Vestibular Dysfunction and Difficulty with Driving: Data from the 2001-2004 National Health and Nutrition Examination Surveys

Frontiers in Neurology
Eric X Wei, Yuri Agrawal

Abstract

There is growing understanding of the role of vestibular function in spatial navigation and orientation. Individuals with vestibular dysfunction demonstrate impaired performance on static and dynamic tests of spatial cognition, but there is sparse literature characterizing how these impairments might affect individuals in the real-world. Given the important role of visuospatial ability in driving a motor vehicle, we sought to evaluate whether individuals with vestibular dysfunction might have increased driving difficulty. We used data from the 2001-2004 National Health and Nutrition Examination Surveys to evaluate the influence of vestibular dysfunction in driving difficulty in a nationally representative sample of U.S. adults aged ≥50 years (n = 3,071). Vestibular function was measured with the modified Romberg test. Furthermore, since vestibular dysfunction is a known contributor to falls risk, we assessed whether individuals with vestibular dysfunction and concomitant driving difficulty were at an increased risk of falls. In multivariate analyses, vestibular dysfunction was associated with a twofold increased odd of driving difficulty (odds ratio 2.16, 95% CI 1.57, 2.98). Among participants with vestibular dysfunction, conco...Continue Reading

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Citations

Feb 3, 2018·Dementia and Geriatric Cognitive Disorders·Eric X WeiYuri Agrawal
Oct 16, 2018·Human Factors·Kristen L Macuga
May 3, 2019·Journal of Neurophysiology·Paul F SmithCynthia L Darlington
Jul 4, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Yuri AgrawalLewis A Lipsitz
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