Does perceived self efficacy affect arm use preference in stroke survivors
Pro Research Analysisby 
Searched over 200M research papers
Consensus Meter
The Impact of Perceived Self-Efficacy on Arm Use Preference in Stroke Survivors
Introduction to Self-Efficacy and Stroke Rehabilitation
Self-efficacy, or the belief in one's ability to succeed in specific situations, plays a crucial role in the rehabilitation process for stroke survivors. This article explores how perceived self-efficacy influences arm use preference and functional recovery in individuals who have experienced a stroke.
Self-Efficacy and Functional Arm Use
Correlation Between Self-Efficacy and Arm Use
Research indicates a significant correlation between upper extremity (UE) self-efficacy and the daily use of the affected arm in stroke survivors. Individuals with higher self-efficacy tend to report more frequent use of their affected arm in daily activities, even when they possess high functional capacity. This suggests that self-efficacy is a critical factor in motivating stroke survivors to utilize their affected limb, thereby enhancing recovery.
Moderating Role of Self-Efficacy in Rehabilitation Outcomes
Self-efficacy not only correlates with arm use but also moderates the relationship between motor ability and functional performance. Studies have shown that higher self-efficacy levels at the beginning of rehabilitation can predict better functional use of the affected arm post-intervention. This relationship is particularly strong when self-efficacy is high, indicating that boosting self-efficacy could enhance the effectiveness of motor ability training.
Predictors of Arm Nonuse and Self-Efficacy
Identifying Predictors of Arm Nonuse
Despite good motor function, some stroke survivors exhibit arm nonuse. Key predictors of this phenomenon include pre-intervention measures of arm motor function, arm use in daily activities, and self-efficacy. These predictors can help identify individuals at risk of arm nonuse, allowing for targeted interventions to improve arm use and overall recovery.
Influence of Contextual Factors
The context in which stroke survivors live also affects arm use. Factors such as social environment, awareness of self-engagement strategies, and the ability to perceive small gains in arm function play significant roles. Addressing these contextual determinants can promote active functional task engagement and sustained arm use.
Enhancing Self-Efficacy in Rehabilitation
Task-Related Training and Self-Efficacy
Task-related training that incorporates self-efficacy building can significantly improve functional outcomes. For instance, interventions that include repetitive task training with feedback, such as musical activities or game technology, can enhance self-efficacy and motivate stroke survivors to engage in self-practice. These innovative approaches make rehabilitation more engaging and effective.
Virtuous and Vicious Cycles of Arm Use
The concept of virtuous and vicious cycles highlights the importance of maintaining high levels of arm use post-rehabilitation. High self-efficacy can lead to a virtuous cycle where increased arm use reinforces functional gains, while low self-efficacy can result in a vicious cycle of declining use and function. Therefore, interventions should aim to sustain and enhance self-efficacy to prevent the decline of arm function.
Conclusion
Perceived self-efficacy significantly affects arm use preference and functional recovery in stroke survivors. By understanding and addressing the role of self-efficacy, rehabilitation programs can be tailored to enhance motivation, engagement, and ultimately, the recovery of arm function. Future research should continue to explore strategies to boost self-efficacy and integrate these findings into clinical practice to improve outcomes for stroke survivors.
Sources and full results
Most relevant research papers on this topic