■中风幸存者在康复过程中经常面临运动学习和动机方面的挑战,这可能会阻碍他们的恢复进程。传统的康复方法效果各异,促使人们探索奖励策略等新方法。先前的研究表明,奖励可以增强康复动机并促进运动学习。然而,大多数奖励范例都使用固定的奖励金额,这也有局限性。探索替代方案,更有效的奖励策略,比如概率奖励,有必要优化中风患者的康复。
■总共81名中风患者将被招募并随机分配到对照组,固定的奖励,或概率奖励组以1:1:1的比例使用随机数字表方法。参加者将接受为期10天的日常手部运动功能康复训练,每次20分钟。培训将涉及钉板测试以及框和块测试。对照组参与者将接受标准培训,虽然固定奖励小组成员将获得完成测试的金钱奖励,概率奖励小组成员将有机会通过彩票盒赢得金钱奖励。将在指定的时间点进行康复动机和运动表现以及功能近红外光谱脑成像。主要结果测量是中风康复动机量表,第二个结果指标包括运动表现,评估手功能的简单测试,动机和快乐量表自我报告,和匹兹堡康复参与量表。
■基于奖励的训练可提高康复参与度和依从性,它还可以改善中风患者的运动学习速度和记忆力。过去研究中应用的固定奖励可能会降低中风患者对奖励的敏感性,而概率奖励可能为运动康复提供不可预测或可变的激励或增强。本研究将比较不同奖励策略在增强脑卒中患者运动学习能力和康复动机方面的疗效。通过进行随机对照试验,本研究旨在为优化卒中康复方案和改善患者预后提供有价值的见解.临床试验注册:https://www.chictr.org.cn/,ChiCTR2400082419。
UNASSIGNED: Stroke survivors often face challenges in motor learning and motivation during rehabilitation, which can impede their recovery progress. Traditional rehabilitation methods vary in effectiveness, prompting the exploration of novel approaches such as reward strategies. Previous research indicates that rewards can enhance rehabilitation motivation and facilitate motor learning. However, most reward paradigms have utilized fixed reward amounts, which also have limitations. Exploring alternative, more effective reward strategies, such as probabilistic rewards, is warranted to optimize stroke patient rehabilitation.
UNASSIGNED: A total of 81 stroke patients will be recruited and randomly assigned to control, fixed reward, or probabilistic reward groups at a ratio of 1:1:1 using a randomized number table method. Participants will undergo 10 days of daily hand motor function rehabilitation training, with sessions lasting 20 min each. The training will involve pegboard tests and box and block tests. Control group participants will receive standard training, while fixed reward group members will receive monetary incentives for completing tests, and probabilistic reward group members will have the chance to win monetary rewards through a lottery box. Rehabilitation motivation and motor performance and functional near-infrared spectroscopy brain imaging will be conducted at designated time points. The primary outcome measure is the stroke rehabilitation motivation scale, and the second outcome measures include motor performance, simple test for evaluating hand function, motivation and pleasure scale self-report, and Pittsburgh rehabilitation participation scale.
UNASSIGNED: Reward-based training enhance rehabilitation participation and adherence, it also improve motor learning speed and memory retention of stroke patients. The fixed reward applied in the past studies could diminish the sensitivity of stroke patients to rewards, while probabilistic reward may provide unpredictable or variable incentives or reinforcements for motor rehabilitation. This study will compare the efficacy of different reward strategies in enhancing motor learning ability and rehabilitation motivation among stroke patients. By conducting a randomized controlled trial, the study seeks to provide valuable insights into optimizing stroke rehabilitation protocols and improving patient outcomes.Clinical Trial Registration:https://www.chictr.org.cn/, ChiCTR2400082419.