Prediction of driving ability after inconclusive neuropsychological investigation

Abstract

The findings indicate that the outcome of on-road assessment is most related to cognitive skills such as attention and processing speed in combination with cognitive flexibility.

Prediction of on‐road driving ability after traumatic brain injury and stroke

“…The on‐road test evaluation employed in the present study was similar to the procedure of Alexandersen et al . and Schanke and Sundet . Patients received no training in driving skills prior to the on‐road test.…”

“…Tests designed to measure focused and divided attention, cognitive speed, visual−motor reaction time, working memory and perceptual abilities are shown to significantly predict on‐road driving performance, whereas tests designed to measure other abilities such as verbal functioning and verbal memory have shown less or no predictive power .…”

“…Previous studies have shown that the Trail Making Test A and B from the Halstead−Reitan Neuropsychological Battery that assesses psychomotor speed and cognitive flexibility and the California Computerized Assessment Package that measures visual−motor reaction time significantly predict on‐road driving evaluation outcomes. Based on the results from recent previous studies and meta‐analysis , it was hypothesized that the Trail Making Test A and B and the reaction time for visual stimuli would significantly predict the result on the standardized on‐road test.…”

The Wechsler Digit Symbol Substitution Test as the Best Indicator of the Risk of Impaired Driving in Alzheimer Disease and Normal Aging

“…In the 2 studies using DAT and control groups, 1 found a significant association [33] and the other not [40] . In a study on the effect of age, the DSST was the best predictor of driving under a single or visual double task [70] , and it was also one of the 3 significant predictive variables of ability to drive in drivers for whom a previous neuropsychological evaluation performed in a specialized setting did not make it possible to judge their fitness to drive [71] . Moreover, the DSST and Useful Field of View, a test consistently predicting a variety of driving outcomes among older and clinical populations [32,40,52,72,73] , showed similar trajectories of change over a 5-year period, and the authors suggested that both measures may reflect the same cognitive domain [74] .…”

Chronic pain treatment with opioid analgesics: benefits versus harms of long-term therapy

“…A valid concern in this context then is the driving ability of CNCP patients on opioids. Driving is a complex task and requires integration of psychomotor function, visual-spatial abilities and cognitive skills [88]. Fishbain reviewed studies that assessed psychomotor function and driving ability in opioid dependent patients and found strong evidence for no impairment of psychomotor function and driving ability [89].…”