Related Experiment Video
Updated: Jun 12, 2026
Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
Patient factors associated with return to driving poststroke: findings from a multicenter cohort study
Marie-Josée Perrier1, Nicol Korner-Bitensky, Nancy E Mayo
1Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada. 8mp38@queensu.ca
Objective:
To estimate the extent to which body structure, function, activity, and context explain driving resumption at 1 year.
Design:
Cohort study with relationships modeled in a path analysis.
Setting:
Three urban Canadian communities.
Participants:
Patients admitted to hospital with acute stroke who had driven before their stroke (n=290) who participated in a longitudinal study of stroke outcomes.
Main Outcome Measures:
Driving resumption 1 year after the initial stroke diagnosis.
Results:
One hundred seventy-seven patients (61%) returned to driving after 1 year. Direct relationships were found between measures of strength and motor activity (Stroke Impact Scale), cognition (Mini-Mental State Examination), type of stroke (hemorrhagic vs ischemic), and driving resumption at 1 year. The effects of stroke severity, fatigue, and sex on driving resumption were mediated through strength and motor activity shown by a model that had excellent fit (comparative fit index=.985, Tucker-Lewis Index=.952, root mean square error of approximation=.046).
Conclusions:
There are multiple direct and indirect influences on driving resumption at 1 year, from the type of stroke, physical strength and motor activity, cognition, sex, and fatigue measured at 3 months. The paths outlined by this model highlight how stroke sequelae influence community mobility, as well as factors related to driving resumption that are amenable to intervention.
