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)