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<p>This pilot study investigated whether goal-setting leads to good behavioral performance and high motivation during an unsupervised reaching task in patients with subacute stroke. Using a single-blind, stratified randomized controlled design, 50 patients with unilateral upper-extremity motor paralysis were allocated to either a goal-setting group (<i>n</i> = 25) or a control group (<i>n</i> = 25) without goal setting. Both groups performed an unsupervised reaching task during a 15-minute session. The primary outcome measures included the total time spent in training and the success rate of reaching tasks. The secondary outcome was self-reported motivation assessed using a visual analog scale. Although there were no significant differences in the median [interquartile range] training time between goal-setting and control groups (636 [500–709] sec vs. 633 [494–715] sec, <i>p</i> = 0.771), the goal-setting group demonstrated significantly higher success rates than the control group (92.6 [82.9–96.0]% vs. 80.7 [65.4–92.6]%, <i>p</i> = 0.019). Self-reported motivation scores showed no significant differences between the groups (76 [60–95] vs. 84 [49–97], <i>p</i> = 0.994). These findings suggest that goal setting can help patients accurately perform reaching movements during unsupervised training, potentially enhancing the quality of motor performance in self-rehabilitation.</p>

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Goal-setting improves movement accuracy during unsupervised training in stroke patients

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月3日

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  • Chikako Sakakibara,
  • Kazuaki Oyake,
  • Yukie Abe,
  • Takashi Shigematsu,
  • Tomoya Kitade,
  • Ichiro Fujishima,
  • Satoshi Tanaka

摘要

This pilot study investigated whether goal-setting leads to good behavioral performance and high motivation during an unsupervised reaching task in patients with subacute stroke. Using a single-blind, stratified randomized controlled design, 50 patients with unilateral upper-extremity motor paralysis were allocated to either a goal-setting group (n = 25) or a control group (n = 25) without goal setting. Both groups performed an unsupervised reaching task during a 15-minute session. The primary outcome measures included the total time spent in training and the success rate of reaching tasks. The secondary outcome was self-reported motivation assessed using a visual analog scale. Although there were no significant differences in the median [interquartile range] training time between goal-setting and control groups (636 [500–709] sec vs. 633 [494–715] sec, p = 0.771), the goal-setting group demonstrated significantly higher success rates than the control group (92.6 [82.9–96.0]% vs. 80.7 [65.4–92.6]%, p = 0.019). Self-reported motivation scores showed no significant differences between the groups (76 [60–95] vs. 84 [49–97], p = 0.994). These findings suggest that goal setting can help patients accurately perform reaching movements during unsupervised training, potentially enhancing the quality of motor performance in self-rehabilitation.