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Neuropsychological aspects of driving after a stroke—in the simulator and on the road

✍ Scribed by Anna Lundqvist; Björn Gerdle; Jerker Rönnberg

Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
188 KB
Volume
14
Category
Article
ISSN
0888-4080

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✦ Synopsis

Thirty patients with stroke and 30 matched controls participated in the study (mean age 68 years, mean interval since stroke onset 8.6 months). The patients performed signi®cantly worse on cognitive and attentional processing measured by a neuropsychological test battery. The patients had signi®cantly greater diculty in allocating processing resources to a secondary information processing task during driving in an advanced simulator. The patients performed worse driving in real trac, and had less driving skill; ®fty per cent did not pass the driving test. The neuropsychological test battery showed a pattern with three factors: (1) attentional processing (2) executive capacity, and (3) cognitive processing. Regression models based on simulator driving variables and neuropsychological test variables respectively, overall classi®ed correctly in 85% and 83% of the cases with respect to driving skill. Decreased cognitive and attentional processing were suggested+ to be associated with an overall speed impairment.

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