A Case-Control Study Investigating Simulated Driving Errors in Ischemic Stroke and Subarachnoid Hemorrhage

Frontiers in Neurology
Megan A HirdTom A Schweizer

Abstract

Stroke can affect a variety of cognitive, perceptual, and motor abilities that are important for safe driving. Results of studies assessing post-stroke driving ability are quite variable in the areas and degree of driving impairment among patients. This highlights the need to consider clinical characteristics, including stroke subtype, when assessing driving performance. We compared the simulated driving performance of 30 chronic stroke patients (>3 months), including 15 patients with ischemic stroke (IS) and 15 patients with subarachnoid hemorrhage (SAH), and 20 age-matched controls. A preliminary analysis was performed, subdividing IS patients into right (n = 8) and left (n = 6) hemispheric lesions and SAH patients into middle cerebral artery (MCA,n = 5) and anterior communicating artery (n = 6) territory. A secondary analysis was conducted to investigate the cognitive correlates of driving. Nine patients (30%) exhibited impaired simulated driving performance, including four patients with IS (26.7%) and five patients with SAH (33.3%). Both patients with IS (2.3 vs. 0.3,U = 76,p < 0.05) and SAH (1.5 vs. 0.3,U = 45,p < 0.001) exhibited difficulty with lane maintenance (% distance out of lane) compared to controls. In addition, ...Continue Reading

References

Jul 1, 1989·Stroke; a Journal of Cerebral Circulation·T BrottV Hertzberg
Jan 9, 1998·Archives of Physical Medicine and Rehabilitation·G D FiskL V Pulley
Jul 31, 1998·Archives of Physical Medicine and Rehabilitation·B L MazerS Sofer
Mar 12, 2002·Archives of Physical Medicine and Rehabilitation·Abiodun E AkinwuntanEmmanuel Strypstein
Apr 9, 2005·Journal of the American Geriatrics Society·Ziad S NasreddineHoward Chertkow
Aug 4, 2006·Neurorehabilitation and Neural Repair·A E AkinwuntanC Kiekens
Sep 22, 2006·Scandinavian Journal of Psychology·Staffan T SöderströmJerzy Leppert
Feb 22, 2007·Topics in Stroke Rehabilitation·Shawn C MarshallKeith G Wilson
May 24, 2008·Emergency Medicine Journal : EMJ·M O McCarronP McCarron
Feb 6, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Stacey George, Maria Crotty
May 4, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·David ChiuUNKNOWN Glycine Antagonist in Neuroprotection(GAIN) Americas Trial Investigators
May 5, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Nadia W MullenMichel Bédard
Jul 3, 2010·Stroke; a Journal of Cerebral Circulation·Timour Al-KhindiTom A Schweizer
Aug 28, 2010·Topics in Stroke Rehabilitation·Marie-Josée PerrierNancy Mayo
Mar 2, 2013·Frontiers in Human Neuroscience·Tom A SchweizerSimon J Graham
Oct 12, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Maud RanchetEmmanuel Broussolle
Oct 13, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Megan A HirdTom A Schweizer
Nov 2, 2014·Cerebrovascular Diseases·Hannes DevosAbiodun E Akinwuntan
Dec 24, 2014·World Neurosurgery·Hirotoshi SanoUNKNOWN members of the 38 registered institutions and WFNS Cerebrovascular Disease & Treatment Committee
Aug 11, 2015·Topics in Stroke Rehabilitation·Hannes DevosAbiodun Emmanuel Akinwuntan
Dec 24, 2015·Journal of Physical Therapy Science·Myoung-Ok Park
Apr 19, 2016·Applied Neuropsychology. Adult·Umberto León-DomínguezJosé León-Carrión
May 22, 2016·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M RanchetH Devos
Dec 3, 2016·Traffic Injury Prevention·Selina MårdhAnna Anund

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Citations

Nov 7, 2019·Disability and Rehabilitation·Prakruti PatelNeha Lodha
Aug 18, 2020·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Ana HolowaychukAda W S Leung
Oct 23, 2020·Geriatrics·Michael FalkensteinUte Brüne-Cohrs
Jan 14, 2021·Journal of Neuroengineering and Rehabilitation·Neha LodhaEvangelos A Christou

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