Evidence map›Paper›PMID 40777855›Full record

ReviewFrontiers in neurology2025

Advances in nursing care for post-stroke limb dysfunction rehabilitation.

Jie Bai, Kecheng Chen

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

2 authors.

Jie BaiCenter for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Kecheng ChenCenter for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke-induced limb dysfunction has a significant impact on patients' functional independence and quality of life. While rehabilitation efficacy depends largely on patient motivation, psychological factors often impede treatment adherence and functional recovery. This narrative review synthesizes current evidence on psychological factors affecting rehabilitation motivation, assessment tools, and evidence-based interventions for stroke patients with limb dysfunction. Psychological barriers, including kinesiophobia, diminished self-efficacy, perceived burden, and inadequate social support, significantly predict rehabilitation outcomes. Clinically validated assessment tools demonstrate variable utility across recovery phases, with the Pittsburgh Rehabilitation Participation Scale offering efficiency in acute settings and the Motivation in Stroke Patients for Rehabilitation Scale providing comprehensive evaluation during subacute and chronic phases. Evidence supports multimodal intervention strategies that combine psychological approaches (such as motivational interviewing) with technological innovations (virtual reality, game-based therapy, wearable devices). Clinical implementation should prioritize early psychological screening within 72 h of admission, followed by integrated assessment protocols combining clinician-rated and self-report measures. Furthermore, personalized motivation enhancement protocols tailored to patients' cognitive status and recovery phase, along with robust interdisciplinary collaboration between rehabilitation nurses, physical therapists, and psychologists, are essential. Ultimately, this integrated approach optimizes rehabilitation outcomes by comprehensively addressing both physical and psychological dimensions of stroke recovery. In the future, studies should emphasize multidimensional analyses that incorporate individual patient characteristics to develop precise rehabilitation interventions, thereby proposing new strategies for optimizing functional recovery in stroke survivors.

Indexed as

limb dysfunctionnursing carepsychologyrehabilitation motivationstroke

Identifiers

PMID40777855
PMCPMC12329226

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.