Driving Risk in Patients with Movement Disorders
Impairments in cognition, visual perception, motor function, and increased daytime sleepiness reduce driving performance and safety in Parkinson’s disease (PD). Although drivers with PD perform worse than controls on experimental road and driving simulation studies, there is no well-established epidemiological association with increased crashes in drivers with PD. However, drivers with PD cease driving earlier than controls.
Medical diagnosis or a clinician’s assessment alone is inadequate to determine driving competence in drivers with PD. Although testing of motor, cognitive, and visual functions help to understand the mechanisms of driving impairment in PD, there are no established guidelines on assessing driver fitness in PD. There are no evidence based methods for driver rehabilitation in PD.
KeywordsRoad Test Crash Risk National Highway Traffic Safety Administration Paced Auditory Serial Addition Task Instrument Vehicle
Supported by NIH R01 grant NS044930.
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