Return to work and quality of life after stroke in Italy: A study on the efficacy of technologically assisted neurorehabilitation

Sheyda Ghanbari Ghoshchi, Sara De Angelis, Giovanni Morone, Monica Panigazzi, Benedetta Persechino, Marco Tramontano, Edda Capodaglio, Pierluigi Zoccolotti, Stefano Paolucci, Marco Iosa

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Article number5233
Pages (from-to)1-12
Number of pages12
JournalInternational Journal of Environmental Research and Public Health
Issue number14
Publication statusPublished - Jul 2 2020


  • Kinematics
  • Quality of life
  • Rehabilitation
  • Return to work
  • Stroke
  • Wearable devices

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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