目的 为了探索基于康复目标的脑卒中肘部康复游戏特征，以提高患者的康复体验，进而促进康复依从性，改善康复效果。方法 综合分析现有脑卒中上肢康复产品和游戏特征，构建了基于患者生理特征和心理需求的康复目标。随后，进行了目标导向的游戏策略分析，为康复游戏的设计提供了有益的指导。随后，进行2×2×2的重复测量实验，验证了游戏策略是否能够有效地达到康复目标，以及各因素及其不同参数对于游戏得分的交互关系。结果 得出激励区中内在激励和外在激励对于游戏得分和康复效果的影响。外在激励中不断增加得分对于提升康复效果具有显著影响，且外在激励与内在激励结合影响目标导向的行为从而产生交互效应。结论 结合康复目标和康复要求构建游戏设计策略，基于该策略指导具体的游戏元素特征和参数设计，并通过实验探究验证，结果表明该策略能够较好地提升康复效果。为康复游戏策略设计提供参考。

The work aims to explore the characteristics of stroke elbow rehabilitation games based on rehabilitation goals, so as to enhance patients' rehabilitation experience, promote rehabilitation compliance, and improve rehabilitation outcomes. After a comprehensive analysis of existing stroke upper limb rehabilitation products and game features, rehabilitation goals based on patients' physiological characteristics and psychological needs were established. Subsequently, a target-oriented game strategy analysis was conducted to provide useful guidance for the design of rehabilitation games. Following this, a repeated measurement experiment of 2×2×2 was conducted to verify the effectiveness of game strategy in achieving rehabilitation goals and the interaction effects of various factors and their different parameters on game scores. The analysis revealed the impact of intrinsic and extrinsic incentives in the reward zone on game scores and rehabilitation outcomes. Continuous increment in scores in extrinsic incentives significantly influenced enhancing rehabilitation outcomes, and the combination of extrinsic and intrinsic incentives affected goal-directed behaviors, thus generating interactive effects. In conclusion, by combining rehabilitation goals and requirements, game design strategies are constructed, and experiments are conducted to explore and verify specific game element features and parameter design guided by game strategies, which can effectively enhance rehabilitation outcomes and provide a reference for the design of rehabilitation game strategies.