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.

• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/oclc/16308327
• 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
• 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