Select Physical Performance Measures and Driving Outcomes in Older Adults: A LongROAD Study

The objective of this review is to assess the evidence in the research literature on the association of three validated lower extremity strength and balance physical functioning measures and driving outcomes in older adults, including: driving exposure, cessation, crashes, citations, and ability. These three measures include one battery and two standalone measures: the Short Physical Performance Battery (SPPB), the Timed Up-and-Go Test (TUG), and the Rapid Pace Walk (RPW). Studies published between 1994 and 2015 that included the SPPB, the TUG, or the RPW as a measure of physical functioning, included a driving-related outcome, and were conducted in adults aged 50 years and older were identified through a comprehensive search of bibliographic databases and were reviewed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Thirteen studies involving 5,313 older adults met all of the inclusion criteria. Of them, three included the SPPB, two included the TUG, and eight included the RPW. Based on the review, lower SPPB scores are associated with reduced driving exposure and increased cessation, poorer RPW scores are associated with decreased driving ability in some studies and reduced driving exposure in one study, and TUG scores are not associated with any driving outcomes. The TUG measure does not appear to be a useful measure of physical functioning for the driving outcomes that were included here, although the studies were limited. The RPW may be useful in studies related to driving ability and exposure. More driving studies should consider using the SPPB to determine if there is an association between SPPB scores and driving outcomes that have not been studied with this battery, and the SPPB may be useful as a risk factor assessment for identifying individuals at risk of reducing their driving exposure and driving cessation.

Language

  • English

Media Info

  • Media Type: Digital/other
  • Features: Appendices; Figures; References; Tables;
  • Pagination: 43p

Subject/Index Terms

Filing Info

  • Accession Number: 01597287
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Apr 19 2016 4:53PM