Article

In the existing literature, there is scarce information about
subjects with upper limb amputation and driving. Objectives: The aim of this
study was to find out how frequently subjects following upper limb amputation
have problems when driving; most frequently proposed adaptations and, when
possible, factors that influence driving ability. Study design: Retrospective
clinical study. Methods: Medical records were reviewed of all subjects following
upper limb amputation who had been amputated in the last 5 years and those with
congenital upper limb deficiency who in the last 5 years turned 17. Results: Out
of 37 subjects, 7 did not attend the clinic for assessment of driving abilities.
They were significantly older at the time of the amputation (p < 0.001). To the
remaining 30 who attended driving assessment, zero to four car adaptations (two
on average) were proposed. There were no correlations between the number of
suggested car adaptations and the age at the time of the amputation, amputation
level, education and severity of phantom limb pain. Type of prosthesis also did
not influence the number of car adaptations. Conclusions: Most people following
upper limb amputation need at least one car adaptation for safe driving. Clinical
relevance Most people following upper limb amputation need car adaptations for
safe driving. Assessment of driving abilities has to be a part of comprehensive
rehabilitation of these persons.

Langue : ANGLAIS