My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!
There would be no need for this useless research!
The problem is stroke researchers are not motivated to solve stroke. What the fuck is your solution to that failure? We still don't know how to motivate stroke medical 'professionals' to solve stroke to 100% recovery!
The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial.
Journal of NeuroEngineering and Rehabilitation. Volume 21(143)
NARIC Accession Number: J94181. What's this?
Author(s): Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei.
Publication Year: 2024.
Abstract: This randomized controlled trial examined motivation, adherence, and motor-function improvement in subjects with upper-extremity hemiparesis due to stroke who performed one of two different game-based, autonomous training programs at home. Thirty-three people with moderate-to-mild hemiparesis were taught to perform rehabilitation games using the home virtual rehabilitation system in their homes. Subjects were instructed to train twenty minutes per day for 12 weeks but were allowed to train as much as they chose. Seventeen subjects played scaffolded games, presenting eight to twelve discrete levels of increasing difficulty. Sixteen subjects performed the same activities controlled by success algorithms that modify game difficulty incrementally. Participants were evaluated using the Action Research Arm Test, Upper Extremity Fugl Meyer Assessment (UEFMA), Stroke Impact Scale, and Intrinsic Motivation Inventory (IMI) before and after training. Adherence was measured using timestamps generated by the gaming system. Group outcomes were compared. Correlations between subject demographics and adherence, as well as motor outcome, were evaluated using Pearson correlation coefficients. There were 5 dropouts and no adverse events. The main effect of time was statistically significant for four of the five clinical outcome measures. There were no significant training group-by-time interactions. Measures of adherence did not differ significantly between groups. Twenty-one subjects from both groups demonstrated improvements in UEFMA scores of at least 5 points, exceeding the minimal clinically important difference of 4.25. IMI scores were stable training. Scaffolding challenges during game-based rehabilitation did not elicit higher levels of adherence compared to algorithm control of game difficulty. Both sparsely supervised programs of game-based treatment in the home were sufficient to elicit clinically meaningful improvements in motor function.
Descriptor Terms: COMPLIANCE, HEMIPLEGIA, HOME BASED, LIMBS, MOTIVATION, MOTOR SKILLS, RECREATION, REHABILITATION, REHABILITATION TECHNOLOGY, STROKE, THERAPEUTIC TRAINING.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01441-7(link is external).
Citation: Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei. (2024.) The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial. Journal of NeuroEngineering and Rehabilitation., 21(143) Retrieved 10/24/2024, from REHABDATA database.
NARIC Accession Number: J94181. What's this?
Author(s): Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei.
Publication Year: 2024.
Abstract: This randomized controlled trial examined motivation, adherence, and motor-function improvement in subjects with upper-extremity hemiparesis due to stroke who performed one of two different game-based, autonomous training programs at home. Thirty-three people with moderate-to-mild hemiparesis were taught to perform rehabilitation games using the home virtual rehabilitation system in their homes. Subjects were instructed to train twenty minutes per day for 12 weeks but were allowed to train as much as they chose. Seventeen subjects played scaffolded games, presenting eight to twelve discrete levels of increasing difficulty. Sixteen subjects performed the same activities controlled by success algorithms that modify game difficulty incrementally. Participants were evaluated using the Action Research Arm Test, Upper Extremity Fugl Meyer Assessment (UEFMA), Stroke Impact Scale, and Intrinsic Motivation Inventory (IMI) before and after training. Adherence was measured using timestamps generated by the gaming system. Group outcomes were compared. Correlations between subject demographics and adherence, as well as motor outcome, were evaluated using Pearson correlation coefficients. There were 5 dropouts and no adverse events. The main effect of time was statistically significant for four of the five clinical outcome measures. There were no significant training group-by-time interactions. Measures of adherence did not differ significantly between groups. Twenty-one subjects from both groups demonstrated improvements in UEFMA scores of at least 5 points, exceeding the minimal clinically important difference of 4.25. IMI scores were stable training. Scaffolding challenges during game-based rehabilitation did not elicit higher levels of adherence compared to algorithm control of game difficulty. Both sparsely supervised programs of game-based treatment in the home were sufficient to elicit clinically meaningful improvements in motor function.
Descriptor Terms: COMPLIANCE, HEMIPLEGIA, HOME BASED, LIMBS, MOTIVATION, MOTOR SKILLS, RECREATION, REHABILITATION, REHABILITATION TECHNOLOGY, STROKE, THERAPEUTIC TRAINING.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01441-7(link is external).
Citation: Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei. (2024.) The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial. Journal of NeuroEngineering and Rehabilitation., 21(143) Retrieved 10/24/2024, from REHABDATA database.
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