Predicting road test performance in drivers with stroke

OBJECTIVE. The aim of this study was to develop a brief screening battery to predict the on-road performance of drivers who had experienced a stroke. METHOD. We examined 72 people with stroke referred by community physicians to an academic rehabilitation center. The outcome variable was pass or fail...

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Bibliographic Details
Published in:The American journal of occupational therapy 2014-03, Vol.68 (2), p.221-229
Main Authors: Barco, Peggy P, Wallendorf, Michael J, Snellgrove, Carol A, Ott, Brian R, Carr, David B
Format: Article
Language:English
Subjects:
Aged
Automobile Driver Examination
Automobile drivers
Automobile Driving
Cognition
Cognition & reasoning
Cognitive ability
Cross-Sectional Studies
Female
Humans
Male
Measurement Techniques
Medical Evaluation
Medical referrals
Middle Aged
Motor Skills
Occupational therapy
Ophthalmology
Physical Examinations
Physicians
Physiological aspects
Predictive Value of Tests
Productive Aging
Psychometrics
Psychomotor Performance
Referral
Rehabilitation
Rehabilitation Centers
Research design
Screening Tests
Social Integration
Stroke
Stroke (Disease)
Stroke Rehabilitation
Testing
Thinking Skills
Vision
Vision Tests
Visual Perception
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Summary:OBJECTIVE. The aim of this study was to develop a brief screening battery to predict the on-road performance of drivers who had experienced a stroke. METHOD. We examined 72 people with stroke referred by community physicians to an academic rehabilitation center. The outcome variable was pass or fail on the modified Washington University Road Test. Predictor measures were tests of visual, motor, and cognitive functioning. RESULTS. The best predictive model for failure on the road test included Trail Making Test Part A and the Snellgrove Maze Task(®). CONCLUSION. A screening battery that can be performed in less than 5 min was able to assist in the prediction of road test performance in a sample of drivers with stroke. A probability of failure calculator may be useful for clinicians in their decision to refer clients with stroke for a comprehensive driving evaluation.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2014.008938