Association between site of lesion and driving performance after ischemic stroke

Background: Stroke presents with heterogeneous recovery periods, severity, and manifestation of deficits, all of which may adversely impact fitness-to-drive. Little is known about the association between site of lesion and driving performance after stroke. Objective: To investigate the association b...

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Bibliographic Details
Published in:Topics in stroke rehabilitation 2015-08, Vol.22 (4), p.246-252
Main Authors: Devos, Hannes, Verheyden, Geert, Van Gils, Annick, Tant, Mark, Akinwuntan, Abiodun Emmanuel
Format: Article
Language:English
Subjects:
Adult
Aged
Automobile Driver Examination
Automobile Driving
Brain Ischemia - pathology
Brain Ischemia - physiopathology
Classification
Cognition & reasoning
Correlation analysis
Female
Humans
Male
Middle Aged
Neuropsychological tests
Occipital Lobe - pathology
Occipital Lobe - physiopathology
Parietal Lobe - pathology
Parietal Lobe - physiopathology
Psychomotor Performance - physiology
Rehabilitation
Stroke
Stroke - pathology
Stroke - physiopathology
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Summary:Background: Stroke presents with heterogeneous recovery periods, severity, and manifestation of deficits, all of which may adversely impact fitness-to-drive. Little is known about the association between site of lesion and driving performance after stroke. Objective: To investigate the association between site of stroke lesion and driving performance. Method: Seventy-three participants (age = 56 ± 11 years; 66 men) underwent a detailed battery of visual, cognitive, and on-road tests to determine fitness-to-drive at about 10 months after ischemic stroke. Associations between stroke location and driving performance were calculated using rank biserial (r rb ) correlation coefficients. Correlations were considered weak below 0.10, moderate between 0.10 and 0.49, and strong above 0.50. Wilcoxon rank sum tests were employed to discern differences in on-road driving performance between participants whose performance was of concern to the driving assessor and those who exhibited no major difficulties on the road. Results: In all, 28 (38%) out of the 73 participants exhibited major difficulties on the road. Those who showed difficulties on the road performed worse in all driving skills (P 
ISSN:1074-9357
1945-5119
DOI:10.1179/1074935714Z.0000000018