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Related Experiment Video

Updated: Jan 16, 2026

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
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Goal-setting improves movement accuracy during unsupervised training in stroke patients.

Chikako Sakakibara1, Kazuaki Oyake2, Yukie Abe1

  • 1Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Shizuoka, Japan.

Scientific Reports
|October 3, 2025
PubMed
Summary

Goal setting improved the accuracy of reaching movements in stroke patients during unsupervised training. While motivation levels remained similar, patients who set goals showed significantly better task success rates.

Keywords:
Goal-settingMotivationSelf-rehabilitationStrokeUnsupervised training

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Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Motor Control

Background:

  • Subacute stroke frequently results in upper-extremity motor paralysis, impacting daily activities.
  • Unsupervised rehabilitation tasks are crucial for self-management but require sustained engagement and performance.
  • Goal-setting interventions are explored to enhance patient participation and outcomes in motor recovery.

Purpose of the Study:

  • To evaluate the impact of goal setting on behavioral performance and motivation in subacute stroke patients undergoing unsupervised reaching tasks.
  • To determine if goal setting influences training duration, task success rates, or self-reported motivation.

Main Methods:

  • A pilot study utilized a single-blind, stratified randomized controlled design with 50 subacute stroke patients.
  • Participants were assigned to either a goal-setting group (n=25) or a control group (n=25) for a 15-minute unsupervised reaching task.
  • Primary outcomes included training time and task success rate; motivation was assessed via a visual analog scale.

Main Results:

  • No significant difference in training time was observed between the goal-setting and control groups (p=0.771).
  • The goal-setting group achieved significantly higher success rates in reaching tasks compared to the control group (p=0.019).
  • Self-reported motivation scores did not differ significantly between the groups (p=0.994).

Conclusions:

  • Goal setting can enhance the accuracy of reaching movements during unsupervised rehabilitation for stroke survivors.
  • This intervention may improve the quality of motor performance in self-rehabilitation settings.
  • Further research could explore mechanisms linking goal setting to improved motor execution in stroke recovery.