Use of a driving simulator to improve on-road driving performance and cognition in persons with Parkinson's disease

A pilot study

Hannes Devos, John Christopher Morgan, Arinze Onyeamaechi, Craig A. Bogle, Katie Holton, Jonathon Kruse, Sierra Sasser, Abiodun Emmanuel Akinwuntan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background/aim: The use of simulators as an assessment and intervention tool for driving is an emerging field in occupational therapy. We investigated the potential usefulness of a driving simulator to improve on-road skills and cognitive functions in drivers with Parkinson's disease (PD). Method: Fifteen participants with PD, and Hoehn and Yahr stages between 2 and 3 participated in this pre–post comparison study. Twelve of the 15 individuals (median age (Q1–Q3), 68 (63.5–72.5); 10 men) completed 10 hours of training in a high-fidelity driving simulator. A practical road test as well as off-road cognitive and simulator tests were administered at pre-training and post-training. Results: Nine participants, who passed the road test before training, passed at post-training. Furthermore, all three participants who initially failed the on-road test passed after training. Participants’ performance improved significantly from pre- to post-training on two cognitive tests: (i) the Montreal Cognitive Assessment and (ii) Dot Cancellation test. Conclusion: This pilot study demonstrates the potential usefulness of a simulator to improve on-road driving and driving-related cognitive skills in PD. Adequately powered randomized controlled trials are needed to further expand this field of study.

Original languageEnglish (US)
Pages (from-to)408-414
Number of pages7
JournalAustralian Occupational Therapy Journal
Volume63
Issue number6
DOIs
StatePublished - Dec 1 2016

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Cognition
Parkinson Disease
Occupational Therapy
Randomized Controlled Trials

Keywords

  • Parkinson's disease
  • cognition
  • driving
  • rehabilitation

ASJC Scopus subject areas

  • Occupational Therapy

Cite this

Use of a driving simulator to improve on-road driving performance and cognition in persons with Parkinson's disease : A pilot study. / Devos, Hannes; Morgan, John Christopher; Onyeamaechi, Arinze; Bogle, Craig A.; Holton, Katie; Kruse, Jonathon; Sasser, Sierra; Akinwuntan, Abiodun Emmanuel.

In: Australian Occupational Therapy Journal, Vol. 63, No. 6, 01.12.2016, p. 408-414.

Research output: Contribution to journalArticle

Devos, Hannes ; Morgan, John Christopher ; Onyeamaechi, Arinze ; Bogle, Craig A. ; Holton, Katie ; Kruse, Jonathon ; Sasser, Sierra ; Akinwuntan, Abiodun Emmanuel. / Use of a driving simulator to improve on-road driving performance and cognition in persons with Parkinson's disease : A pilot study. In: Australian Occupational Therapy Journal. 2016 ; Vol. 63, No. 6. pp. 408-414.
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