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Updated: Jan 31, 2026

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
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Return to Work Among Stroke Survivors.

Kristin D Ashley1,2, Loretta T Lee2, Karen Heaton2

  • 11 Tuskegee University.

Workplace Health & Safety
|January 9, 2019
PubMed
Summary

Stroke survivors face challenges returning to work (RTW) due to cognitive, emotional, and physical impairments. Stroke severity, ethnicity, and socioeconomic status significantly impact RTW, highlighting the need for targeted support.

Keywords:
cerebrovascular diseasedisability case managementemploymentreturn to workstrokework disability

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Area of Science:

  • Neurology
  • Occupational Health
  • Rehabilitation Medicine

Background:

  • Stroke leads to significant long-term disability, impacting cognitive, emotional, and physical functions.
  • Failure to return to work (RTW) is a common consequence for stroke survivors, affecting their quality of life and economic stability.

Purpose of the Study:

  • To review and synthesize literature on factors influencing RTW for stroke survivors.
  • To identify gaps in current research regarding RTW predictors.
  • To explore the role of occupational health nurses in facilitating RTW.

Main Methods:

  • A literature search was conducted using keywords: "stroke," "cerebrovascular disease," "return to work," and "employment."
  • Nineteen quantitative research articles were reviewed based on predefined inclusion/exclusion criteria.

Main Results:

  • Physical, social, and cognitive factors consistently emerged as significant influences on RTW.
  • Stroke severity was a primary predictor of RTW.
  • Mild to moderate stroke, Caucasian ethnicity, and higher socioeconomic status were associated with a greater likelihood of RTW.

Conclusions:

  • Understanding the multifaceted factors affecting RTW is crucial for developing effective interventions.
  • Further research is needed to investigate RTW predictors in diverse populations, such as African American stroke survivors.
  • Occupational health nurses can play a vital role in supporting stroke survivors' return to employment.