Evidence of attentional impairments using virtual driving simulation in multiple sclerosis

Harand, Caroline; Mondou, Audrey; Chevanne, Damien; Bocca, Marie‐Laure; Defer, Gilles

doi:10.1016/j.msard.2018.08.005

Cited by 20 publications

(29 citation statements)

References 42 publications

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“…Consistent with findings in the literature, impairment in divided attention and visual processing speed may indicate driving performance deficits in drivers with MS. 5,[26][27][28][29][30][31][32][33] In addition, this study also found that impairment in immediate verbal/auditory recall may detect driving performance. Furthermore, adjustment to stimuli errors (tactical) may underlie driving performance deficits when drivers with MS undergo a driving simulator assessment.…”

Section: Discussionsupporting

confidence: 58%

“…The current Canadian fitness to drive standards indicate that drivers with MS are fit to drive if they meet the conditions to legally drive and have the motor strength, control, and coordination to physically operate a motor vehicle. 34 Because impairment in divided attention predicted impaired driving simulator performance, and indicates failing an on-road assessment, [26][27][28][29][30][31][32][33] policy-makers may consider including an assessment of divided attention in the Canadian legal standards to adequately address deficits for those with MS.…”

Section: Discussionmentioning

confidence: 99%

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Clinical predictors of driving simulator performance in drivers with multiple sclerosis

et al. 2021

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Background: Drivers with multiple sclerosis (MS) may experience visual–cognitive impairment that affects their fitness to drive. Due to limitations associated with the on-road assessment, an alternative assessment that measures driving performance is warranted. Whether clinical indicators of on-road outcomes can also predict driving performance outcomes on a driving simulator are not fully understood. Objective: This study examined if deficits in immediate verbal/auditory recall (California Verbal Learning Test–Second Edition; CVLT2-IR) and/or slower divided attention (Useful Field of View™; UFOV2) predicted deficits in operational, tactical, or strategic maneuvers assessed on a driving simulator, in drivers with and without MS. Methods: Participants completed the CVLT2-IR, UFOV2, and a driving simulator assessment of operational, tactical, and strategic maneuvers. Results: Deficits in immediate verbal/auditory recall and slower divided attention predicted adjustment to stimuli errors, pertaining to tactical maneuvers only, in 36 drivers with MS (vs 20 drivers without MS; F(3, 51) = 6.1, p = 0.001, R2 = 0.3, [Formula: see text]). Conclusion: The CVLT2-IR and UFOV2 capture the visual and verbal/auditory recall, processing speed, and divided attention required to appropriately adjust to stimuli in a simulated driving environment. Clinicians may use the CVLT2-IR and UFOV2 as precursors to driving performance deficits in drivers with MS.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Clinical predictors of driving simulator performance in drivers with multiple sclerosis

et al. 2021

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“…however, less speed regulation errors than healthy older adults and crossed the adjoining lanes less often while making a turn. When pwMS were compared with healthy controls in different Virtual Realitydriving situations, pwMS performed worse on the driving tasks during the simple driving and dual task driving conditions, but not during the complex driving condition (Harand et al, 2018).…”

Section: Type Of Ms (%)mentioning

confidence: 95%

“…Decreased speed of processing was often negatively associated with fitness to drive (Dehning et al, 2014;Morrow et al, 2018;Lincoln and Radford, 2008;Akinwuntan et al, 20122013;Shawaryn et al, 2002;Schultheis et al, 2001). Another important cognitive domain that was found to determine fitness to drive was attention (Harand et al, 2018;Akinwuntan et al, 2018;Lincoln and Radford, 2008;Akinwuntan et al, 20122013;Shawaryn et al, 2002). PwMS who failed the driving test performed worse on tests that measured divided attention, selective attention and vigilance as compared to pwMS who passed the test.…”

Section: Fitness To Drivementioning

confidence: 99%

Independent outdoor mobility of persons with multiple sclerosis – A systematic review

Feen

Haan

Lijn

et al. 2020

Multiple Sclerosis and Related Disorders

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Background: Multiple sclerosis (MS) can manifest itself in many ways, all of which can affect the independent outdoor mobility of persons with MS (pwMS). In most studies, mobility of pwMS is defined by the ability to walk. However, mobility comprises more than walking alone. This systematic review provides an overview of the literature on several types of independent outdoor mobility of pwMS. We aimed to identify which specific factors may influence outdoor mobility and how the lives of pwMS may be affected by a reduced mobility. Methods: A systematic literature search was performed, using three databases (PubMed, PsychInfo and Web of Science). Studies had to describe a group of pwMS sclerosis and had to concern some type of mobility other than walking. Results: The 57 studies that fulfilled the criteria included in total 10,394 pwMS and in addition, 95,300 pwMS in separate prevalence study. These studies showed that pwMS as a group have a decreased fitness to drive, make use of a wheelchair or mobility scooter more often and have difficulties making use of public transport. Mobility problems especially occur in patients with cognitive problems, secondary progressive MS or high disability scores. Conclusions: The reduced mobility may prevent pwMS participating in society. However, few studies investigating interventions or rehabilitation options to improve mobility were found in the existing literature, highlighting an until now under recognised unmet need.

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“…[85]- [87], [117], [120], [128], [149], [172], [177], [179], [180], [183], [185]- [189], [192]- [195], [198], [200]- [203], [205]- [208], [210], [215], [221], [221], [222], [225], [234] 53 System for driving simulation [67], [170], [171] 3 3 Degree of Freedom manipulator…”

Section: Gaming Devicesmentioning

confidence: 99%

Visualization and Interaction Technologies in Serious and Exergames for Cognitive Assessment and Training: A Survey on Available Solutions and Their Validation

2022

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Evidence of attentional impairments using virtual driving simulation in multiple sclerosis

Cited by 20 publications

References 42 publications

Clinical predictors of driving simulator performance in drivers with multiple sclerosis

Clinical predictors of driving simulator performance in drivers with multiple sclerosis

Independent outdoor mobility of persons with multiple sclerosis – A systematic review

Visualization and Interaction Technologies in Serious and Exergames for Cognitive Assessment and Training: A Survey on Available Solutions and Their Validation

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