Return to work with fatigue after stroke: A complex occupational adaptation process

Return to work after stroke is a key goal in rehabilitation for people of working age. However, post-stroke fatigue is a common and complex symptom, and how it affects sustainable return-to-work and everyday life remains insufficiently explored.

To describe how persons of working age who experience fatigue after stroke perceive their prerequisites for sustainable return-to-work in the context of everyday life.

Forty-eight working-age individuals with stroke participated. Data were collected via the Worker Role Interview (WRI) and a survey. WRI data were analysed using qualitative abductive content analysis and descriptive statistical analysis were conducted.

Upon returning to work, participants found themselves in an everyday life where fatigue affected their work ability. The process was marked by uncertainty, ongoing challenges handling work demands under reduced capacity, and inconsistent support. The stroke marked the beginning of a complex, emotionally charged process as participants sought to navigate their new self and redefine their occupational identity.

Sustainable return-to-work when experiencing post-stroke fatigue requires person-centred rehabilitation that integrates work and everyday life. Flexible work environments are essential, along with close employer collaboration to ensure understanding of the work situation.