Does perceived self efficacy affect arm use preference in stroke survivors

Introduction

The relationship between perceived self-efficacy and arm use preference in stroke survivors is a critical area of research in rehabilitation. Understanding how self-efficacy influences the functional use of the affected arm can inform therapeutic strategies and improve outcomes for stroke patients.

Key Insights

Self-Efficacy and Functional Arm Use:
- Higher self-efficacy at the beginning and end of rehabilitation is associated with better functional use of the affected arm post-intervention.
- Upper extremity self-efficacy is significantly correlated with daily hand use in individuals with high functional capacity post-stroke.
Predictive Role of Self-Efficacy:
- Self-efficacy moderates the relationship between initial motor ability and functional arm use after task-related training, suggesting that higher self-efficacy enhances the positive impact of motor ability on arm use.
- Self-efficacy should be assessed during rehabilitation as it correlates with perceived daily hand use and can predict functional outcomes.
Task-Specific Training and Self-Efficacy:
- Task-specific training (TST) improves self-reported arm use, and the increase in arm use is dependent on the improvement in functional ability, which is influenced by self-efficacy.
- Self-directed interventions, including those that build self-efficacy, can enhance arm recovery, particularly with approaches like constraint-induced movement therapy and electrical stimulation.
Long-Term Retention and Self-Practice:
- Greater doses of task practice improve the efficacy of practice and long-term retention of arm use, with self-practice further enhancing these effects.

Conclusion

Perceived self-efficacy plays a significant role in influencing arm use preference in stroke survivors. Higher self-efficacy is associated with better functional use of the affected arm, and it moderates the relationship between motor ability and arm use outcomes. Task-specific training and self-directed interventions that build self-efficacy can enhance arm recovery and daily use. Assessing and targeting self-efficacy during rehabilitation can lead to improved functional outcomes for stroke patients.

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Does perceived self efficacy affect arm use preference in stroke survivors

Summary

Introduction

Key Insights

Conclusion

Sources and full results

The role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data.

Self-efficacy plays a crucial role in predicting functional arm use after stroke-related training, with high levels predicting better outcomes.

Upper extremity self-efficacy correlates with daily hand-use of individuals with high functional capacity post-stroke

Higher upper extremity self-efficacy is associated with increased daily hand-use in individuals with high functional capacity post-stroke.

The Efficiency, Efficacy, and Retention of Task Practice in Chronic Stroke

Greater doses of task practice in chronic stroke patients lead to increased efficacy, lower efficiency, and better long-term retention, with self-practice further improving arm use.

Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review

Self-directed interventions, such as constraint-induced movement therapy and electrical stimulation, can enhance arm recovery after stroke, improving independence in daily activities without additional technology.

Self-Perceived Utilization of the Paretic Arm in Chronic Stroke Requires High Upper Limb Functional Ability

Increased self-reported arm use after task-specific training in chronic stroke survivors is dependent on improved functional ability.

Making music after stroke: using musical activities to enhance arm function

The "tap tempo" paradigm, combining music and game technology, effectively improves upper limb function and promotes self-management for stroke survivors.

How does context influence arm use after stroke? A qualitative content analysis among rural community-dwelling stroke survivors.

Context influences arm use after stroke, and addressing factors like awareness, motivation, and environment can promote upper limb recovery.

Predicting Arm Nonuse in Individuals with Good Arm Motor Function after Stroke Rehabilitation: A Machine Learning Study

Predictive models can accurately predict postintervention arm nonuse in stroke survivors with good arm motor function, suggesting the importance of prioritizing these assessments in rehabilitation program design.

Evaluation of an ICF-based patient education programme for stroke patients: a randomized, single-blinded, controlled, multicentre trial of the effects on self-efficacy, life satisfaction and functioning.

The ICF-based patient education program for stroke patients showed no significant benefit in terms of self-efficacy, life satisfaction, or emotional functioning compared to an attention-placebo control group.

Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial.

Forced use therapy has a small but lasting effect on dexterity and temporary improvement in daily living activities for chronic stroke patients, particularly in those with sensory disorders and hemineglect.

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