Determinants of driving after stroke

Abiodun E. Akinwuntan, Hilde Feys, Willy DeWeerdt, Jan Pauwels, Guido Baten, Emmanuel Strypstein

Research output: Contribution to journalArticle

80 Scopus citations

Abstract

Objective: To identify variables that best predict a team's decision of driving ability in stroke patients from a predriving assessment. Design: Retrospective study of a 2-year predriving evaluation. Setting: Belgian Institute for Road Safety. Participants: One hundred four patients with sequelae of first stroke. Interventions: Predriving assessments and road test. Main Outcome Measures: The suitability to resume driving based on a team decision and performance in the road test. Results: Forty-one patients (39.4%) were judged suitable 45 (43.3%) not immediately suitable and 18 (17.3%) not suitable to drive. Correlation coefficients and comparisons between groups revealed that most variables had significant individual relationships with the team decision and performance on the road test. After logistic regression analysis side of lesion kinetic vision visual scanning and a road test led to the best model in predicting the team decision (R2 =.53). The road test was the most important determinant (R2 =.42). Multiple regression analysis showed that the combination of acuity of left and right eyes and the figure of Rey was the best subset to predict the road test (R2 =.28). Conclusion: The predictive accuracy of the team's decision is limited and the road test is even lower. Inclusion of more real-road-related tests in the predriving assessment is necessary.

Original languageEnglish (US)
Pages (from-to)334-341
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number3
DOIs
StatePublished - Jan 1 2002

Keywords

  • Cerebrovascular accident
  • Motor vehicles
  • Neuropsychological tests
  • Rehabilitation
  • Vision

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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  • Cite this

    Akinwuntan, A. E., Feys, H., DeWeerdt, W., Pauwels, J., Baten, G., & Strypstein, E. (2002). Determinants of driving after stroke. Archives of Physical Medicine and Rehabilitation, 83(3), 334-341. https://doi.org/10.1053/apmr.2002.29662