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Reliability of a road test after stroke.

Abiodun Emmanuel Akinwuntan1, Willy DeWeerdt, Hilde Feys

  • 1Department of Rehabilitation Sciences, Faculty of Physical Education and Physiotherapy, Katholieke Universiteit Leuven, Tervuursevest 101, B-3001 Heverlee, Leuven, Belgium. Emmanuel.Akinwuntan@flok.kuleuven.ac.be

Archives of Physical Medicine and Rehabilitation
|December 12, 2003
PubMed
Summary

The road test for stroke patients demonstrates moderate to high reliability for overall driving performance. However, specific test items require further refinement to ensure consistent assessment.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Traffic Safety

Background:

  • Stroke survivors often face challenges returning to driving.
  • Objective assessment of driving ability is crucial for public safety and patient independence.

Purpose of the Study:

  • To evaluate the interrater reliability of a standardized road test for stroke patients.
  • To determine the consistency of driving performance assessments in this population.

Main Methods:

  • A prospective study involving 30 stroke patients undergoing a 6-month pre-driving evaluation.
  • Driving performance was assessed by two independent evaluators in real-life and video recordings.
  • Interrater reliability was calculated using intraclass correlation coefficients (ICCs).

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Main Results:

  • Most sub-items of the road test achieved over 80% scoring agreement.
  • The ICC for overall driving performance was 0.62 (real-life vs. video) and 0.80 (video vs. video).
  • Individual item ICCs ranged from -0.08 to 1.0.

Conclusions:

  • The road test shows moderately high reliability for assessing overall driving performance in stroke patients.
  • Reliability is enhanced when assessments are based on consistent evidence (e.g., video vs. video).
  • Specific components of the road test may need further development to improve reliability.