A motivational intervention for stroke rehabilitation: a feasibility study of physical therapy.

A motivational intervention for stroke rehabilitation: a feasibility study of physical therapy. - A motivational intervention for stroke rehabilitation: a feasibility study of physical therapy.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

JPRN

Registry ID

JPRN-UMIN000037545

Enrollment

Registered

2019-08-10

Start date

2019-08-10

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke

Interventions

Before the intervention, therapists will modify the content of his/her standard physical therapy based on the ARCS motivational model (Keller, 1984, 1987, 2009) in order to facilitate patients&#39

motivation for physical therapy. The ARCS model is a problem-solving approach to design the motivational aspects of learning environments to stimulate motivation to learn. Therapists will modify h

s four criteria. (1) ATTENTION. Does the therapy design to gain patients&#39

attention? (e.g., use surprise or uncertainly to gain interest)? (2) RELEVANCE. Does the therapy design to establish relevance (e.g., provide information for future usefulness)? (3) CONFIDENCE. Does t

(4) SATISFACTION. Does the therapy design for patients to be satisfied or rewarded (e.g., praise)? As a reference, a list of motivational strategies (see the below list in the section of &quot

Other related information&quot

) will be presented to therapists. Therapist may utilize the list or may think of motivational strategies themselves. Stroke patients will receive 60 minutes/ days of the modified physical therapy

motivation.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Being between 30-180 days after first-ever stroke 2. Patients with any impairments in lower extremity due to the stroke, such as paralysis, ataxia, and muscle weakness 3. Ability to understand an instruction of the experimental procedure and execute motor and psychological tasks required on this study 4. Ability to walk in daily life without physical contact (walk item of Functional Independence Measure score of 5 or more) 5. Patients who are predicted to hospitalize more than 4 weeks since he/she participated in this study. 6. No other neurologic conditions in addition to stroke 7. Consent to participant in this study

Exclusion criteria

Exclusion criteria: 1. Limited range of motion, musculoskeletal impairments, and/or pain that affect motor tasks 2. Patients with a comfortable walking speed measured by using 10-meter walk test slower than 0.5 m/s at the participation in this study 3. Mental impairment leading to inability to cooperate (attendance to the psychiatry or taking a psychoactive medication) 4. Patients who are considered to be inappropriate to participate in the study

Design outcomes

Primary

Measure	Time frame
1. A questionnaire on the feasibility of this interventional protocol 2. Number of adverse events 3. Number of drop out 4. Functional Independence Measure (FIM) 5. Self-rating Depression Scale (SDS) 6. Apathy Scale (AS) 7. 6-minute walking distance 8. 10 meter walking speed 9. Timed Up and Go test 10. Five scale rating on motivation for rehabilitation 11. Step counts per a week	—

Countries

Japan

Contacts

Public ContactSatoshi Tanaka

Hamamatsu University School of Medicine Psychology

tanakas@hama-med.ac.jp053-453-2111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026