Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/61586
Title: Outcomes of return-to-work after stroke rehabilitation : a systematic review
Authors: Wei, XJ
Liu, XF
Fong, KNK 
Keywords: Employment rate
Return-to-work
Stroke rehabilitation
Systematic review
Issue Date: 2016
Publisher: SAGE Publications
Source: British journal of occupational therapy, 2016, v. 79, no. 5, p. 299-308 How to cite?
Journal: British journal of occupational therapy 
Abstract: Introduction: The purpose of this systematic review was to identify the outcomes of return-to-work for stroke survivors of working age after conventional stroke rehabilitation or vocational rehabilitation.
Method: Searches were performed using three electronic databases for literature published in English in the 10-year period 2004- 2014 which included a population of working age stroke survivors who had previously participated in conventional or vocational rehabilitation, and which presented the outcomes of return-to-work.
Findings: The literature search yielded 10 studies that satisfied our selection criteria. Three studies involved vocational rehabilitation. Studies illustrated and compared the vocational status at or among different stages of 'pre-stroke', 'post-stroke and before rehabilitation discharge', 'rehabilitation discharge' and 'follow-up'. The employment rate at follow-up ranged from 7% to 81.1%.
Conclusion: Methodological variations accounted for the wide range of return-to-work rates. There was limited evidence to support the conclusion that rehabilitation increases return-to-work rates for stroke survivors of working age, but recent studies showed that improvements in fatigue and cognitive function after stroke rehabilitation were related to good return-to-work outcomes. Either specialised vocational rehabilitation, conventional stroke rehabilitation or their combination is needed to increase return-to-work rates and improve the quality of life for stroke survivors of working age.
URI: http://hdl.handle.net/10397/61586
ISSN: 0308-0226 (print)
1477-6006 (online)
DOI: 10.1177/0308022615624710
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