Deans' stroke musings: Influencing Factors Related to Stroke Patients' Rehabilitation Motivation: A Scoping Review

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, June 3, 2025

Influencing Factors Related to Stroke Patients' Rehabilitation Motivation: A Scoping Review

Motivation for survivors is easy: 100% recovery protocols! AND YOU WERE TOO FUCKING DUMB TO FIGURE THAT OUT? It takes a stroke survivor to educate you blithering idiots!

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/ADHERENCE, 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. I'd fire all of you for absurd incompetence! GET THERE!

Influencing Factors Related to Stroke Patients' Rehabilitation Motivation: A Scoping Review

小文范

Yi Xia

Junrong Wu

Shulei Jia^*

Jiangyu Hu

Nanchang University, Nanchang, China

The final, formatted version of the article will be published soon.

Mounting epidemiological evidence indicates a rising global prevalence of stroke among adults and older populations, often leading to severe functional impairments that compromise daily living. While rehabilitation exercise is recognized as a safe and effective strategy for functional recovery, inadequate rehabilitation motivation frequently undermines therapeutic efficacy. Exercise adherence plays a critical role in mitigating physical disability and mortality rates, yet current research lacks systematic insights into influencing of patient rehabilitation motivation. This scoping review synthesizes evidence from 23 studies across domestic and international databases to identify multidimensional factors influencing post-stroke rehabilitation motivation. Key influencing include intrinsic drivers (e.g., self-efficacy, depression), extrinsic supports (familial or social support, economic burden), disease-specific characteristics (severity, functional deficits), and intervention strategies (cognitivebehavioral therapy, gamified rehabilitation). Findings highlight the necessity of integrating personalized motivational assessments into clinical protocols and developing interdisciplinary interventions to address motivational barriers. These insights provide a foundation for optimizing rehabilitation frameworks and improving long-term patient outcomes.

Keywords: Stroke, Rehabilitation motivation, Influencing factors, Scoping review, Rehabilitation

Received: 21 Apr 2025; Accepted: 02 Jun 2025.

Copyright: © 2025 范, Xia, Wu, Jia and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shulei Jia, Nanchang University, Nanchang, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.