Driving and visual deficits in stroke patients

Background Visual field defects are estimated to affect 20% to 57% of people who have had a stroke. Visual field defects can affect functional ability in activities of daily living (commonly affecting mobility, reading and driving), quality of life, ability to participate in rehabilitation, and depression and anxiety following stroke. There are many interventions for visual field defects, which are proposed to work by restoring the visual field (restitution); compensating for the visual field defect by changing behaviour or activity (compensation); substituting for the visual field defect by using a device or extraneous modification (substitution); or ensuring appropriate diagnosis, referral and treatment prescription through standardised assessment or screening, or both. Objectives To determine the effects of interventions for people with visual field defects after stroke. Search methods We searched the Cochrane Stroke Group Trials Register, the Cochrane Eyes and Vision Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, AMED, PsycINFO, and PDQT Databse, and clinical trials databases, including ClinicalTrials.gov and WHO Clinical Trials Registry, to May 2018. We also searched reference lists and trials registers, handsearched journals and conference proceedings, and contacted experts. Selection criteria Randomised trials in adults after stroke, where the intervention was specifically targeted at improving the visual field defect or improving the ability of the participant to cope with the visual field loss. The primary outcome was functional ability in activities of daily living and secondary outcomes included functional ability in extended activities of daily living, reading ability, visual field measures, balance, falls, depression and anxiety, discharge destination or residence after stroke, quality of life and social isolation, visual scanning, adverse events, and death.

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Interventions for visual field defects in people with stroke

Pollock

Hazelton

Rowe

et al. 2019

Cochrane Database of Systematic Reviews

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Impaired force control contributes to car steering dysfunction in chronic stroke

Patel

Alam

Tracy

et al. 2019

Disability and Rehabilitation

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Hazard perception of stroke drivers in a video-based Japanese hazard perception task

Sasaki

Nogawa²,

Yamada

et al. 2019

Traffic Injury Prevention

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Driving and visual deficits in stroke patients

Abstract: Visual attention is an interference factor in terms of the safe performance of driving after a stroke. All patients showed a high level of interest for the independence provided through being able to drive.

Cited by 5 publications

References 11 publications

Interventions for visual field defects in people with stroke

Interventions for visual field defects in people with stroke

Impaired force control contributes to car steering dysfunction in chronic stroke

Hazard perception of stroke drivers in a video-based Japanese hazard perception task

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