Licensing the Driver with Musculoskeletal Difficulty

Stöck, Michael; Light, William O.; Douglass, John M.; Burg, Fredric D.

doi:10.2106/00004623-197052020-00016

Cited by 12 publications

(7 citation statements)

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“…Older drivers are likely to have learned to drive on manual gear shifts and may still have particular hand preferences for driving. A driver should be able to exert at least 3 kg of tangential force to turn a steering wheel, 20 and grip strength has been specifically cited as one of the key elements for driving 12 . Therefore, both dominant and nondominant hand grip scores were assessed independently.…”

Section: Methodsmentioning

confidence: 99%

Performance‐Based Measurements Among Elderly Drivers and Nondrivers

Retchin

Cox

Irwin

1988

J American Geriatrics Society

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Although driving is an important ability for maintaining independence in the later years, clinical factors that determine driving status are unknown. Aged male veterans (mean age, 70 years) were recruited from an outpatient clinic (N = 143), including 77 frequent drivers, 41 infrequent drivers, and 25 who drove rarely or not at all. There were 116 (84%) who completed a comprehensive performance-based assessment. There were no significant differences between the three groups in age, formal cognitive testing, or prevalence of stroke history. However, there were significant differences in grip strength, reaction time, static visual acuity, dynamic visual acuity, and peripheral vision. Using stepwise ordinal logistic regression, dynamic visual acuity, nondominant hand grip strength, and total horizontal peripheral visual field were significantly associated with driving frequency (P less than .05), and together explained approximately 45% of the variance. Subtle motor and visual deficits that can be detected by a performance-based assessment may play an important role in determining driving frequency in the elderly.

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Section: Methodsmentioning

confidence: 99%

Performance‐Based Measurements Among Elderly Drivers and Nondrivers

Retchin

Cox

Irwin

1988

J American Geriatrics Society

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“…Appropriate execution is not as straightforward as it might seem. The car used should preferably be the patient's own one, because of variabilities in car design and equipment (Stock et al, 1970). It is also important that the test should bear some relevance to the patient's daily driving schedule, ie not include motorway driving if not part of the patient's expected driving habits.…”

Section: Assessment Of Driving Skillsmentioning

confidence: 99%

The doctor's dilemma: The ageing driver and dementia

O’Neill

1992

Int J Geriat Psychiatry

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“…( 14 ), Stock et al . ( 70 ), Latz et al ( 71 ), Pandis et al . ( 72 ), Hasan et al ( 73 ), Chong et al ( 74 ), Jones et al ( 75 ), Stevenson et al ( 76 ), Blair et al ( 77 ), Kalamaras et al .…”

Section: Resultsmentioning

confidence: 97%

“…In total, 68 studies were identified meeting our study aims and inclusion criteria for both upper and lower extremity procedures ( Fig. 1 , Table 1 , Supplementary Tables 1 and 2) ( 1 , 14 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ). There was a wide variation in procedures performed and sample size, the study methodology, and measurements obtained.…”

Section: Resultsmentioning

confidence: 99%

“…There were 37 studies included for upper extremity procedures and guidelines ( 1 , 4 , 14 , 42 , 43 , 49 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ). Some studies reported dominant versus non-dominant limb, while others reported handedness.…”

Section: Resultsmentioning

confidence: 99%

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Return to driving post upper or lower extremity orthopaedic surgical procedures: a scoping review of current published literature

Khaliq,

Giannoudis,

Palan

et al. 2023

EFORT Open Reviews

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Patients undergoing planned or unplanned orthopaedic procedures involving their upper or lower extremity can prevent them from safe and timely return to driving, where they commonly ask, ‘Doctor, when can I drive?’ Driving recommendations after such procedures are varied. The current evidence available is based on a heterogenous data set with varying degrees of sample size and markedly differing study designs. This instructional review article provides a scoping overview of studies looking at return to driving after upper or lower extremity surgery in both trauma and elective settings and, where possible, to provide clinical recommendations for return to driving. Medline, EMBASE, SCOPUS, and Web of Science databases were searched according to a defined search protocol to elicit eligible studies. Articles were included if they reviewed adult drivers who underwent upper or lower extremity orthopaedic procedures, were written in English, and offered recommendations about driving. A total of 68 articles were included in the analysis, with 36 assessing the lower extremity and 37 reviewing the upper extremity. The evidence available from the studies reviewed was of poor methodological quality. There was a lack of adequately powered, high quality, randomised controlled trials (RCTs) with large sample sizes to assess safe return to driving for differing subset of injuries. Many articles provide generic guidelines on return to driving when patients feel safe to perform an emergency stop procedure with adequate steering wheel control. In future, RCTs should be performed to develop definitive return to driving protocols in patients undergoing upper and lower extremity procedures.

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Licensing the Driver with Musculoskeletal Difficulty

Cited by 12 publications

References 0 publications

Performance‐Based Measurements Among Elderly Drivers and Nondrivers

Performance‐Based Measurements Among Elderly Drivers and Nondrivers

The doctor's dilemma: The ageing driver and dementia

Return to driving post upper or lower extremity orthopaedic surgical procedures: a scoping review of current published literature

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