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Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation

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  • Sheyda Ghanbari Ghoshchi

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy
    Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
    These two authors contributed equally to this work.)

  • Sara De Angelis

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy
    These two authors contributed equally to this work.)

  • Giovanni Morone

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy)

  • Monica Panigazzi

    (Istituti Clinici Scientifici Maugeri IRCSS, Occupational Therapy and Ergonomics Unit, 27040 Montescano, Italy
    Istituti Clinici Scientifici Maugeri IRCSS, Occupational Therapy and Ergonomics Unit, 27100 Pavia, Italy)

  • Benedetta Persechino

    (Italian Workers’ Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Monte Porzio Catone, 00078 Rome, Italy)

  • Marco Tramontano

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy
    Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System, 00135 Rome, Italy)

  • Edda Capodaglio

    (Istituti Clinici Scientifici Maugeri IRCSS, Occupational Therapy and Ergonomics Unit, 27100 Pavia, Italy)

  • Pierluigi Zoccolotti

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy
    Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy)

  • Stefano Paolucci

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy)

  • Marco Iosa

    (IRCCS Fondazione Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy)

Abstract

Cerebrovascular diseases, including stroke, are historically considered diseases of old adults so only in a few studies has “return to work” (RTW) been considered as an index of rehabilitative outcome. At the moment, data on RTW in patients with stroke are highly variable: four different reviews reported the following ranges: 11–85%, 19–73%, 22–53%, and 40–45%. The absence of re-integration to work after a stroke is shown to be associated with an increase of cardiac disorders and depression, with a higher level of mortality, with social isolation and with insufficient adaptive skills. The aim of this study was to verify the effectiveness of technological treatment, performed with optic (SonicHand) and wearable (Riablo™) systems providing auditory and visual biofeedback, on RTW in patients with stroke. RTW was found to be associated with a higher independence in the activities of daily living (assessed by the Modified Barthel Index). No significant differences were found between technological versus conventional rehabilitation in terms of RTW, despite the former showing a higher odds ratio than the latter (OR = 9 vs. 6). Assistive devices were mainly used in patients who had not returned to work. Finally, quality of life was found higher in those patients who returned to work with the same conditions (work duties and time) as before stroke.

Suggested Citation

  • Sheyda Ghanbari Ghoshchi & Sara De Angelis & Giovanni Morone & Monica Panigazzi & Benedetta Persechino & Marco Tramontano & Edda Capodaglio & Pierluigi Zoccolotti & Stefano Paolucci & Marco Iosa, 2020. "Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5233-:d:387027
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    References listed on IDEAS

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    1. Avvai Singam & Charlotte Ytterberg & Kerstin Tham & Lena von Koch, 2015. "Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-12, December.
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    Cited by:

    1. Roxana Steliana Miclaus & Nadinne Roman & Ramona Henter & Silviu Caloian, 2021. "Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    2. Chong-Chi Chiu & Hsiu-Fen Lin & Ching-Huang Lin & Hong-Tai Chang & Hong-Hsi Hsien & Kuo-Wei Hung & Sheng-Li Tung & Hon-Yi Shi, 2021. "Multidisciplinary Care after Acute Care for Stroke: A Prospective Comparison between a Multidisciplinary Post-Acute Care Group and a Standard Group Matched by Propensity Score," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    3. Alba Aza & Miguel Á. Verdugo & María Begoña Orgaz & Antonio M. Amor & María Fernández, 2021. "Predictive Factors of Self-Reported Quality of Life in Acquired Brain Injury: One-Year Follow-Up," IJERPH, MDPI, vol. 18(3), pages 1-19, January.
    4. José-María Figueredo & Cristina García-Ael & Andrea Gragnano & Gabriela Topa, 2020. "Well-Being at Work after Return to Work (RTW): A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-27, October.

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