Motivation as a Measurable Outcome in Stroke Rehabilitation: A Systematic Review of the Literature

Giulio Verrienti (), Cecilia Raccagni, Ginevra Lombardozzi, Daniela De Bartolo and Marco Iosa
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Giulio Verrienti: Department of Neurorehabilitation, Casa di Cura Villa Verde, 73100 Lecce, Italy
Cecilia Raccagni: Department of Neurology, Provincial Hospital of Bolzano (SABES-ASDAA), Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, 39100 Bolzano, Italy
Ginevra Lombardozzi: Von Siebenthal Neuropsychiatric Clinic and Hospital, 00045 Rome, Italy
Daniela De Bartolo: Smart Lab, IRCCS Santa Lucia Foundation, 00179 Rome, Italy
Marco Iosa: Smart Lab, IRCCS Santa Lucia Foundation, 00179 Rome, Italy

IJERPH, 2023, vol. 20, issue 5, 1-25

Abstract: Motivated behaviours are thought to lead to enhanced performances. In the neurorehabilitation field, motivation has been demonstrated to be a link between cognition and motor performance, therefore playing an important role upon rehabilitation outcome determining factors. While motivation-enhancing interventions have been frequently investigated, a common and reliable motivation assessment strategy has not been established yet. This review aims to systematically explore and provide a comparison among the existing motivation assessment tools concerning stroke rehabilitation. For this purpose, a literature search (PubMed and Google Scholar) was performed, using the following Medical Subject Headings terms: “assessment” OR “scale” AND “motivation” AND “stroke” AND “rehabilitation”. In all, 31 randomized clinical trials and 15 clinical trials were examined. The existing assessment tools can be grouped into two categories: the first mirroring the trade-off between patients and rehabilitation, the latter reflecting the link between patients and interventions. Furthermore, we presented assessment tools which reflect participation level or apathy, as an indirect index of motivation. In conclusion, we are left to put forth a possible common motivation assessment strategy, which might provide valuable incentive to investigate in future research.

Keywords: motivation; participation; apathy; stroke; neurorehabilitation; performance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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