Could deep brain stimulation help with driving for patients with Parkinson’s?

Buhmann, Carsten; Gerloff, Christian

doi:10.1586/17434440.2014.929495

Cited by 7 publications

(7 citation statements)

References 23 publications

(29 reference statements)

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“…These findings are in line with studies showing an inconsistent and therefore probably not essential influence of motor impairment on driving in PD patients [ 11 – 13 ]. In fact our results support the recent hypothesis that the beneficial effect of STN-DBS on driving in a simulator setting might rather be related to nonmotor aspects of the disease with relevance to driving performance [ 4 , 10 ].…”

Section: Discussionsupporting

confidence: 89%

“…Accordingly, in the present study, disease duration was not a factor for cessation of car-driving at time of survey or at time around DBS surgery. DBS had influenced self-rated driving ability more often positively (39.4%) than negatively (11.1%), which supports the hypothesis that DBS might improve driving in PD patients [ 10 ]. However, driving behavior at time around surgery has been evaluated retrospectively and therefore might be reflected imprecisely.…”

Section: Discussionsupporting

confidence: 68%

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Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease

Buhmann

Vettorazzi

Oehlwein³

et al. 2015

Parkinson's Disease

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Objective. To determine the influence of deep brain stimulation (DBS) on daily routine driving behavior in Parkinson's disease (PD) patients. Methods. A cross-sectional questionnaire survey was done in 121 DBS-PD patients. The influences of patient characteristics and DBS on current driving and driving at time of surgery and the predictive value of the preoperative levodopa-test on postoperative driving were evaluated. Results. 50% of 110 driving-license holders currently drove. 63.0% rated themselves as safe drivers, 39.4% reported improvement, and 10.9% noted deterioration in driving after DBS surgery. Inactive drivers had quit driving mainly due to disease burden (90.9%). Active drivers were younger, more often males, and less impaired according to H&Y and MMSE, had surgery more recently, and reported more often overall benefit from DBS. H&Y “on” and UPDRS III “off” scores at time of surgery were lower in pre- and postoperative active than in inactive drivers. Tremor and akinesia were less frequent reasons to quit driving after than before DBS surgery. Postoperatively, 22.7% (10/44) of patients restarted and 10.6% (7/66) of patients discontinued driving, independently of H&Y stage. The preoperative levodopa-test was not predictive for the postoperative driving outcome. Conclusion. 50% of PD patients with DBS drive. DBS surgery changes daily routine driving behavior.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 68%

Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease

Buhmann

Vettorazzi

Oehlwein³

et al. 2015

Parkinson's Disease

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“…Eine mögliche Verschlechterung kognitiver Funktionen in Zusammenhang mit THS wird kontrovers diskutiert [36,37]. Es ergeben sich keine besonderen Empfehlungen, in Bezug auf die Beurteilung der Fahrkompetenz zwischen Patienten mit THS und medikamentös behandelten Parkinson-Patienten zu unterscheiden [38].…”

Section: Operative Behandlungsansätzeunclassified

Fahrkompetenz und Morbus Parkinson

Andelfinger¹,

Weisbrod²,

Fritz³

et al. 2021

Nervenheilkunde

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ZUSAMMENFASSUNGDiese Arbeit gibt einen Überblick über die wissenschaftliche Studienlage zum Thema Fahrkompetenz bei Morbus Parkinson. Neben der Darstellung der geltenden Rechtslage erfolgt eine Übersicht über motorische, kognitive, visuelle und dopaminassoziierte Symptome, die Zweifel an der Fahrkompetenz von Parkinson-Patienten begründen können. In diesem Kontext findet eine differenzierte Betrachtung von Fahrverhaltensproben und Fahrsimulatoren statt. Den Abschluss bilden klinische Handlungsempfehlungen für Patienten und Behandler, die Betrachtung medikamentöser Behandlung, operative Behandlungsansätze und neuropsychologische Therapiemöglichkeiten.

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“…Im Fahrsimulator fuhren Patienten mit THS im Vergleich zu Patienten ohne THS trotz fortgeschrittener Parkinson-Krankheit besser, und die Fahrleistung war bei den operierten Patienten unter Stimulation besser als unter Medikation [47]. Somit sollten nach bisheriger Datenlage Parkinson-Patienten mit THS hinsichtlich der Fahreignung nicht anders beurteilt werden als andere Parkinson-Patienten [10,48]. Für die Zeit der medikamentösen Umstellung vor der THS-OP sollten, in den ersten 3 Monaten postoperativ dürfen sie jedoch kein KFZ führen [49,50].…”

Section: Caveunclassified

Fahrtauglichkeit bei Parkinson-Erkrankung

Buhmann

2021

Neurologie up2date

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Could deep brain stimulation help with driving for patients with Parkinson’s?

Cited by 7 publications

References 23 publications

Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease

Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease

Fahrkompetenz und Morbus Parkinson

Fahrtauglichkeit bei Parkinson-Erkrankung

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