abstract: 'Purpose. To review literature on return to work (RTW) and employment in persons with spinal cord injury (SCI), and present employment rates, factors influencing employment, and interventions aimed at helping people with SCI to obtain and sustain productive work. Methods. A systematic review for 2000-2006 was carried out in PubMed/Medline, AMED, (ISI) Web of Science, EMBASE, CINAHL, PsycInfo and Sociological abstracts database. The keywords `spinal cord injuries'', `spinal cord disorder'', `spinal cord lesion'' or `spinal cord disease'' were cross-indexed with `employment'', `return to work'', `occupation'' or `vocational''. Results. Out of approximately 270 hits, 110 references were used, plus 13 more found elsewhere. Among individuals with SCI working at the time of injury 21 - 67 \% returned to work after injury. RTW was higher in persons injured at a younger age, had less severe injuries and higher functional independence. Employment rate improved with time after SCI. Persons with SCI employed ranged from 11.5\% to 74\%. Individuals who sustained SCI during childhood or adolescence had higher adult employment rates. Most common reported barriers to employment were problems with transportation, health and physical limitations, lack of work experience, education or training, physical or architectural barriers, discrimination by employers, and loss of benefits. Individuals with SCI discontinue working at younger age. Conclusions. This review confirmed low employment rates after SCI. Future research should explore interventions aimed at helping people with SCI to obtain and sustain productive work.' affiliation: 'Lidal, IB (Corresponding Author), Sunnaas Rehabil Hosp, Dept Res, N-1450 Nesoddtangen, Norway. Sunnaas Rehabil Hosp, Dept Res, N-1450 Nesoddtangen, Norway. Copenhagen Univ Hosp, Ctr Neurosci, Clin Spinal Cord Injuries, Rigshosp, Copenhagen, Denmark.' author: Lidal, Ingeborg Beate and Huynh, Tuan Khai and Biering-Sorensen, Fin author-email: ingeborg.lidal@sunnaas.no author_list: - family: Lidal given: Ingeborg Beate - family: Huynh given: Tuan Khai - family: Biering-Sorensen given: Fin da: '2023-09-28' doi: 10.1080/09638280701320839 eissn: 1464-5165 files: [] issn: 0963-8288 journal: DISABILITY AND REHABILITATION keywords: 'spinal cord injuries; spinal cord lesion; spinal cord disorder; employment; return to work; occupation; vocational' keywords-plus: 'QUALITY-OF-LIFE; COMMUNITY INTEGRATION; ASSISTIVE TECHNOLOGY; EMPLOYMENT OUTCOMES; INDIVIDUALS; PEOPLE; SATISFACTION; PARTICIPATION; REHABILITATION; HEALTH' language: English month: SEP 15 number: '17' number-of-cited-references: '123' orcid-numbers: 'Lidal, Ingeborg Beate/0000-0003-1534-5178 Biering-Sorensen, Fin/0000-0002-2186-0144' pages: 1341-1375 papis_id: 0b9f679b5acfef7282552cca40cdea0a ref: Lidal2007returnwork tags: - review times-cited: '187' title: 'Return to work following spinal cord injury: A review' type: article unique-id: WOS:000249558600005 usage-count-last-180-days: '0' usage-count-since-2013: '28' volume: '29' web-of-science-categories: Rehabilitation year: '2007'