Volume 81, Issue 6 , Pages 701-705, June 2000
Driving skills in elderly persons with stroke: Comparison of two new assessment options☆☆☆★
Abstract
Klavora P, Heslegrave RJ, Young M. Driving skills in elderly persons with stroke: comparison of two new assessment options. Arch Phys Med Rehabil 2000;81:701-5. Objective: To compare the effectiveness of two methods of assessing off-road driving skills that claim to predict on-road driving fitness of persons with stroke. Method: Fifty-six persons with stroke (age 44 to 82yrs; mean, 60.2yrs) completed the 2 off-road driving assessments along with standard clinical and on-road driving tests. Main Outcome Measures: Linear stepwise regression on 4 variables of the Dynavision Performance Assessment Battery (DPAB), the Cognitive Behavioral Driver's Inventory (CBDI) variable (composite score), and the variables of age, gender, and lesion side. Results: A 4-minute endurance subtest from the DPAB was superior to the CBDI in predicting success/failure in the on-road driving test (75%). However, success on both the 4-minute endurance subtest from the DPAB and the CBDI tests significantly improved the prediction of on-road success. If participants passed the CBDI and the endurance test from the DPAB, they also passed the on-road assessment. Conclusion: Driving fitness of elderly persons with stroke can be assessed with reasonable accuracy using off-road tests, minimizing the expense and risk associated with on-road assessments in this population. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Keywords: Cerebrovascular disorders, Off-road driving assessment, Automobile driving, Dynavision, Rehabilitation
☆ Supported by a grant from the Ministry of Transportation, Ontario (Coordinator of Highway Research Grants Program, grant 9409) to Peter Klavora.
☆☆ No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
★ Reprint requests to Peter Klavora, PhD, Faculty of Physical Education and Health, University of Toronto, 55 Harbord Street, Toronto, Ontario M5S 1A1, Canada.
PII: S0003-9993(00)90096-0
doi:10.1016/S0003-9993(00)90096-0
© 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Volume 81, Issue 6 , Pages 701-705, June 2000
