{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:38:01Z","timestamp":1792532281379,"version":"4.5.0"},"reference-count":46,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Insufficient motivation among post-stroke survivors may be an important factor affecting their motor function recovery. This study seeks to investigate the relationship between motivation and functional recovery in stroke patients undergoing rehabilitation training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>103 stroke patients with upper limb impairments were studied during their hospital stays. Assessments were done before and after rehabilitation training to measure motivation, emotional state, motor function, and independence in daily activities. Data analysis was conducted to examine the distribution of these factors among the participants. Pearson and Spearman correlation analyses were used to study the relationships between motivation, emotional state, and motor function. Patients were divided into high and low motivation groups based on the Rehabilitation Motivation Scale (RMS), and chi-square and rank-sum tests were used to compare functional differences before and after treatment among patients with varying levels of motivation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>66 participants were found to have low motivation in the initial assessment of the RMS (64.08%). Consistency in motivation levels was observed among patients with high motivation (<jats:italic>r<\/jats:italic>\u2009=\u20090.648, <jats:italic>P<\/jats:italic>&amp;lt;0.001). Apathy was identified as the main factor affecting motivation in patients with low motivation (<jats:italic>p<\/jats:italic>\u2009=\u20090.027), while depression and anxiety were not significantly correlated. Motivation was strongly linked to improvements in upper limb motor function, daily living activities, and self-exercise duration (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) for stroke patients undergoing rehabilitation. Post-training, there was a notable increase in motivation, motor function, and independence in daily activities (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). Increased rehabilitation motivation was linked to better upper limb motor function and daily independence in patients, particularly those with low motivation. This correlation was significant for both the FMA-UE and FIM scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Old patients with poor upper limb motor function often have low motivation, which hinders their recovery. Using strategies to boost motivation in stroke patients with impaired upper limb function could greatly improve their rehabilitation and motor skills. It is crucial to prioritize these intervention strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Enhancing rehabilitation motivation in stroke patients with low motivation and upper limb motor impairments can foster the restoration of their functional capabilities.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2024.1390811","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T05:31:03Z","timestamp":1716874263000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":29,"title":["The relationship between rehabilitation motivation and upper limb motor function in stroke patients"],"prefix":"10.3389","volume":"15","author":[{"given":"Wenxi","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangyue","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinglei","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuoxin","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyi","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guohui","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongsheng","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1177\/17474930221135983","article-title":"Increasing burden of stroke in China: a systematic review and meta-analysis of prevalence, incidence, mortality, and case fatality","volume":"18","author":"Zhao","year":"2023","journal-title":"Int J Stroke"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/1747493019873562","article-title":"Stroke epidemiology and stroke policies in China from 1980 to 2017: a systematic review and meta-analysis","volume":"15","author":"Hu","year":"2020","journal-title":"Int J Stroke"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1080\/10749357.2018.1544845","article-title":"Factors affecting rehabilitation and use of upper limb after stroke: views from healthcare professionals and stroke survivors","volume":"26","author":"Meadmore","year":"2019","journal-title":"Top Stroke Rehabil"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1007\/s12439-014-0072-6","article-title":"Stroke rehabilitation in nursing homes: intensity of and motivation for physiotherapy","volume":"45","author":"Wissink","year":"2014","journal-title":"Tijdschr Gerontol Geriatr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1002\/pmrj.12577","article-title":"Intensity of usual care physical therapy during inpatient rehabilitation for people with neurologic diagnoses","volume":"14","author":"DiPasquale","year":"2022","journal-title":"PM R"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1080\/096382899297459","article-title":"The long-term outcome of arm function after stroke: results of a follow-up study","volume":"21","author":"Broeks","year":"1999","journal-title":"Disabil Rehabil"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.jcma.2014.03.006","article-title":"Modeling factors predictive of functional improvement following acute stroke","volume":"77","author":"Wang","year":"2014","journal-title":"J Chin Med Assoc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"823202","DOI":"10.3389\/fneur.2022.823202","article-title":"Leveraging factors of self-efficacy and motivation to optimize stroke recovery","volume":"13","author":"Gangwani","year":"2022","journal-title":"Front Neurol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1080\/09602011.2014.1001409","article-title":"Further validation of the motivation for traumatic brain injury rehabilitation questionnaire (MOT-Q) in patients with acquired brain injury","volume":"26","author":"Boosman","year":"2016","journal-title":"Neuropsychol Rehabil"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1080\/10749357.2022.2070358","article-title":"Capability, opportunity, motivation, and social participation after stroke","volume":"30","author":"Gingrich","year":"2023","journal-title":"Top Stroke Rehabil"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1093\/ptj\/pzx038","article-title":"How Physically active are people following stroke? 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