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Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits

Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits
Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits
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.
erebrovascular accident, motor vehicles, neuropsychological tests, visual tests, road test, rehabilitation
1650-1977
698-702
Akinwuntan, A.E.
a4bdaf1f-b6b7-4377-b880-1e61bc5f587a
Devos, H.
9a1f25b6-0200-4be8-87e7-1b8a0a56f300
Feys, H.
9dea33d5-cbc8-4879-9179-8038767d8fe5
Verheyden, G.
dd0095fa-83d8-4ffd-af2f-fcef6f8a3997
Baten, G.
277a23e9-2fe0-4dd4-aa66-184c4c940714
Kiekens, C.
05fb2f6f-6041-473c-a02c-221c8f75c699
De Weerdt, W.
c4d7e803-c87c-4323-827e-440775d1874c
Akinwuntan, A.E.
a4bdaf1f-b6b7-4377-b880-1e61bc5f587a
Devos, H.
9a1f25b6-0200-4be8-87e7-1b8a0a56f300
Feys, H.
9dea33d5-cbc8-4879-9179-8038767d8fe5
Verheyden, G.
dd0095fa-83d8-4ffd-af2f-fcef6f8a3997
Baten, G.
277a23e9-2fe0-4dd4-aa66-184c4c940714
Kiekens, C.
05fb2f6f-6041-473c-a02c-221c8f75c699
De Weerdt, W.
c4d7e803-c87c-4323-827e-440775d1874c

Akinwuntan, A.E., Devos, H., Feys, H., Verheyden, G., Baten, G., Kiekens, C. and De Weerdt, W. (2007) Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits. Journal of Rehabilitation Medicine, 39 (9), 698-702. (doi:10.2340/16501977-0113).

Record type: Article

Abstract

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.

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Published date: November 2007
Keywords: erebrovascular accident, motor vehicles, neuropsychological tests, visual tests, road test, rehabilitation

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Local EPrints ID: 55438
URI: https://eprints.soton.ac.uk/id/eprint/55438
ISSN: 1650-1977
PURE UUID: ffe05ad1-7b84-473b-bb5d-6d238c9abac3

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Date deposited: 31 Jul 2008
Last modified: 13 Mar 2019 20:36

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Contributors

Author: A.E. Akinwuntan
Author: H. Devos
Author: H. Feys
Author: G. Verheyden
Author: G. Baten
Author: C. Kiekens
Author: W. De Weerdt

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