge was 86 (76–95), 83 (77–94), 81 (74–95), 81 (71–93), and 84 (75–95), respectively. The median (interquartile range) of effectiveness and efficiency of the functional independence measure from admission to discharge was 0.82 (0.68–0.91) and 0.41 (0.30–0.59), respectively. Motivation in stroke patients for rehabilitation scale scores were not significantly associated with the effectiveness and efficiency of the functional independence measure ( p > 0.05). Motivation in stroke patients for rehabilitation scale scores were significantly lower at two ( β = −3.1, 95% confidence interval [−5.3, −0.9], p = 0.005) and three ( β = −4.4, 95% confidence interval [−7.3, −1.6], p = 0.002) months after admission than at admission. Conclusion Motivation might not directly affect rehabilitation outcomes assessed by the functional independence measure. Furthermore, many participants remained highly motivated, although their motivation decreased at one or three months after admission. Clinical rehabilitation impact Assumptions that rehabilitation is ineffective because of low motivation may not be correct. To examine the influence on outcomes, both motivation and daily activities should be considered.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fneur.2023.1185813
- OA Status
- gold
- Cited By
- 9
- References
- 44
- Related Works
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- OpenAlex ID
- https://openalex.org/W4384296635
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4384296635Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fneur.2023.1185813Digital Object Identifier
- Title
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Influence of motivation on rehabilitation outcomes after subacute stroke in convalescent rehabilitation wardsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-07-14Full publication date if available
- Authors
-
Taiki Yoshida, Yohei Otaka, Shin Ya Kitamura, Kazuki Ushizawa, Masashi Kumagai, Jun Yaeda, Rieko OsuList of authors in order
- Landing page
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https://doi.org/10.3389/fneur.2023.1185813Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/fneur.2023.1185813Direct OA link when available
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Interquartile range, Rehabilitation, Functional Independence Measure, Stroke (engine), Medicine, Physical therapy, Rehabilitation hospital, Physical medicine and rehabilitation, Internal medicine, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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9Total citation count in OpenAlex
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2025: 3, 2024: 6Per-year citation counts (last 5 years)
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44Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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