Driving plastered: driving habits of orthopaedic outpatients and the medico-legal implications

Kennedy, M.T.; Roche, Susan E.; Lenehan, Brian

doi:10.1007/s00590-005-0078-4

Cited by 14 publications

(22 citation statements)

References 4 publications

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“…3 Whereas the NHTSA recommendation is to avoid driving with any splint or immobilization device that may interfere with driving, 23 studies have shown that patients often continue to drive despite extremity immobilization. 3,14,15,33 The prevalence of noncompliance clearly indicates the need for evidencebased recommendations for patients whose care involves the use of temporary immobilization devices.…”

Section: Collisionsmentioning

confidence: 99%

“…There have been few studies examining the effect of upper extremity immobilization on driving performance, with the majority of research focusing on above-and below-the-elbow casts and splints. 4,9,12,14,15 To our knowledge, there has been no study investigating the effect of shoulder immobilization on driving safety. Using a validated computerized driving simulator, this study sought to determine the effect of dominant arm sling immobilization on driving performance with a driving simulator.…”

mentioning

confidence: 99%

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The effect of shoulder immobilization on driving performance

Hasan¹,

Chay²,

Atanda³

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Collisionsmentioning

confidence: 99%

mentioning

confidence: 99%

The effect of shoulder immobilization on driving performance

Hasan¹,

Chay²,

Atanda³

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…Edwards et al (2009) in a postal survey carried out in the UK found 9% of 144 respondents admitted to driving a car or riding a motorbike with their wrist or arm in a cast. Kennedy et al (2006) found a slightly higher percentage, with 15% of 118 surveyed patients in Ireland with upper or lower limb casts continued to drive with their arm or wrist in plaster. Kalamaris et al (2006) found 50% of Australian patients drove their vehicle after having their arm or wrist placed in a plaster cast.…”

Section: Driving With the Wrist Or Hand In Plastermentioning

confidence: 95%

“…However, research across a variety of countries suggests that health practitioners are reluctant to give advice to patients, largely due to the ambiguity in guidelines about returning to driving e.g. in the UK (Nunez and Giddins, 2004;Von Arx et al, 2004;Edwards et al, 2009); USA (Chen and Jupiter, 2007;Chong, 2010); Australia (Kalamaras et al,2006); Netherlands (Haverkamp et al, 2005); and Ireland (Kennedy et al, 2006).…”

Section: Driving With the Wrist Or Hand In Plastermentioning

confidence: 99%

Breaking the habit: Does fracturing your wrist change your travel and driver behaviour?

Musselwhite

Calcraft

Roberts

et al. 2016

Transportation Research Part F: Traffic Psychology and Behaviou

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When someone breaks their wrist it presents a disruption to everyday routine. Some of this is as a result of having to change travel patterns. This paper investigates the changes people make to their travel behaviour in the light of an unexpected change in their situation caused by fracturing their wrist and wearing a forearm plaster cast. One hundred and eleven participants, approached as they were having their plaster cast removed, completed a questionnaire addressing travel behaviour change, driver safety and information provision covering their time in a plaster cast (typically an average of 5-6 weeks). Eighteen percent of participants drove during the time they had a forearm plaster cast on. All reported they felt safe in doing so and that wearing the plaster cast did not compromise safety, though it was uncomfortable and compensatory behaviours took place. Risk and affective scales did not predict whether participants drove in a cast, suggesting that practical and utilitarian, rather than psychosocial, reasons were the motivation for driving in a plaster cast. Eightytwo percent found other ways of travelling without using their car. Participant's use of buses and trains, walking and taking lifts were all increased and overall, across all modes of transport, participants travelled fewer miles but made more journeys. There was a reduction in cycling, especially for those who drove in a cast, suggesting cyclists who broke their wrist changed to driving while their arm was in a cast. Information provision did not affect whether someone drove or not. Implications for providing travel information to help people avoid car use while their forearm is in a cast and maintaining behaviour change afterwards are discussed.

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“…Kalamaras et al 27 found that half of the 168 patients they surveyed during a 6-month period reported that they drove while wearing an upper extremity cast. In an anonymous survey of 118 patients, Kennedy et al 28 determined that 15% of patients reported driving with a low-leg or short-arm cast/splint.…”

Section: Lower Extremitymentioning

confidence: 99%

Driving after Upper or Lower Extremity Orthopaedic Surgery

Mackenzie

Bitzer

Familiari³

et al. 2018

Joints

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Orthopaedic procedures can affect patients' ability to perform activities of daily living, such as driving automobiles or other vehicles that require coordinated use of the upper and lower extremities. Many variables affect the time needed before a patient can drive competently after undergoing orthopaedic surgery to the extremities. These variables include whether the patient underwent upper or lower extremity surgery, the country in which the patient resides, whether the right or left lower extremity is involved, whether the dominant arm is involved, whether the extremity is in a cast or brace, whether the patient has adequate strength to control the steering wheel, and whether the patient is taking pain medication. The type and complexity of the procedure also influence the speed of return of driving ability. Few studies provide definitive data on driving ability after upper or lower extremity surgery. Patients should be counseled not to drive until they can control the steering wheel and the pedals competently and can drive well enough to prevent further harm to themselves or to others. This review discusses the limited recommendations in the literature regarding driving motorized vehicles after upper or lower extremity orthopaedic surgery.

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Driving plastered: driving habits of orthopaedic outpatients and the medico-legal implications

Cited by 14 publications

References 4 publications

The effect of shoulder immobilization on driving performance

The effect of shoulder immobilization on driving performance

Breaking the habit: Does fracturing your wrist change your travel and driver behaviour?

Driving after Upper or Lower Extremity Orthopaedic Surgery

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