title: Motivation in pediatric motor rehabilitation: A systematic search of the literature using the self-determination theory as a conceptual framework.
abstract: OBJECTIVE
  Motivation is suggested as an important factor in pediatric motor rehabilitation. Therefore, we reviewed the existing evidence of (motivational) motor rehabilitation paradigms, and how motivation influences rehabilitation outcome using self-determination theory as conceptual framework.
  
  
  METHODS
  PubMed and Web-of-Science databases were systematically searched until June 2015. Data were independently extracted and critiqued for quality by three authors. Studies reporting motivational aspects were included. Most studies examined new technology (e.g., virtual reality [VR]).
  
  
  RESULTS
  Out of 479 records, three RCT, six case-control, and six non-comparative studies were included with mixed quality. Motivation was rarely reported. Training individualization to the child's capabilities with more variety seemed promising to increase motivation. Motivation increased when the exercises seemed helpful for daily activities.
  
  
  CONCLUSIONS
  Motivation in pediatric rehabilitation should be comprehensively assessed within a theoretical framework as there are indications that motivated children have better rehabilitation outcomes, depending on the aspect of motivation.
authors.affiliation: a Faculty of Medicine and Health Sciences , Ghent University , Ghent , Belgium.|b Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam , VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: Pieter
authors.initials: P
authors.lastname: Meyns
authors.affiliation: a Faculty of Medicine and Health Sciences , Ghent University , Ghent , Belgium.
authors.forename: Tine
authors.initials: T
authors.lastname: Roman de Mettelinge
authors.affiliation: a Faculty of Medicine and Health Sciences , Ghent University , Ghent , Belgium.
authors.forename: Judith
authors.initials: J
authors.lastname: van der Spank
authors.affiliation: a Faculty of Medicine and Health Sciences , Ghent University , Ghent , Belgium.
authors.forename: Marieke
authors.initials: M
authors.lastname: Coussens
authors.affiliation: a Faculty of Medicine and Health Sciences , Ghent University , Ghent , Belgium.
authors.forename: Hilde
authors.initials: H
authors.lastname: Van Waelvelde
mesh_terms: D002648:Child; D005081:Exercise Therapy / Q000379:methods / Q000523:psychology*; D006801:Humans; D009042:Motivation; D009068:Movement; D000066530:Neurological Rehabilitation / Q000379:methods / Q000523:psychology*; D026684:Personal Autonomy
keywords: Child; motivation; motor rehabilitation; self-determination theory; virtual reality