The effects of below-elbow immobilization on driving performance

Jones, E. M.; Barrow, Aaron E.; Skordas, Nic J.; Green, David P.; Cho, Mickey S.

doi:10.1016/j.injury.2016.12.024

Cited by 6 publications

(9 citation statements)

References 10 publications

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“…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%

“…( 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 . ( 78 ), Gregory et al ( 79 ), Hobman et al .…”

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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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“…43 Devices that limit grip strength, such as thumb spica casts, have been shown to increase perceived driving difficulty. Jones et al 53 showed that patients wearing a thumb spica cast made more mistakes during test drives on a simulated driving circuit. 43 The influence of laterality is unclear because studies show mixed results when determining whether immobilization of the right versus left is more impairing.…”

Section: Upper Extremitymentioning

confidence: 99%

“…The incidence and operative treatment of distal radius fractures and carpal tunnel syndrome have increased during the last several decades, 71 72 73 making them among the most common surgeries performed on the hand and wrist. 73 74 Jones et al 53 conducted a prospective trial with 23 patients and determined that most patients who underwent open reduction and internal fixation via volar plating of the distal radius could drive safely at 3 weeks postoperatively. The authors concluded that postoperative pain was a major factor that limited safe driving.…”

Section: Upper Extremitymentioning

confidence: 99%

Driving after Upper or Lower Extremity Orthopaedic Surgery

Mackenzie

Bitzer

Familiari³

et al. 2018

Joints

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Orthopaedic procedures can affect patients' ability to perform activities of daily living, such as driving automobiles or other vehicles that require coordinated use of the upper and lower extremities. Many variables affect the time needed before a patient can drive competently after undergoing orthopaedic surgery to the extremities. These variables include whether the patient underwent upper or lower extremity surgery, the country in which the patient resides, whether the right or left lower extremity is involved, whether the dominant arm is involved, whether the extremity is in a cast or brace, whether the patient has adequate strength to control the steering wheel, and whether the patient is taking pain medication. The type and complexity of the procedure also influence the speed of return of driving ability. Few studies provide definitive data on driving ability after upper or lower extremity surgery. Patients should be counseled not to drive until they can control the steering wheel and the pedals competently and can drive well enough to prevent further harm to themselves or to others. This review discusses the limited recommendations in the literature regarding driving motorized vehicles after upper or lower extremity orthopaedic surgery.

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