There is NO goal adjustment during rehab. There is one and only one goal in stroke. 100% recovery Since you don't seem to know that; GET THE HELL OUT OF STROKE!
The role of goal adjustment during rehabilitation from stroke
Author information
Applied psychology. Health and Well-being,
14 Jun 2021,
DOI:
10.1111/aphw.12288 PMID: 34125996
Share this article
Share with emailShare with twitterShare with linkedinShare with facebook
Abstract
We
investigated motivational regulation involving adjustment of recovery
goals in post-stroke rehabilitation via standard in-clinic physiotherapy
and in-home telerehabilitation (TR). We used a secondary dataset
collected at 11 US sites as part of a clinical trial using video games
and game control pads designed to induce certain arm movements required
for recovery (n = 124; Mage = 61.44, SD = 13.30).
Participants were randomly assigned to either the TR or in-clinic
condition and underwent 36 therapy sessions, reporting on their
activity-inherent enjoyment for 6-8 weeks. Compared with the in-clinic
patients and TR patients with high game performance, TR patients with
lower game performance reported lower activity-inherent enjoyment, which
is an important motivational resource for successful recovery. The
results suggest that these differences occur because TR patients become
discouraged by low game score feedback, which may have signaled a poor
prospect for recovery. However, the results also suggest that low game
performers who successfully adjusted their recovery goals were resilient
to the impact of low game score feedback on their motivational
resources and satisfaction with therapy. The findings suggest that goal
adjustment may be particularly beneficial when patients are discouraged
by feedback indicating suboptimal recovery prospects.
Author information
Applied psychology. Health and Well-being,
14 Jun 2021,
DOI:
10.1111/aphw.12288 PMID: 34125996
Share this article
Share with emailShare with twitterShare with linkedinShare with facebook
Abstract
We
investigated motivational regulation involving adjustment of recovery
goals in post-stroke rehabilitation via standard in-clinic physiotherapy
and in-home telerehabilitation (TR). We used a secondary dataset
collected at 11 US sites as part of a clinical trial using video games
and game control pads designed to induce certain arm movements required
for recovery (n = 124; Mage = 61.44, SD = 13.30).
Participants were randomly assigned to either the TR or in-clinic
condition and underwent 36 therapy sessions, reporting on their
activity-inherent enjoyment for 6-8 weeks. Compared with the in-clinic
patients and TR patients with high game performance, TR patients with
lower game performance reported lower activity-inherent enjoyment, which
is an important motivational resource for successful recovery. The
results suggest that these differences occur because TR patients become
discouraged by low game score feedback, which may have signaled a poor
prospect for recovery. However, the results also suggest that low game
performers who successfully adjusted their recovery goals were resilient
to the impact of low game score feedback on their motivational
resources and satisfaction with therapy. The findings suggest that goal
adjustment may be particularly beneficial when patients are discouraged
by feedback indicating suboptimal recovery prospects.
No comments:
Post a Comment