Richtig motivieren

Wir können nur dann Höchstleistungen bringen, wenn wir optimal motiviert sind. Doch was bedeutet das eigentlich, und wie können wir Patienten in der Neurorehabilitation so motivieren, dass unsere Therapie besonders effektiv umgesetzt wird?

Publication History

Article published online:
18 September 2023

• Literatur

• 1 Skinner BF. How to teach animals. Scientific American 1951; 185: 26-29
• 2 Morris LS, Grehl MM, Rutter SB. et al. On what motivates us: A detailed review of intrinsic v. extrinsic motivation. Psychological Medicine 2022; 52: 1801-1816
• 3 MacDonald GA, Kayes NM, Bright F. Barriers and facilitators to engagement in rehabilitation for people with stroke: A review of the literature. New Zeal. J Physiotherapy 2012; 41: 112-121
• 4 Hafen K, Bengel J, Jastrebow J, Nübling R. Konzept und Dimensionen der Reha-Motivation. Prävention und Rehabilitation 2000; 12: 1-10
• 5 Cerasoli CP, Nicklin JM, Ford MT. Intrinsic motivation and extrinsic incentives jointly predict performance: A 40-year meta-analysis. Psychol Bull 2014; 140: 980-1008
• 6 Lotze M. Neurophysiologische und neuroanatomische Grundlagen von Emotionen. AkupunkturPraxis 2022; 3: 18-24
• 7 Witt L, Klepzig K, von Sarnowski B. et al. Modulation of bodily response to chill stimuli by impaired structural connectivity of the left insula: A functional and lesion quantification study in stroke patients. Eur J Neurol 2023; 30: 1706-1711
• 8 Nilsson SJ, Meder D, Madsen KH. et al. Get to grips with motivation: Slipping and gripping movements are biased by approach-avoidance context. Front Psychol 2022; 13: 989495
• 9 Lotze M. Funktionelle Anatomie der Emotionsstörungen. Neuroreha 2018; 10: 66-70
• 10 Birbaumer N, Schmidt R. Biologische Psychologie. 6. Aufl. Heidelberg: Springer; 2010: 640-687
• 11 Seo D, Funderburk SC, Bhatti DL. et al. A GABAergic projection from the centromedial nuclei of the amygdala to ventromedial prefrontal cortex modulates reward behavior. The Journal of Neuroscience 2016; 36: 10831-10842
• 12 Lugaresi A, Montagna P, Morreale A, Gallassi R. Psychic akinesia following carbon monoxide poisoning. European Neurology 1990; 30: 167-169
• 13 Lotze M, Reimold M, Heymans U. et al. Reduced ventrolateral fMRI response during observation of emotional gestures related to the degree of dopaminergic impairment in Parkinson disease. Journal of Cognitive Neuroscience 2009; 21: 1321-1331
• 14 Scheidtmann K, Fries W, Müller F, Koenig E. Effect of levodopa in combination with physiotherapy on functional motor recovery after stroke: A prospective, randomised, double-blind study. Lancet 2001; 358: 787-790
• 15 Marin RS, Wilkosz PA. Disorders of diminished motivation. Journal of Head Trauma Rehabilitation 2005; 20: 377-388
• 16 Kusec A, Velikonja D, DeMatteo C, Harris JE. Motivation in rehabilitation and acquired brain injury: Can theory help us understand it?. Disabil Rehabil 2019; 41: 2343-2349
• 17 Schweizer S, Hampshire A, Dalgleish T. Extending brain-training to the affective domain: Increasing cognitive and affective executive control through emotional working memory training. PLoS One 2011; 6: e24372
• 18 Thomas S, Elsner B, Mehrholz J. Virtuelle Realität für die motorische Erholung nach Schlaganfall. Neuroreha 2017; 9: 24-29
• 19 Wulf G, Lewthwaite R. Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychon Bull Rev 2016; 23: 1382-1414
• 20 Mehrholz J. Motivation und motorisches Lernen. Neuroreha 2023; 15 120–124
• 21 Maclean N, Pound P, Wolfe C, Rudd A. The concept of patient motivation: A qualitative analysis of stroke professionals’ attitudes. Stroke 2002; 33: 444-448
• 22 Meichenbaum D, Turk DC. Therapiemotivation des Patienten. Bern: Huber; 1994