Driving ability after a stroke: Evaluation and recovery

Murie-Fernández, Manuel; Iturralde, S.; Cenoz, M.; Casado, M.; Teasell, R.

doi:10.1016/j.nrleng.2012.05.008

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…There are safety concerns when older individuals drive, as their ability to control a vehicle may be affected by cognitive sensory and physical factors, posing a danger to other road users [ 34 ]. As for cognitive and vehicle handling ability, an individualised functional assessment by a driver rehabilitation specialist, usually a certified driver-assessor occupational therapist, working with(out) a driving instructor, can competently evaluate driving ability and prescribe new devices followed by relevant on-road training practices that will help the patient to return to driving safely [ 35 , 36 , 37 ]. Thus, a close collaboration between the patient, physician, and driver rehabilitation specialist is key.…”

Section: Discussionmentioning

confidence: 99%

Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study

Venketasubramanian

Chan

2023

JCDD

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Returning to driving is one of the priorities for stroke survivors. However, the fear of the risk of recurrent stroke has led to concern about allowing driving post-stroke. This study was performed to study the impact of various vascular risk factors on stroke recurrence among drivers referred to our national referral center for Driving Assessment and Rehabilitation Program (DARP). Medical records of subjects who were diagnosed to have a stroke and were referred to DARP were retrospectively reviewed. Data on demographics (age and gender) and vascular risk factors (hypertension—HT, diabetes mellitus—DM, hyperlipidemia—HL, cigarette smoking—SM, previous stroke—PS, and heart disease—HD) were collected. Subjects were contacted and records scrutinized for a report of recurrent stroke. A total of 133 subjects were recruited, median 54 years (range 20–77 years), 95.5% male, 59.4% had HT, 32.3% DM, 65.4% HL, 43.6% SM, 3.8% PS, and 8.3% HD. Over a median follow-up of 30 months (range 1–78 months), the recurrence rate of stroke was 11.3%, 3.69/100 patient-years. On uni-variable analysis, the risk of stroke recurrence rose with age (HR 1.08, 95%CI 1.02–1.15, p = 0.01) and heart disease (HR 5.77, 95%CI 1.46–22.83, p = 0.01). On multivariable analysis, only age remained significant (HR 1.07, 95%CI 1.00–1.13, p = 0.045). Among those aged >60 years, the HR was 3.88 (95%CI 1.35–11.20, p = 0.012). The risk of stroke recurrence is higher among older drivers and is not influenced by other vascular factors.

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Section: Discussionmentioning

confidence: 99%

Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study

Venketasubramanian

Chan

2023

JCDD

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“…Full functions of essential systems in the complexity of the action of driving, such as visual function, motor function and cognitive ability that include executive function, response time, praxis and knowledge, decision-making, attention and planning, may be impaired in stroke patients. Hence, a neurological or neuropsychological assessment is the first step in determining whether the patient is ready for the road test, which is the final step in evaluating their driving ability (Fernandez et al, 2014).…”

Section: Self-confident In Driving Activitymentioning

confidence: 99%

Relationship of Cognitive Ability and Self-Confidence in Driving Activities among Post-Stroke Survivors

Mohd Poot,

Murad,

Idriani

et al. 2023

E-BPJ

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Evidence on cognitive abilities and driving activity's self-confidence associated with difficulty in performing driving among post-stroke patients is still insufficient. Therefore, the cross-sectional study was conducted to investigate the association between post-stroke survivors' cognitive abilities and driving activity's self-confidence among post-stroke patients. The findings indicated a significant association (p<0.05) between cognitive ability with age and driving status. Moreover, driving status shows a significant association (p <0.05) with self-confidence. Therefore, an occupational therapist must conduct an off-road evaluation identifying an individual's cognitive capacity and self-confidence associated with the post-stroke patient's driving performance. Keywords: : Cognitive ability; self-confidence; driving; post-stroke eISSN: 2398-4287 © 2023. The Authors. Published for AMER & cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), and cE-Bs (Centre for Environment-Behaviour Studies), College of Built Environment, Universiti Teknologi MARA, Malaysia DOI: https://doi.org/10.21834/ebpj.v8i24.4678

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“…One way to bypass these limitations is to pool all evidence on screening tools for fitness-to-drive after stroke. In our PubMed search, we identified four systematic reviews listing the most accurate screening tools for fitness-to-drive after stroke (Hird et al 2014;Murie-fernandez et al 2014;Devos et al 2011;Marshall et al 2007). None of the proposed screening tools are perfect in predicting on-road driving performance.…”

Section: Screening For Fitness-to-drivementioning

confidence: 99%