Observational studyEuropean journal of physical and rehabilitation medicine2025
Motivation in veterans with an acute/subacute ischemic stroke did not improve cognition and functional motor recovery but reduced deaths.
Observational study in European journal of physical and rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Impact of white matter hyperintensities on cognitive, motor and functional recovery in veterans following acute/subacute stroke: a prospective study.BMJ neurology open · 2026Article
- An analysis of factors and pathways related to rehabilitation motivation in stroke patients based on self-determination theory.Frontiers in neurologyArticle
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Authors and funding
2 authors.
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Abstract
backgroundThe role of motivation per se in the presence or absence of depression in stroke-related cognitive and functional motor recovery has not been studied.
aimThis study aimed to determine the role of motivation on cognition and functional motor recovery in patients after an acute and subacute ischemic stroke.
designProspective, observational, single-center study.
settingEnrollment was undertaken in an inpatient neurorehabilitation facility. POPULATION: A total of 125 veterans with stroke were admitted to an inpatient neurorehabilitation facility.
methodsRecovery locus of control (RLOC) measured the degree of motivation. The primary outcome measures were changes from baseline in the Action Research Arm Test (ARAT), total and sub-scores of Functional Independence Measures (TFIM), and the 2-minute walk test (2-MWT) on discharge from the IRF.
resultsThe mean age of the study sample was 65±9.3 years, they were mainly non-Hispanic white (N.=92, 74%) men (N.=119, 95%) admitted 9±11 days after acute stroke. When the sample was divided into less motivated (score 0-25, N.=32) and motivated (score ≥ 26, N.=93) as measured by the total RLOC for a statistical median of 26, the two groups had similar baseline characteristics including admission depression, TFIM, ARAT, and 2-MWT scores. The change in the primary outcome measure scores from baseline was similar between the two groups. Motivated group veterans had a lower all-cause mortality rate at 12 months than less motivated veterans (P=0.001).
conclusionsA higher level of motivation irrespective of the degree of depression did not improve cognitive or functional motor recovery scores. However, motivated veterans had a lower all-cause mortality at 12 months. CLINICAL REHABILITATION IMPACT: The result of this study has important implications in clinical practice highlighting that motivated patients are more likely to be discharged home and have a lower all-cause mortality.
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