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Published on: March 11, 2021
Prediction of driving after stroke: a prospective study
A E Akinwuntan1, H Feys, W De Weerdt
1Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium. aakinwuntan@mcg.edu
Neurorehabilitation and Neural Repair
|August 4, 2006
Summary
Determining stroke patient driving fitness can be streamlined. A short predriving assessment combining visual neglect, Rey-Osterrieth Complex Figure Test, and on-road tests accurately predicts driving ability.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Traffic Safety
Background:
- Assessing post-stroke driving fitness typically requires lengthy off-road and on-road evaluations (2-3 hours).
- Standardized, efficient methods are needed to determine driving capability after stroke.
Purpose of the Study:
- To identify a concise set of tests for accurately predicting driving fitness in stroke survivors.
- To develop a brief, predictive predriving assessment battery.
Main Methods:
- Prospective study of 68 stroke patients undergoing mandatory predriving assessments.
- Assessments included medical, visual, neuropsychological evaluations, and an on-road test.
- Fitness to drive decisions were made by a multidisciplinary team.
Main Results:
- Logistic regression identified visual neglect, Rey-Osterrieth Complex Figure Test, and on-road tests as key predictors (R²=0.73).
- A discriminant function using these three tests correctly predicted fitness to drive for 86.8% of subjects.
- High sensitivity (79.4%) and specificity (94.1%) were achieved.
Conclusions:
- Driving fitness after stroke can be accurately predicted using a limited number of road-related tests.
- While effective, some patients may still require more extensive evaluations.
