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Usefulness of screening tools for predicting driving performance in people with Parkinson's disease

CLASSEN S; WITTER DP; LANFORD DN; OKUN MS; RODRIGUEZ RL; ROMRELL J; MALATY I; FERNANDEZ HH
AM J OCCUP THER , 2011, vol. 65, n° 5, p. 579-588
Doc n°: 153565
Localisation : Documentation IRR
Descripteurs : AF5 - PARKINSON, JL32 - CONDUITE AUTOMOBILE

We used screening tests administered by a certified driving
rehabilitation specialist and by Parkinson's disease (PD) specialty neurologists
to develop a model to predict on-road outcomes for patients with PD. METHOD: We
administered a battery of screening tests to 41 patients with PD and 41
age-matched control participants before on-road testing. We used statistical
models to predict actual on-road performance. RESULTS: The PD group had a higher
failure rate, indicating more on-road errors. For the PD participants, the Useful
Field of View (UFOV) Subtest 2 and Rapid Pace Walk were responsible for most of
the variance in the on-road test. The model accurately categorized pass-fail
outcomes for 81% of PD patients. CONCLUSION: Clinical screening batteries may be
predictive of driving performance in PD. The UFOV Subtest 2, administered in
approximately 15 min, may be the single most useful clinical test for such predictions.

Langue : ANGLAIS

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