Clinical Assessments as Predictors of Primary On-Road Outcomes in Parkinson's Disease

Parkinson's disease (PD) is a neurodegenerative disorder that affects fitness to drive. Research that has examined clinical predictors of fitness to drive in PD, using the on-road assessment as the gold standard, has generally used a dichotomous pass/fail decision. However, on-road assessments...

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Autores:
Tipo de recurso:
Fecha de publicación:
2015
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22734
Acceso en línea:
https://doi.org/10.1177/1539449215601118
https://repository.urosario.edu.co/handle/10336/22734
Palabra clave:
Aged
Article
Clinical assessment
Contrast sensitivity
Driver
Driving ability
Human
Major clinical study
Parkinson disease
Visual acuity
Adult
Car driving
Cognitive defect
Complication
Disability
Driver licence
Female
Male
Middle aged
Neuropsychological test
Parkinson disease
Pathophysiology
Predictive value
Psychology
Psychomotor performance
Very elderly
Adult
Aged
Aged, 80 and over
Automobile driver examination
Automobile driving
Cognition disorders
Disability evaluation
Female
Humans
Male
Middle aged
Neuropsychological tests
Parkinson disease
Predictive value of tests
Psychomotor performance
Assessment
Driving
Parkinson's disease
Rights
License
Abierto (Texto Completo)
Description
Summary:Parkinson's disease (PD) is a neurodegenerative disorder that affects fitness to drive. Research that has examined clinical predictors of fitness to drive in PD, using the on-road assessment as the gold standard, has generally used a dichotomous pass/fail decision. However, on-road assessments may also result in one of two additional outcomes (pass with recommendations, or fail-remediable). Individuals within these subgroups may benefit from interventions to improve their fitness to drive abilities. This study investigated clinical predictors that could be indicative of the pass, pass with recommendations, or fail-remediable categories for drivers with PD (N = 99). Trails B, Left Finger to Nose Test, and contrast sensitivity measures were identified as significant predictors for the pass, and pass with recommendations subgroups. No significant predictors were identified for the fail-remediable subgroup. Results from this study provide a foundation for clinicians to identify drivers who can benefit from recommendations to preserve their driving abilities. © The Author(s) 2015.