Driving and reintegration into the community in patients after stroke

PM & R : the Journal of Injury, Function, and Rehabilitation
Hillel M FinestoneAnita Jessup

Abstract

To investigate the relationship between driving versus not driving and community integration after stroke. Much research on patients who drive after experiencing a stroke has focused on driving assessment protocols; little attention has been given to the implications of assessment outcomes. Prospective study. Six driving evaluation centers in Ontario, Canada. Fifty-three community-dwelling patients who were referred for a driving assessment after they experienced a stroke. Data on demographics, living circumstances, health status, driving habits, and driving history were gathered via a semistructured interview and various questionnaires administered on 3 occasions: study entry (> or =1 month after stroke; n = 53), 3 months (n = 44), and 1 year (n = 43). Reintegration into the community at 1 year, as evaluated with the Reintegration to Normal Living Index (RNLI). The participants had sustained a stroke an average of 12.3 months before study entry. Two subjects were driving at study entry. At 1 year, 28 (65%) of 43 subjects had passed their driving test and had resumed/continued driving. Nondrivers had a significantly lower mean RNLI score than drivers. Subjects who were not driving at study entry but had resumed driving by 1 yea...Continue Reading

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