Driving Errors in Parkinson's Disease: Moving Closer to Predicting On-Road Outcomes

被引：25
作者：
Classen, Sherrilene [1 ,2 ,3 ]
Brumback, Babette [4 ]
Monahan, Miriam [5 ,6 ]
Malaty, Irene I. [7 ]
Rodriguez, Ramon L. [8 ]
Okun, Michael S. [7 ]
McFarland, Nikolaus R. [9 ]
机构：
[1] Univ Western Ontario, Elborn Coll, Sch Occupat Therapy, London, ON N6G 1H1, Canada
[2] Univ Florida, Inst Mobil Act & Participat, Coll Publ Hlth & Hlth Profess, Gainesville, FL USA
[3] Univ Florida, Dept Occupat Therapy, Coll Publ Hlth & Hlth Profess, Gainesville, FL USA
[4] Univ Florida, Dept Biostat, Gainesville, FL USA
[5] Univ Florida, Dept Occupat Therapy, Gainesville, FL USA
[6] Univ Florida, Inst Mobil Act & Participat, Gainesville, FL USA
[7] Univ Florida, Dept Neurol, Ctr Movement Disorders & Neurorestorat, Gainesville, FL USA
[8] Univ Florida, Dept Neurol, Ctr Movement Disorders & Neurorestorat, Movement Disorders Clin, Gainesville, FL USA
[9] Univ Florida, Dept Neurol, Gainesville, FL USA
来源：
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY | 2014年 / 68卷 / 01期
关键词：
automobile driving; forecasting; Parkinson disease; task performance and analysis; safety; PERFORMANCE; PEOPLE; DRIVERS; TASK;
D O I：
10.5014/ajot.2014.008698
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Age-related medical conditions such as Parkinson's disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 +/- 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 +/- 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), chi(2)(1) = 35.54, HC N = 138, PD N = 99, p <.001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R-2 =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p<.001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so.
引用
收藏
页码：77 / 85
页数：9
相关论文
共 24 条
[1]  
[Anonymous], 1985, HUMAN BEHAV TRAFFIC, DOI DOI 10.1007/978-1-4613-2173-6_19
[2]   Useful Field of View as a Reliable Screening Measure of Driving Performance in People With Parkinson's Disease: Results of a Pilot Study [J].
Classen, S. ;
McCarthy, D. P. ;
Shechtman, O. ;
Awadzi, K. D. ;
Lanford, D. N. ;
Okun, M. S. ;
Rodriguez, R. L. ;
Romrell, J. ;
Bridges, S. ;
Kluger, B. ;
Fernandez, H. H. .
TRAFFIC INJURY PREVENTION, 2009, 10 (06) :593-598
[3]   Usefulness of Screening Tools for Predicting Driving Performance in People With Parkinson's Disease [J].
Classen, Sherrilene ;
Witter, D. P. ;
Lanford, D. N. ;
Okun, M. S. ;
Rodriguez, R. L. ;
Romrell, J. ;
Malaty, I. ;
Fernandez, H. H. .
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 2011, 65 (05) :579-588
[4]   Driving assessment in Parkinson's disease - A novel predictor of performance? [J].
Cordell, Richard ;
Lee, Hoe C. ;
Granger, Andrew ;
Vieira, Barry ;
Lee, Andy H. .
MOVEMENT DISORDERS, 2008, 23 (09) :1217-1222
[5]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[6]   Movement disorder society task force report on the Hoehn and Yahr staging scale: Status and recommendations [J].
Goetz, CG ;
Poewe, W ;
Rascol, O ;
Sampaio, C ;
Stebbins, GT ;
Counsell, C ;
Giladi, N ;
Holloway, RG ;
Moore, CG ;
Wenning, GK ;
Yahr, MD ;
Seidl, L .
MOVEMENT DISORDERS, 2004, 19 (09) :1020-1028
[7]   Neuropsychological deficits associated with driving performance in Parkinson's and Alzheimer's disease [J].
Grace, J ;
Amick, MM ;
D'Abreu, A ;
Festa, EK ;
Heindel, WC ;
Ott, BR .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2005, 11 (06) :766-775
[8]   Decreased driving ability in people with Parkinson's disease [J].
Heikkilä, VM ;
Turkka, J ;
Korpelainen, J ;
Kallanranta, T ;
Summala, H .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 64 (03) :325-330
[9]   A CLINICOPATHOLOGICAL STUDY OF 100 CASES OF PARKINSONS-DISEASE [J].
HUGHES, AJ ;
DANIEL, SE ;
BLANKSON, S ;
LEES, AJ .
ARCHIVES OF NEUROLOGY, 1993, 50 (02) :140-148
[10]  
Justiss MD, 2006, TOP GERIATR REHABIL, V22, P121
123