Determining work outcomes in mild to moderate stroke survivors
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Updated: Jun 10, 2026

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
Published on: February 22, 2020
Allyson N O'Brien1, Timothy J Wolf
1Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO 63108, USA.
Objective:
To assess the work outcomes of individuals who have a mild to moderate stroke.
Participants:
Individuals who (1) experienced a mild to moderate stroke as determined by the National Institutes of Health Stroke Scale (NIHSS) scores (range 0-16); (2) were working full time prior to their stroke; and (3) were between the ages of 30-65.
Methods:
Participants were contacted and provided verbal consent to complete the Occupational Outcome Questionnaire (OOQ) over the telephone at 6 months post-stroke to determine their work outcomes.
Results:
Of the 98 participants recruited for this study, 37% (n = 36) never returned to work following stroke. Of the 63% (n = 62) who did return to work, 90% (n = 56) returned immediately to their previous jobs at their previous level. Of those returning to work, 56% (n = 35) of individuals reported performing at 75% of their ability or less. Further, the majority of all participants reported chronic symptoms from their strokes.
Conclusions:
The current assumption in the literature is that individuals experiencing mild to moderate strokes are returning to work even in the absence of work rehabilitation services. The assumptions of previous literature can be disputed with the results of the current study.
