The Significance of Motivation for Rehabilitation in Stroke Patients.

, Lee, Kyoung Moo; , Kim, Yong Suk

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):309-313.

Lee, Kyoung Moo , Kim, Yong Suk

Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University, Korea. yskim30@intizen.com

뇌졸중 환자에서 치료 동기의 중요성

이경무, 김용석

충북대학교 의과대학 재활의학교실

Abstract

Objective
The purpose of this study was to investigate the factors associated with motivation for rehabilitation in stroke patients and to identify the relationship between their motivation and functional outcome.

Method
Subjects were 23 stroke patients who admitted to rehabilitation wards. Volitional Questionnaire (VQ) for assessing patients' motivation, personal and environmental variables, modified Barthel index (MBI), Beck depression inventory (BDI), minimental status examination (MMSE) and neurobehavioral cognitive status examination (NCSE), visual reaction time (VRT) and auditory reaction time (ART) were obtained at 1 week after admission, and then MBI was measured again after 4 weeks.

Results
VQ score was not related to the personal and environmental variables, but significantly related to BDI, MMSE, NCSE, VRT, ART, follow up score of MBI 4 weeks later and MBI gain.

Conclusion
Motivation was more associated with neuropsychological status than personal or environmental factors and significant factor of functional outcome. Therefore, physicians and physiotherapists should attempt to promote motivation of their patients during rehabilitation. (J Korean Acad Rehab Med 2003; 27: 309-313)

Key Words: Motivation, Stroke, Functional outcome, Depression