TY - JOUR
T1 - Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits
AU - Akinwuntan, Abiodun Emmanuel
AU - Devos, Hannes
AU - Feys, Hilde
AU - Verheyden, Geert
AU - Baten, Guido
AU - Kiekens, Carlotte
AU - De Weerdt, Willy
PY - 2007/11
Y1 - 2007/11
N2 - Objective: The aim of this prospective study was to confirm the accuracy of a short assessment battery, used previously in a study to predict fitness-to-drive after stroke, in a new cohort of stroke survivors without severe deficits. Design: A prospective study. Subjects: A total of 43 (39 men and 4 women) consecutive survivors after stroke who were not severely impaired and who performed the pre-driving assessment, which included a standardized on-road test at the Belgian Road Safety Institute in Brussels, Belgium. On average, participants were 6 months post-stroke, independently ambulant with or without assistive devices, possessed valid drivers' licenses and actively drove prior to stroke onset. Methods: Fitness-to-drive decisions based on performance in 15 tests of a full-scale assessment battery were predicted using only the scores from the 3 predictive tests previously identified. Results: When the discriminant equation from the previous study including performance in the 3 tests (figure of Rey, visual neglect (lateralized mean reaction time) and on-road test) was applied, 37 (86%) of the 43 participants were correctly predicted to pass or fail the pre-driving assessment. The sensitivity and specificity of the predictions were 77% and 92%, respectively. Conclusion: This study shows that the short assessment battery is a good predictor of fitness-to-drive in stroke survivors with moderate physical and cognitive impairments.
AB - Objective: The aim of this prospective study was to confirm the accuracy of a short assessment battery, used previously in a study to predict fitness-to-drive after stroke, in a new cohort of stroke survivors without severe deficits. Design: A prospective study. Subjects: A total of 43 (39 men and 4 women) consecutive survivors after stroke who were not severely impaired and who performed the pre-driving assessment, which included a standardized on-road test at the Belgian Road Safety Institute in Brussels, Belgium. On average, participants were 6 months post-stroke, independently ambulant with or without assistive devices, possessed valid drivers' licenses and actively drove prior to stroke onset. Methods: Fitness-to-drive decisions based on performance in 15 tests of a full-scale assessment battery were predicted using only the scores from the 3 predictive tests previously identified. Results: When the discriminant equation from the previous study including performance in the 3 tests (figure of Rey, visual neglect (lateralized mean reaction time) and on-road test) was applied, 37 (86%) of the 43 participants were correctly predicted to pass or fail the pre-driving assessment. The sensitivity and specificity of the predictions were 77% and 92%, respectively. Conclusion: This study shows that the short assessment battery is a good predictor of fitness-to-drive in stroke survivors with moderate physical and cognitive impairments.
KW - Cerebrovascular accident
KW - Motor vehicles
KW - Neuropsychological tests
KW - Rehabilitation
KW - Road test
KW - Visual tests
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U2 - 10.2340/16501977-0113
DO - 10.2340/16501977-0113
M3 - Article
C2 - 17999007
AN - SCOPUS:36849048670
SN - 1650-1977
VL - 39
SP - 698
EP - 702
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 9
ER -