Recovery after stroke: cognition, ADL function and return to work

Acta Neurol Scand. 2007 Feb;115(2):73-80. doi: 10.1111/j.1600-0404.2006.00768.x.


Objectives: To examine the recovery of cognitive function, activities of daily living (ADL) ability and vocational situation after stroke.

Materials and methods: Subjects below 65 years of age were included. Cognitive function and personal and instrumental ADL were assessed at discharge and at 1 year. Pre-stroke vocational situation was recorded at baseline and at 1 and 3 years after discharge.

Results: Fifty-eight patients participated. During the first year after discharge, cognitive function and ADL ability improved. At 1 year after discharge, 83% still had cognitive dysfunction, 20% were dependent in ADL and few had returned to work. Only 20% returned to gainful employment 3 years later.

Conclusions: There was a recovery of cognition and ADL function after stroke but few persons returned to work. Good neurological status was found to be a significant factor and recovery of cognitive function a near-significant factor for return to work.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Aphasia / etiology
  • Cognition / physiology*
  • Employment*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Perceptual Disorders / etiology
  • Recovery of Function / physiology*
  • Stroke / complications
  • Stroke / physiopathology*
  • Stroke / psychology*
  • Time Factors