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Perceptual dysfunction in hemiplegia and automobile driving
1Department of Rehabilitation Medicine, Veterans Administration Medical Center, Sepulveda, CA 91343.
The Gerontologist
|December 1, 1991
Summary
Stroke survivors with cognitive and perceptual challenges can safely return to driving after specialized training. This study evaluated sixteen hemiplegic patients, finding that targeted programs enable safe driving, even with limitations.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Occupational Therapy
Background:
- Post-stroke hemiplegia often impacts driving ability.
- Patients frequently desire to resume driving after stroke.
- Comprehensive evaluation is crucial for assessing driving safety.
Purpose of the Study:
- To evaluate the driving capabilities of post-stroke hemiplegic patients.
- To determine factors influencing safe return to driving.
- To assess the efficacy of a driver training program.
Main Methods:
- Sixteen hemiplegic patients underwent evaluation by a multidisciplinary team (physiatrist, psychologist, occupational therapist, driver training specialist).
- Patients participated in a specialized driver training program.
- Participants were grouped based on driving success and follow-up outcomes.
Main Results:
- Significant differences in psychological test results were observed between patients who drove without difficulty and those with limited ability or who failed training.
- Patients with cognitive and perceptual deficits showed varying degrees of success post-training.
Conclusions:
- Post-stroke patients with significant cognitive and perceptual challenges can become safe drivers with appropriate training and driving limitations.
- Multidisciplinary assessment and tailored driver training programs are effective for facilitating return to driving.