Effect of Knee Brace Type on Braking Response Time During Automobile Driving

Dammerer, Dietmar; Giesinger, Johannes M.; Biedermann, R.; Haid, Christian; Krismer, Martin; Liebensteiner, Michael

doi:10.1016/j.arthro.2014.09.003

Cited by 13 publications

(19 citation statements)

References 24 publications

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“…Brake response times and recommendations for driving resumption have been investigated in the context of various orthopedic procedures, but only a few experimental studies have looked at BRT during partial orthopedic immobilization of the right lower limb [ 11 , 18 , 19 ]. Giddins and Hammerton investigated legal and economic concerns by reviewing laws and driver license requirements in the UK and surveying major automobile insurance companies [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, to our knowledge, there is no evidence to quantify the relation between BRT increase and accident risk. We performed a PubMed literature search and found no studies regarding the relationship between impaired BRT, on the one hand, and accident risk, on the other hand [ 11 ]. We therefore recommend that additional studies be performed on this specific issue.…”

Section: Discussionmentioning

confidence: 99%

“…1 ) was used. The position of the seat was adjustable with regard to seat inclination, headrest, and seat-pedal distance to simulate the patient’s customary driving position [ 11 , 13 , 14 ]. At a constant distance in front of the patient, an external box containing the electric logic circuit, a red light and a green signal light, was positioned.…”

Section: Methodsmentioning

confidence: 99%

“…The time interval (measured in milliseconds; msec) between the time when the red signal was switched on and the time when the brake pedal was depressed was registered and denoted the BRT. The abovementioned interval between tests was deemed to not be influenced by a fatigue effect in a previous study [ 11 ].

Fig.…”

Section: Methodsmentioning

confidence: 99%

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Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study

et al. 2016

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BackgroundThe aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy.MethodsFrom August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator.ResultsPreoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001).ConclusionsFrom our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority.Trial registrationClinicalTrials.gov, NCT02354066

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Fig.…”

Section: Methodsmentioning

confidence: 99%

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Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study

et al. 2016

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“…Patients with THAs had normal brake response times, total brake times, and brake forces 2 to 8 weeks after right-sided procedures [15,23,30,39,53] and 1 to 8 weeks after left-sided procedures [15,30,39]. Driving measures such as brake response time, total brake time, and brake force were significantly impaired when a driver wore a right lower-extremity hard cast, aerated orthosis, controlled ankle-motion cast, short leg cast, above-or belowknee plaster cast, or ROM-restricting brace [10,48,60,63].…”

Section: Observer-reported Outcome Measuresmentioning

confidence: 99%

When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive.

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