Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults

Driving is an important activity of daily living, which is increasingly relied upon as the population ages. It has been well-established that cognitive processes decline following a stroke and these processes may influence driving performance. There is much debate on the use of off-road neurological...

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Main Authors: Alison Blane, Hoe C. Lee, Torbjörn Falkmer, Tania Dukic Willstrand
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2017/1378308
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author Alison Blane
Hoe C. Lee
Torbjörn Falkmer
Tania Dukic Willstrand
author_facet Alison Blane
Hoe C. Lee
Torbjörn Falkmer
Tania Dukic Willstrand
author_sort Alison Blane
collection DOAJ
description Driving is an important activity of daily living, which is increasingly relied upon as the population ages. It has been well-established that cognitive processes decline following a stroke and these processes may influence driving performance. There is much debate on the use of off-road neurological assessments and driving simulators as tools to predict driving performance; however, the majority of research uses unlicensed poststroke drivers, making the comparability of poststroke adults to that of a control group difficult. It stands to reason that in order to determine whether simulators and cognitive assessments can accurately assess driving performance, the baseline should be set by licenced drivers. Therefore, the aim of this study was to assess differences in cognitive ability and driving simulator performance in licensed community-dwelling poststroke drivers and controls. Two groups of licensed drivers (37 poststroke and 43 controls) were assessed using several cognitive tasks and using a driving simulator. The poststroke adults exhibited poorer cognitive ability; however, there were no differences in simulator performance between groups except that the poststroke drivers demonstrated less variability in driver headway. The application of these results as a prescreening toolbox for poststroke drivers is discussed.
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series Behavioural Neurology
spelling doaj-art-c987323288da4e03b2ea070e402665492025-02-03T01:01:42ZengWileyBehavioural Neurology0953-41801875-85842017-01-01201710.1155/2017/13783081378308Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke AdultsAlison Blane0Hoe C. Lee1Torbjörn Falkmer2Tania Dukic Willstrand3School of Occupational Therapy and Social Work, Curtin University, Perth, WA, AustraliaSchool of Occupational Therapy and Social Work, Curtin University, Perth, WA, AustraliaSchool of Occupational Therapy and Social Work, Curtin University, Perth, WA, AustraliaSwedish National Road and Transport Research Institute (VTI), Human Factors, Göteborg, SwedenDriving is an important activity of daily living, which is increasingly relied upon as the population ages. It has been well-established that cognitive processes decline following a stroke and these processes may influence driving performance. There is much debate on the use of off-road neurological assessments and driving simulators as tools to predict driving performance; however, the majority of research uses unlicensed poststroke drivers, making the comparability of poststroke adults to that of a control group difficult. It stands to reason that in order to determine whether simulators and cognitive assessments can accurately assess driving performance, the baseline should be set by licenced drivers. Therefore, the aim of this study was to assess differences in cognitive ability and driving simulator performance in licensed community-dwelling poststroke drivers and controls. Two groups of licensed drivers (37 poststroke and 43 controls) were assessed using several cognitive tasks and using a driving simulator. The poststroke adults exhibited poorer cognitive ability; however, there were no differences in simulator performance between groups except that the poststroke drivers demonstrated less variability in driver headway. The application of these results as a prescreening toolbox for poststroke drivers is discussed.http://dx.doi.org/10.1155/2017/1378308
spellingShingle Alison Blane
Hoe C. Lee
Torbjörn Falkmer
Tania Dukic Willstrand
Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
Behavioural Neurology
title Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
title_full Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
title_fullStr Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
title_full_unstemmed Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
title_short Assessing Cognitive Ability and Simulator-Based Driving Performance in Poststroke Adults
title_sort assessing cognitive ability and simulator based driving performance in poststroke adults
url http://dx.doi.org/10.1155/2017/1378308
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AT hoeclee assessingcognitiveabilityandsimulatorbaseddrivingperformanceinpoststrokeadults
AT torbjornfalkmer assessingcognitiveabilityandsimulatorbaseddrivingperformanceinpoststrokeadults
AT taniadukicwillstrand assessingcognitiveabilityandsimulatorbaseddrivingperformanceinpoststrokeadults