F-3-05B-05
RETURN TO WORK AFTER STROKE IN JAPAN
Satoru Saeki-1, Hajime Ogata-2 (1-Moji Rosai Hospital, 2-Univ OEH, Kitakyushu, Japan)
This study is designed to further investigate the factors that predict successful return to work (SRTW) after stroke in Japan. We performed a retrospective cohort study on the association between characteristics of 173 stroke patients (<65 years and working) at admission and SRTW after first stroke. Data were collected from medical records and follow-up questionnaires. Discriminant analysis was used to predict SRTW. A significant discriminant function was found in which 54% of the variability in group membership was accounted using discriminating variables: maximum weakness, ADL, apraxia and occupation. Using the discriminant function, 84% of the patients SRTW were correctly classified while 70% of patients not SRTW were correctly classified.
F-3-05B-06
LATE REHABILITATION OF STROKE FOR SOCIAL REINTEGRATION
M. Nakamura and Y. Okawa (Rehab. Cent. for Disabled, Fukuoka, JAPAN)
In Japan, the lack of late rehabilitation programs for stroke patients has resulted in much difficulty for patient's re-entry to society. Fifteen years ago, we designed a unique late rehabilitation program that focuses on social and vocational reintegration, which has managed 650 stroke patients, and the results are excellent. After having had a few months of early rehabilitation and six to twelve months of chronic phase medical rehabilitation, these patients were admitted to our institute for one to two years. Both the extent of the disability and the social and vocational abilities of each individual patient were completely evaluated through psychotherapy, social case work, physical therapy, occupational therapy, speech therapy, and sports and cultural recreation. According to the results of these evaluations, patients were found to be in one of several groups, including those who returned to their previous work, went to an occupational training center, worked at a factory for the handicapped, or abandoned work and stayed home or in a sanatorium.
