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Study on the Factors Influencing the Early Return to Work of Stroke Patients under Rehabilitation Therapy

Study on the Factors Influencing the Early Return to Work of Stroke Patients under Rehabilitation Therapy

Masako Tokumoto1), Masako Kai1), Akihiro Toyota1) and ToshiMro Toyonaga2)

1)Department of Rehabilitation, Chugoku Rosai Hospital, Japan Labour Health and Welfare Organization
2)Clinical Research center for worker's Rehabilitation, Department of Rehabilitation, Kyusyu Rosai Hospital, Japan Labour Health and Welfare Organization

 Among the 13 fields of occupational injuries and diseases, Rosai Hospitals have been engaged in research, development and promotion of rehabilitation therapy of stroke patients for their return to work (RTW).
 The study showed that there were two peaks in the period of RTW of stroke patients, the first peak being bserved 3-6 months after stroke and the second peak 18 months after stroke. So far, there are few report about the date of RTW of stroke patients. So, it has not been cleared the factors influencing the date of RTW. The purpose of this study was to find what influence the date of RTW.
 Study was made on 132 stroke patients who returned to work within 18 months after stroke to determine the factors which influenced their date of RTW. The patients were divided into two groups; early RTW group composed of 88 cases returning to work within 6 months after stroke and delayed RTW group composed of 44 cases returning to work 6-18 months after stroke. Comparative analysis was made of independent variable of date of RTW and 39 dependent variables such as physical and mental functions and RTW support of the two groups. The results of this analysis of the two groups revealed that in addition to high ability for ADL and physical strength enough to RTW, the support provided by the medical institution for RTW had a great influence on the date of RTW. These results suggest the importance of early initiation of rehabilitation therapy and of support for early RTW.

(JJOMT,58:240-246,2010)