17 | Motivation And Rehabilitation

What Helps Us to Act Toward Achieving Goals

General Introduction

For many persons living with spinal cord injury (SCI), motivation is an important and at times challenging aspect of the rehabilitation process. In general, motivation is a complex, goal-oriented process that involves many factors. Although most everyone has some sort of understanding what motivation is, it is difficult to clearly define, measure and shape motivation.

Read more: General Introduction

Wanting to Play Sports Again

Jason's story

Jason, 17 years old at the time, was on track to complete an apprenticeship as a technician. His life was suddenly interrupted after falling 50 metres into a quarry, suffering multiple injuries, including a spinal cord injury (SCI).

Read more: Jason's story

Getting an Overview of Jason's Functioning


At the start of the Rehab-Cycle® i.e. the assessment phase, Jason's rehabilitation team conducted a comprehensive assessment that involved a battery of discipline-specific evaluations (health professional perspective) and an interview with Jason to capture his perspective about his functioning (patient perspective).

Read more: Assessment

Training Walking Ability Outdoors

Assignment and Intervention

Every intervention target that was determined during the assessment phase was assigned to corresponding member(s) of Jason's rehabilitation team during the assignment phase of the Rehab-Cycle®. The respective team member was then responsible for addressing the targets with specific interventions during the intervention phase.

Read more: Assignment and Intervention

Evaluating Progress


Jason’s Rehab-Cycle® lasted three months, and at the end of the Rehab-Cycle® a re-evaluation of Jason's functioning took place. This was seven months after Jason incurred a spinal cord injury (SCI).

Read more: Evaluation

Motivated to Move Forward


Among persons working in a rehabilitation setting there is a general understanding that motivation has an impact on the achievement of rehabilitation goals and ultimately on long-term outcome. However, evaluating a person's motivation and targeting interventions that address motivation is an inexact science.

Read more: Discussion


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  16. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization; 2001.

Questions and Answers

Q1. Describe the contemporary theories of motivation. (Refer to BITTE ANKER AUF BOX 1 for the answer.)

Q2. Explain how the concept of motivation can be integrated into rehabilitation practice based on the self-determination theory. (Refer to BITTE ANKER AUF General Introduction unter dem Heading "Motivation and Rehabilitation" for the answer.)

Q3. List the practices that Maclean and Pound have suggested for fostering motivation in rehabilitation. (Refer to BITTE ANKER AUF BOX 2 for the answer.)

Q4. What role did the concept of motivation play in Jason's rehabilitation? (Refer to BITTE ANKER AUF Jason's Story unter Heading "Role of Motivation in Jason's Rehabilitation for the answer.)

Q5. Explain how Jason's case reflects the individualistic-social approach of motivation proposed by Maclean and Pound. (Refer to BITTE ANKER DISCUSSION, 5. Absatz der mit "Jason's case seems to reflect the combined individualistic-social approaches..."anfängt for the answer.)

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