Evidence map›Paper›PMID 42499240›Full record

ArticleOccupational therapy international2026

Occupational Therapy in Return-to-Work Processes After Stroke: A Scoping Review of Ongoing Therapeutic Support and Implications for Work-Treatment Balance.

Reiko Miyamoto, Peter Bontje

Abstract readScoping Review
In one paragraph

Article in Occupational therapy international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Reiko MiyamotoDivision of Occupational Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan, tmu.ac.jp.ORCID https://orcid.org/0000-0002-6058-7435
Peter BontjeDivision of Occupational Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan, tmu.ac.jp.ORCID https://orcid.org/0000-0002-8188-0411

Funding

Tokyo Metropolitan University
6 · The paper itself

Abstract

backgroundReturn to work (RTW) after stroke is a complex process influenced by residual impairments, workplace demands, and rehabilitation support. However, how therapeutic support is structurally incorporated into RTW processes and the specific contributions of occupational therapy (OT) remain unclear.

objectiveThis scoping review is aimed at examining how therapeutic support is incorporated into RTW processes following stroke and at clarifying the roles of OT within these support structures.

methodsComprehensive literature searches were conducted in Ichushi-Web, PubMed, and Web of Science, complemented by manual searches. Studies published in Japanese or English up to February 2026 were included if they addressed stroke survivors and work participation-related support. Data were extracted using a structured framework to map therapeutic integration during RTW and OT roles. Facilitators, barriers, and assessment approaches were also summarized.

resultsFifty-eight studies met the inclusion criteria. Therapeutic support was described at different stages of the RTW process, ranging from interventions completed before work resumption to support provided alongside RTW and support integrated with workplace demands. OT roles were identified across 10 categories, most commonly involving work participation-oriented assessment and job analysis, employer liaison and stakeholder meetings and mediation, and workplace evaluation and accommodations. Functional impairments and fatigue were frequently reported as barriers to sustained work participation; however, fatigue-specific assessments were reported less frequently.

conclusionsTherapeutic integration within ongoing work participation is a key structural feature of RTW support for stroke survivors and may also be relevant to how work-treatment balance (WTB) is addressed in practice. The findings highlight the diverse roles of OT in linking worker capacity, workplace demands, and service coordination. They also suggest a discrepancy between commonly reported barriers, particularly fatigue, and the assessment approaches used in RTW-focused studies.

Indexed as

Occupational TherapyReturn to WorkStrokeStroke RehabilitationHumansoccupational therapyreturn to workscoping reviewstrokework–treatment balance

Identifiers

PMID42499240
PMCPMC13401064

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.