Predictors of a Successful Driver Evaluation in Stroke Patients After Discharge Based on an Acute Rehabilitation Hospital Evaluation
Among the most common concerns of a stroke patient is the ability to drive. In this paper, the authors aimed to determine which neurologic impairments on an acute rehabilitation admission evaluation predict the likelihood of a successful driver evaluation after discharge. A total of 45 stroke patients participated in a driver evaluation. The mean age +/- standard deviation was 71.0 +/- 9.8 yrs, Mini-Mental State Examination (MMSE) score was 22.7 +/- 8.1, upper limb and lower limb Motricity Index scores were 63.7 +/- 34.8 and 71.8 +/- 24.3, Limb Placement Task was 4.6 +/- 3.6 inches, and admission total FIM(TM) score was 68.5 +/- 18. Admission variables differed between those who failed (n = 10) vs. those who passed the in-clinic driver evaluation (n = 29, 75%): MMSE (17.5 +/- 9.7 vs. 24.6 +/- 6.7, P = 0.004), and upper limb (82 +/- 23.7 vs. 57.4 +/- 36.1, P = 0.05) and lower limb (87.6 +/- 11.8 vs. 66.4 +/- 25.2, P = 0.01) Motricity Index scores. Patients who took and passed the in-clinic driver evaluation had, at admission, higher MMSE and Motricity Index scores with normal visual field defects.
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Availability:
- Find a library where document is available. Order URL: http://worldcat.org/oclc/16308327
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Authors:
- Smith-Arena, Laureen
- Edelstein, Lisa
- Rabadi, Merheroz
- Publication Date: 2006-1
Language
- English
Media Info
- Media Type: Print
- Features: Figures; References; Tables;
- Pagination: pp 44-52
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Serial:
- American Journal of Physical Medicine & Rehabilitation
- Volume: 85
- Issue Number: 1
- Publisher: Lippincott Williams & Wilkins
- ISSN: 0894-9115
- EISSN: 1537-7385
- Serial URL: http://journals.lww.com/ajpmr/pages/default.aspx
Subject/Index Terms
- TRT Terms: Abilities; Automobile driving; Driver rehabilitation; Physiological aspects
- Uncontrolled Terms: Driving performance; Neurological disorders; Stroke (Medical condition); Stroke patients
- Subject Areas: Highways; Safety and Human Factors; I83: Accidents and the Human Factor;
Filing Info
- Accession Number: 01076368
- Record Type: Publication
- Files: TRIS
- Created Date: Sep 5 2007 3:19PM