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Handbook of Disability, Work and Health pp 1–16Cite as

Return to Work After Stroke

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Part of the book series: Handbook Series in Occupational Health Sciences ((HDBSOHS,volume 1))

Abstract

Stroke is recognized as the single largest cause of severe disability worldwide. The cost of stroke is greater for young people because of a greater loss in productivity. Return to work (RTW) following stroke represents a major psychosocial complication. Approximately 40%–55% of patients with stroke need active rehabilitation, and 60% of stroke survivors need job modification after stroke. Factors associated with RTW include functional recovery, higher brain dysfunction, post-stroke fatigue and depression, socioeconomic status, employer flexibility, social benefits, and support from family or coworkers. Although rehabilitation techniques have been improved and some rehabilitation programs have been shown to be effective, there is a paucity of studies on vocational outcomes after stroke. RTW after stroke is a challenge for younger stroke survivors as well as for the older working population in general and people with disabilities who want to work. The system of RTW for workers with disabilities, such as disease treatment (including rehabilitation), workplace accommodation, and cooperation and coordination among stakeholders, should be consolidated. Overcoming the challenges of RTW after stroke is a key milestone for harmonizing work and disease treatment.

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Acknowledgments

This work was supported by Ministry of Health, Labour and Welfare (Industrial Disease Clinical Research Grants: Grant Number 170401 and 180701-1). We also thank Audrey Holmes, MA, from Edanz Group (www.edanzediting.com/ac) for editing a draft of this manuscript.

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Authors and Affiliations

  1. Department of Public Health, Kitasato University School of Medicine, Sagamihara, Japan

    Akizumi Tsutsumi

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  1. Akizumi Tsutsumi
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Correspondence to Akizumi Tsutsumi .

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Editors and Affiliations

  1. Department of Health Sciences, University Medical Center Groningen Department of Health Sciences, Groningen, Groningen, The Netherlands

    Ute Bültmann

  2. Medizinische Fakultät, Heinrich-Heine-Universität Düsseldo Medizinische Fakultät, Düsseldorf, Nordrhein-Westfalen, Germany

    Johannes Siegrist

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Tsutsumi, A. (2020). Return to Work After Stroke. In: Bültmann, U., Siegrist, J. (eds) Handbook of Disability, Work and Health. Handbook Series in Occupational Health Sciences, vol 1. Springer, Cham. https://doi.org/10.1007/978-3-319-75381-2_25-1

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  • DOI: https://doi.org/10.1007/978-3-319-75381-2_25-1

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  • Print ISBN: 978-3-319-75381-2

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