Reward during arm training improves impairment and activity after stroke: A randomized controlled trial.

Are you that fucking clueless in not understanding that all you need is EXACT RECOVERY PROTOCOLS and your patient will gladly do millions of repetitions knowing the result will be recovery? No rewards needed. I'd have you all fired.

 Reward during arm training improves impairment and activity after stroke: A randomized controlled trial.

Neurorehabilitation and Neural Repair (NNR) , Volume 36(2) , Pgs. 140-150.

NARIC Accession Number: J88562.  What's this?
ISSN: 1545-9683.
Author(s): Widmer, Mario ; Held, Jeremia P. O.; Wittmann, Frieder; Valladares, Belen; Lambercy, Olivier; Sturzenegger, Christian; Palla, Antonella; Lutz, Kai; Luft, Andreas R. .
Publication Year: 2022.
Number of Pages: 11.

Abstract: 

Study evaluated the effect of enhanced feedback and reward on arm rehabilitative training following stroke. This multicenter, assessor-blinded, randomized controlled trial used the ArmeoSenso virtual-reality rehabilitation system to train 37 first-ever subacute stroke patients in arm-reaching to moving targets. The rewarded group trained with performance feedback (gameplay) and contingent monetary reward. The control group used the same system without monetary reward and with graphically minimized performance feedback. The primary outcome was the change in the two-dimensional reaching space until the end of the intervention period. Secondary clinical assessments were performed at baseline, after 3 weeks of training (15 one-hour sessions), and at 3-month follow-up. Duration and intensity of the interventions as well as concomitant therapy were comparable between groups. The two-dimensional reaching space showed an overall improvement but no difference between groups. However, the rewarded group showed significantly greater improvements from baseline in secondary outcomes assessing arm activity and arm impairment. Although neutral in its primary outcome, the results of this study suggest a potential facilitating effect of reward on training-mediated improvement of arm paresis.
Descriptor Terms: FEEDBACK, LEARNING, LIMBS, MOTOR SKILLS, REHABILITATION SERVICES, STROKE.


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Citation: Widmer, Mario , Held, Jeremia P. O., Wittmann, Frieder, Valladares, Belen, Lambercy, Olivier, Sturzenegger, Christian, Palla, Antonella, Lutz, Kai, Luft, Andreas R. . (2022). Reward during arm training improves impairment and activity after stroke: A randomized controlled trial.  Neurorehabilitation and Neural Repair (NNR) , 36(2), Pgs. 140-150. Retrieved 6/1/2022, from REHABDATA database.