Impact of External Cue Validity on Driving Performance in Parkinson's Disease

Scally, Karen Alice; Charlton, Judith Lynne; Iansek, Robert; Bradshaw, John L.; Moss, Simon; Georgiou‐Karistianis, Nellie

doi:10.4061/2011/159621

Cited by 12 publications

(29 citation statements)

References 64 publications

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“…The review yielded 9 Class III studies. 6,9,14,[35][36][37][38][39][40] Conclusion. From the 9 Class III studies, we concluded that cognitive abilities may deteriorate even in mild to moderate stages of PD.…”

Section: Rating Article By Classmentioning

confidence: 99%

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Parkinson disease and driving

2012

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The growing literature on driving in Parkinson disease (PD) has shown that driving is impaired in PD compared to healthy comparison drivers. PD is a complex neurodegenerative disorder leading to motor, cognitive, and visual impairments, all of which can affect fitness to drive. In this review, we examined studies of driving performance (on-road tests and simulators) in PD for outcome measures and their predictors. We searched through various databases and found 25 (of 99) primary studies, all published in English. Using the American Academy of Neurology criteria, a study class of evidence was assigned (I-IV, I indicating the highest level of evidence) and recommendations were made (Level A: predictive or not; B: probably predictive or not; C: possibly predictive or not; U: no recommendations). From available Class II and III studies, we identified various cognitive, visual, and motor measures that met different levels of evidence (usually Level B or C) with respect to predicting on-road and simulated driving performance. Class I studies reporting Level A recommendations for definitive predictors of driving performance in drivers with PD are needed by policy makers and clinicians to develop evidence-based guidelines. Neurology

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Section: Rating Article By Classmentioning

confidence: 99%

“…35 The use of external cues may help improve skills related to driving. 39 Recommendations. Level C: MMSE scores and contrast sensitivity (assessed via the Pelli-Robson Chart) are possibly predictive of simulated driving performance in the mild to moderate stages of PD.…”

Section: Rating Article By Classmentioning

confidence: 99%

Parkinson disease and driving

2012

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“…This study combines data from the total samples (PD and control groups) of 2 separate but related studies for which we had collected data in 2004 (Stolwyk et al, 2005) and 2008 (Scally et al, 2011). Because these 2 studies used identical recruitment procedures, inclusion and exclusion criteria, cognitive assessments, and driving questionnaire content and administration, we could combine their data to increase statistical power.…”

Section: Participantsmentioning

confidence: 98%

“…While there is not yet sufficient evidence to determine whether drivers with PD have an abnormally high risk of car crashes (Adler et al, 2000;Charlton et al, 2010;Dubinsky et al, 1991;Uc et al, 2011), numerous studies have demonstrated impaired driving performance in both simulated (Scally et al, 2011;Stolwyk et al, 2005;Zesiewicz et al, 2002) and on-road (Heikkila et al, 1998;Uc et al, 2006aUc et al, , 2006bUc et al, , 2007Wood et al, 2005) environments. These driving difficulties have been detected even in the early stages of PD and linked to such disease and demographic variables as age, disease stage, motor impairment, visual problems, cognitive difficulties, and medication effects (Classen et al, 2011;Crizzle et al, 2012;Klimkeit et al, 2009).…”

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confidence: 97%

Self-Regulation of Driving Behavior in People with Parkinson Disease

Stolwyk¹,

Scally²,

Charlton

et al. 2015

Cognitive and Behavioral Neurology

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“…As a result, individuals with PD become overly reliant on visual/auditory external stimuli to guide skilled movement (Romero, Van Gemmert, Adler, Bekkering, & Stelmach, 2003). Converging evidence suggests marked improvement in performance with external cueing for behaviors such as walking (Luessi, Mueller, Breimhorst, & Vogt, 2012;Mak, Yu, & Hui-Chan, 2013), writing (Oliveira, Gurd, Nixon, Marshall, & Passingham, 1997Teulings, Contreras-Vidal, Stelmach, & Adler, 1997), and driving (Scally et al, 2011; Stolwyk, Triggs, Charlton, Lansek, & Bradshaw, 2005). …”

mentioning

confidence: 99%

Internally Versus Externally Cued Speech in Parkinson's Disease and Cerebellar Disease

Weir-Mayta

Spencer

Eadie

et al. 2017

Am J Speech Lang Pathol

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Purpose: The purpose of this study was to examine the effects of an internally versus externally cued speech task on perceived understandability and naturalness in speakers with Parkinson's disease (PD) and cerebellar disease (CD). Method: Sentences extracted from a covertly recorded conversation (internally cued) were compared to the same sentences read aloud (externally cued) by speakers with PD and a clinical comparison group of speakers with CD. Experienced listeners rated the speech samples using a visual analog scale for the perceptual dimensions of understandability and naturalness. Results: Results suggest that experienced listeners rated the speech of participants with PD as significantly more natural and more understandable during the reading condition. Participants with CD were also rated as significantly more understandable during the reading condition, but ratings of naturalness did not differ between conversation and reading. Conclusions: Speech tasks can have a pronounced impact on perceived speech patterns. For individuals with PD, both understandability and naturalness can improve during reading tasks versus conversational tasks. The speech benefits from reading may be attributed to several mechanisms, including possible improvement from an externally cued speech task. These findings have implications for speech task selection in evaluating individuals with dysarthria.This special issue contains selected papers from the March 2016 Conference on Motor Speech held in Newport Beach, CA. I t is well established that individuals with Parkinson's disease (PD) have difficulty performing skilled movement when forced to rely on internal cues versus responses guided by external cues or stimuli, such as a line on the floor to guide gait patterns (Gowen & Miall, 2007;Ketcham, Hodgson, Kennard, & Stelmach, 2003;Majsak, Kaminski, Gentile, & Flanagan, 1998;Morris, 2000;Sawamoto, Honda, Hanakawa, Fukuyama, & Shibasaki, 2002;Van Donkelaar et al., 2000). Most attribute this difficulty to dopaminergic deficits affecting the basal ganglia and fronto-striatal networks, which are involved in the preparation of internally generated movements (Cunnington, Iansek, Bradshaw, & Phillips, 1995;Lewis, Byblow, & Walt, 2000;Morris, 2000;Schenk, Baur, Steude, & Bötzel, 2003). As a result, individuals with PD become overly reliant on visual/auditory external stimuli to guide skilled movement (Romero, Van Gemmert, Adler, Bekkering, & Stelmach, 2003). Converging evidence suggests marked improvement in performance with external cueing for behaviors such as walking (Luessi, Mueller, Breimhorst, & Vogt, 2012;Mak, Yu, & Hui-Chan, 2013), writing (Oliveira, Gurd, Nixon, Marshall, & Passingham, 1997Teulings, Contreras-Vidal, Stelmach, & Adler, 1997), and driving (Scally et al., 2011; Stolwyk, Triggs, Charlton, Lansek, & Bradshaw, 2005). Internal Versus External Cueing and SpeechEvidence is also emerging regarding the influence of internal versus external cueing on speech production. The benefits of external cues have been demonstrated...

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Impact of External Cue Validity on Driving Performance in Parkinson's Disease

Cited by 12 publications

References 64 publications

Parkinson disease and driving

Parkinson disease and driving

Self-Regulation of Driving Behavior in People with Parkinson Disease

Internally Versus Externally Cued Speech in Parkinson's Disease and Cerebellar Disease

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