THE MODERATOR EFFECT OF REHABILITATION MOTIVATION ON PHYSICAL FUNCTION, BALANCE, AND, COGNITION OF STROKE

An J1,2, Park J3, Kim J2, Lee B2
1Seoul Now Hospital, Seoungnam city, Korea (South), 2Sahmyook University, The Graduate School of Physical Therapy, Seoul, Korea (South), 3Sahmyook Seoul Hospital, Physical Therapy, Seoul, Korea (South)

Background: The motivation of rehabilitation is important feature in recovery from disease not even stroke.

Purpose: The aim of this study was to investigate the moderator effect of rehabilitation motivation on physical function, balance, and cognition function of stroke patients.

Methods: Cross-sectional design. Sixty-seven patients with stroke were collected for this study. To evaluate of physical function, Manual Muscle Test(MMT), Range of Motion(ROM), Modified Ashworth Scale for spasticity(MAS), and grasping power were used and Functional reach test(FRT), Berg Balance Scale(BBS) were measured for balance. In addition, Korean-Mini Mental State Examination (K-MMSE) was used for evaluating cognition function and motivation for rehabilitation scale was used for motivation of rehabilitation.

Results: The results of this study were physical function, balance, and cognition showed significant positive correlation (p 0.05). The moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p 0.01). The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p 0.01). The moderating effect of external motivation was also significant in the effect of FRT on physical function (p 0.01). However, when the rehabilitation motivations generally divided into three levels (Lower, Average, Upper), average and lower level groups were statistically significant. This result confirms that physical functions, balance and recognition have significant correlations, and the rehabilitation motivation has demonstrated significant adjustment effects between the body function and balance.

Conclusion(s): In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.

Implications: Although this study results, variety approaches to improving physical and mental function for stroke patients are needed.

Keywords: Stroke, cognition, rehabilitation motivation

Funding acknowledgements: This study has received no financial support.

Topic: Neurology: stroke

Ethics approval required: Yes
Institution: Sahmyook university
Ethics committee: Sahmyook university Institutional Review Board
Ethics number: SYUIRB2-1040781-AB-N-01-2017-023HR


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