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ArticleFrontiers in neurology2023

Influence of motivation on rehabilitation outcomes after subacute stroke in convalescent rehabilitation wards.

Taiki Yoshida, Yohei Otaka, Shin Kitamura, Kazuki Ushizawa, Masashi Kumagai, Jun Yaeda, Rieko Osu

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06661512 (Acquired Brain Injury and Neurorehabilitation), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06661512 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Acquired Brain Injury and Neurorehabilitation: the Influence of Psychological Characteristics

Typeobservational_patient_registrySponsorInstitut GuttmannRan2024 to 2029Enrolled200ConditionsBrain Injury, Stroke Patients, TBI-Traumatic Brain InjuryArmsNeurorehabilitation program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Taiki YoshidaTokyo Bay Rehabilitation Hospital, Department of Rehabilitation Medicine, Chiba, Japan.
Yohei OtakaTokyo Bay Rehabilitation Hospital, Department of Rehabilitation Medicine, Chiba, Japan.
Shin KitamuraTokyo Bay Rehabilitation Hospital, Department of Rehabilitation Medicine, Chiba, Japan.
Kazuki UshizawaTokyo Bay Rehabilitation Hospital, Department of Rehabilitation Medicine, Chiba, Japan.
Masashi KumagaiTokyo Bay Rehabilitation Hospital, Department of Rehabilitation Medicine, Chiba, Japan.
Jun YaedaGraduate School of Comprehensive Human Science, University of Tsukuba, Tokyo, Japan.
Rieko OsuFaculty of Human Sciences, Waseda University, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 ( 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 ( 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.

Indexed as

functional independence measurehospitalizationmotivationrehabilitationstroke

Identifiers

PMID37521301
PMCPMC10375291

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