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Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis
Sujin Hwang1, Chiang-Soon Song2
1Department of Physical Therapy, Division of Health Science, Baekseok University, Cheonan 31065, Republic of Korea.
Healthcare (Basel, Switzerland)
|June 10, 2023
Summary
Stroke survivors
Area of Science:
- Neurorehabilitation
- Driving Rehabilitation
- Stroke Recovery
Background:
- Driving is crucial for social integration and independence in stroke survivors.
- Limited evidence exists on the effectiveness of driving rehabilitation and its predictors post-stroke.
Purpose of the Study:
- To review therapeutic effects of driving rehabilitation for stroke survivors returning to driving.
- To evaluate predictors of returning to driving after stroke.
- To identify factors impacting driving rehabilitation success.
Main Methods:
- Systematic review and meta-analysis of 16 studies (2 RCTs, 14 non-RCTs).
- Searched PubMed and four other databases until December 31, 2022.
- Included studies on driving rehabilitation and return-to-driving predictors post-stroke.
Main Results:
- National Institute of Health Stroke Scale (NIHSS) scores predict driving return.
- Mini Mental State Examination (MMSE) scores are significant predictors.
- Paid employment status is a key factor influencing driving resumption.
Conclusions:
- NIHSS, MMSE scores, and paid employment are significant predictors of driving return post-stroke.
- Further research is needed to investigate the impact of driving rehabilitation on resuming driving.
- Driving rehabilitation plays a vital role in stroke survivor's social reintegration.
