Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Self Motivation: does it Influence Performance of Motor Function in Post Stroke Individuals?


Affiliations
1 Department of Physiotherapy College of Medicine (UCH), University of Ibadan, Nigeria
     

   Subscribe/Renew Journal


Objective

Recovery of motor function after stroke could be influenced by biological, environmental and psychological factors. This ex-post-facto research assessed the association between self-motivation and motor function among chronic stroke survivors. Association between selfmotivation and each of age, gender, stroke laterality and time since onset of stroke was also investigated.

Methods

Thirty (20 males and 10 females) individuals who have suffered a first-ever stroke (mean age 59.30 ± 13.81years), 22 of whom had right hemiplegia, were consecutively recruited from among stroke survivors receiving physiotherapy on out-patient basis at a tertiary health facility in Nigeria. Stroke laterality, age, gender and time since onset of stroke were documented. Self-motivation and motor function were assessed using Self-Motivation Inventory (SMI) and Modified Motor Assessment Scale (MMAS) respectively. Data were analysed using Spearman rank order correlation and Mann-Whitney U statistics at 0.05 alpha.

Results

Association between motor function and self motivation (rho= 0.14; p = 0.45) was not statistically significant. Similar trend was observed between self motivation and each of age (rho= -0.21; p=0.26); time since onset of stroke (rho = 0.16; p = 0.33). There was a negative but non-significant association between age and motor function (rho = -0.26; p =0.44). Both SMI and MMAS scores were not significantly different between males and females; as well as between right and left hemiplegic patients.

Conclusion

Self-motivation did not influence motor function performance. Similarly age, stroke laterality, gender and time since onset of stroke are not associated with self motivation of stroke survivors. These findings imply that self motivation may not be influencing motor performance after stroke.


Keywords

Stroke, Self-motivation, Motor Function
Subscription Login to verify subscription
User
Notifications
Font Size


  • Strong K, Mathers C, Bonita R. Preventing stroke: saving lives around the world The Lancet Neurology 2007;6(2): 182-187

  • Mensah GA (2008): Epidemiology of stroke and high blood pressure in Africa. Heart 2008 Jun;94(6):697-705

  • Young J, Forster A. Review of stroke rehabilitation. BMJ. 2007; 334: 86-90.

  • Durward BJ, Baer G, Wade J. Stroke. In Strokes M (2000). Neurological Physiotherapy 2nd edition, Philadelphia, Mosby 2002; 75-90.

  • Bendz M. Rules of relevance after a stroke. Soc Sci Med. 2000; 51: 713-723.

  • Venketasubramanian N, Ang YH, Chan BPL, Chan P, BH Bridging the gap between primary and specialist care – An Integrative Model for Stroke Ann Acad Med Singapore 2008;37:118-27

  • Paolucci S, Antonucci S, Grasso MG, Morelli D, Troisi E, Coiro P, Bragoni M. Early versus delayed inpatient stroke rehabilitation: A matched comparison conducted in Italy. Arch Phys Med Rehabil 2000; 81(6): 695-700

  • Teasell RW, Foley NC, Bhogal SK, Speechley MR. An Evidence-Based Review of Stroke Rehabilitation. Topics in Stroke Rehabilitation. 2004; 10(1): 29-58.

  • Dobkin MD. Rehabilitation after stroke. New England Journal of Medicine. 2005; 352 (16): 1677-1684.

  • Maclean N, Pound P, Wolf C, Rudd A. Qualitative analysis of stroke patient’s motivation for rehabilitation. BMJ. 2000; 321: 1051-1054.

  • Holmquist L, Von Koch L. Environmental factors in stroke rehabilitation. BMJ. 2001; 322:1501-1502.

  • Loewen SC, Anderson BA. Reliability of Modified Motor Assessment Scale and the Barthel Index. Phys Ther 1988; 68: 1077-1081.

  • Hamzat TK, Olaleye OA, Adeniyi AF, Awolola OE. Standing asymmetry and functional ability in relation to gait parameters in hemiparetic stroke patients. Saudi Journal of Disability and Rehabilitation 2006; 12(1,2): 1-5.

  • Merkle LA, Jackson AS, Zhang JJ, Dishman RK. Reexamining the construct validity of the Self-Motivating Inventory. International Sports Journal. 2002; 6(2): 48-59.

  • King KM, Humen DP, Smith HR, Phan CL, Teo KK. Psychosocial components of cardiac recovery and rehabilitation attendance. Heart 2001; 85: 290-294.

  • World Health Organization. Task Force on Stroke and other Cerebrovascular Disorders: Recommendations on stroke prevention, diagnosis and therapy. Stroke. 1989; 20(10): 1407-1431.

  • Oldridge NB, Stoedefalke KG. Compliance and motivation in cardiac exercise programme. Clin Sports Med. 1984; 3(2): 443-454

  • Kugler C, Altenhoner T, Lochner P, Ferbert A. and for the Hessian Stroke Data Bank Study Group ASH. Does age influence early recovery from ischemic stroke? A study from the Hessian Stroke Data Bank. J Neurol 2003;250(6): 678-681.

  • Hamzat TK, Okesola YA. Some clinical and psychological determinants of independent walking attainment by post-stroke patients. African Journal of Neurological Sciences. 2006; 25:1.

  • Adegoke BOA, Akinkoye OO. The relationships between gender, motor function, period since stroke and asymmetry of lower limb weight distribution poststroke. South African Journal of Physiotherapy 2003; 59 (3): 15-19.


Abstract Views: 389

PDF Views: 0




  • Self Motivation: does it Influence Performance of Motor Function in Post Stroke Individuals?

Abstract Views: 389  |  PDF Views: 0

Authors

Talhatu K. Hamza
Department of Physiotherapy College of Medicine (UCH), University of Ibadan, Nigeria
Omobolanle A. Adebisi-Akinbile
Department of Physiotherapy College of Medicine (UCH), University of Ibadan, Nigeria

Abstract


Objective

Recovery of motor function after stroke could be influenced by biological, environmental and psychological factors. This ex-post-facto research assessed the association between self-motivation and motor function among chronic stroke survivors. Association between selfmotivation and each of age, gender, stroke laterality and time since onset of stroke was also investigated.

Methods

Thirty (20 males and 10 females) individuals who have suffered a first-ever stroke (mean age 59.30 ± 13.81years), 22 of whom had right hemiplegia, were consecutively recruited from among stroke survivors receiving physiotherapy on out-patient basis at a tertiary health facility in Nigeria. Stroke laterality, age, gender and time since onset of stroke were documented. Self-motivation and motor function were assessed using Self-Motivation Inventory (SMI) and Modified Motor Assessment Scale (MMAS) respectively. Data were analysed using Spearman rank order correlation and Mann-Whitney U statistics at 0.05 alpha.

Results

Association between motor function and self motivation (rho= 0.14; p = 0.45) was not statistically significant. Similar trend was observed between self motivation and each of age (rho= -0.21; p=0.26); time since onset of stroke (rho = 0.16; p = 0.33). There was a negative but non-significant association between age and motor function (rho = -0.26; p =0.44). Both SMI and MMAS scores were not significantly different between males and females; as well as between right and left hemiplegic patients.

Conclusion

Self-motivation did not influence motor function performance. Similarly age, stroke laterality, gender and time since onset of stroke are not associated with self motivation of stroke survivors. These findings imply that self motivation may not be influencing motor performance after stroke.


Keywords


Stroke, Self-motivation, Motor Function

References