Predictors of Driving Ability Following Stroke: A Systematic Review

Marshall, Shawn; Molnar, Frank; Man-Son-Hing, Malcolm; Blair, Richard; Brosseau, Lucie; Finestone, Hillel M.; Lamothe, Catherine; Korner‐Bitensky, Nicol; Wilson, Keith G.

doi:10.1310/tsr1401-98

Cited by 184 publications

(138 citation statements)

References 35 publications

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“…In laboratory settings with the use of simulators, the age of drivers influenced DRT 17,18) . Elderly drivers react more slowly than younger drivers because it is more difficult for older people to properly judge traffic environments and to stop initiated movements.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

Shin

Lee

2012

J Phys Ther Sci

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Abstract. [Purpose] Driving is a complex activity involving cognitive and motor skills. It is an essential component of daily life for older adults. However, aging may decrease a driver's psychomotor performance and increase the risk of traffic accidents. Driving reaction time (DRT) requires visuo-motor coordination and fast DRTS are needed to cope with unexpected conditions or traffic lights. The purpose of the current study was to compare the DRT of elderly drivers and young drivers using a tri-axial accelerometer and a foot switch.[Methods] Twenty-four subjects (younger=12, elderly=12) participated in this study. DRT was measured with a tri-axial accelerometer and foot switch. DRT was classified by initiation and termination as on or off according to contact with the brake pedal during the brake pedal task.[Results] The ANOVA model for accelerometer-DRT yielded significant main effects for phase, but not for axis. Termination was delayed significantly more than initiation. The elderly group showed significantly more delay than the younger group. In the elderly group, termination was delayed more than initiation, but there was no difference in delay between initiation and termination in the young group . In foot switch-DRT, termination was delayed much more than initiation in both groups (p<0.05). The elderly group showed significantly more delay than the young group. [Conclusion] We suggest that the driving ability of elderly drivers can be assessed with reasonable accuracy using accelerometer-DRT, which minimizes the expense and risk associated with on-road assessments of this population.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

Shin

Lee

2012

J Phys Ther Sci

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“…An earlier review of 17 studies that examined predictors of driving ability post-stroke found that cognitive ability was the most useful screening test (12). We used multivariate analysis to identify predictors of track test performance from the results of neuropsychological tests.…”

Section: Driving Simulatormentioning

confidence: 99%

“…A road test is generally considered to be the gold standard for evaluation of driving ability (12); however, several facilities in Japan use a track test. Regardless of the setting, evaluation of driving ability requires resources for both patient and the driving school.…”

Section: █ Conclusionmentioning

confidence: 99%

Predictors of track test performance in drivers with stroke

Kobayashi

Omokute²,

Mitsuyama³

et al. 2016

Turkish Neurosurgery

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“…For example, researchers have found the Trails B to be a valid predictor of on-road performance in 127 community-dwelling older licensed drivers (Classen et al, 2008) and in people with Parkinson's disease (Classen et al, 2011;Uc et al, 2006). Others (Marshall et al, 2007;Novack et al, 2006) have found the Trails B to be a valid predictor of driving performance in patients with brain injury or predictive of simulated driving performance in older adults (Mullen, Weaver, Riendeau, Morrison, & Bédard, 2010).…”

Section: Trails B and On-road Studiesmentioning

confidence: 99%

Predicting Older Driver On-Road Performance by Means of the Useful Field of View and Trail Making Test Part B

Classen

Wang

Crizzle

et al. 2013

The American Journal of Occupational Therapy

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The Useful Field of View Ò (UFOV) and Trail Making Test Part B (Trails B) are measures of divided attention.We determined which measure was more accurate in predicting on-road outcomes among drivers (N 5 198, mean age 5 73.86, standard deviation 5 6.05). Receiver operating characteristic curves for the UFOV (Risk Index [RI] and Subtests 1-3) and Trails B significantly predicted on-road outcomes. Contrasting Trails B with the UFOV RI and subtests, the only difference was found between the UFOV RI and Trails B, indicating the UFOV RI was the best predictor of on-road outcomes. Misclassifications of drivers totaled 28 for the UFOV RI, 62 for Trails B, and 58 for UFOV Subtest 2. The UFOV RI is a superior test in predicting on-road outcomes, but the Trails B has acceptable accuracy and is comparable to the other UFOV subtests.

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Predictors of Driving Ability Following Stroke: A Systematic Review

Abstract: Cognitive tests that assess multiple cognitive domains relevant to driving appear to have the best reproducibility in predicting fitness to drive in stroke patients.

Cited by 184 publications

References 35 publications

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

Predictors of track test performance in drivers with stroke

Predicting Older Driver On-Road Performance by Means of the Useful Field of View and Trail Making Test Part B

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