Driving Competences and Neuropsychological Factors Associated to Driving Counseling in Multiple Sclerosis

Journal of the International Neuropsychological Society - Tập 20 Số 5 - Trang 555-565 - 2014
Dolors Badenes1, Maite Garolera2, Laura Casas1, Juan Carlos Cejudo-Bolivar3, Jorge de Francisco Moure1, Sílvia Zaragoza Domingo4, Noemi Calzado1, Miquel Aguilar1
11Servei de Neurologia;Hospital Universitari Mutua Terrassa,Terrassa,Spain.
23Neuropsychological Unit,Consorci Sanitari de Terrassa,Terrassa,Spain.
34EAIA,Germanes Hospitalaries Sagrat Cor,Martorell,Spain.
45Neuropsychological Research Organization (Psyncro),Sant Joan Despi,Spain.

Tóm tắt

AbstractMultiple Sclerosis (MS) significantly impacts daily living activities, including car driving. To investigate driving difficulties experienced with MS, we compared 50 MS patients with minor or moderate disability and 50 healthy controls (HC) using computerized driving tests (the ASDE driver test and the Useful Field of View (UFOV) test) and neuropsychological tests. Inclusion criteria included being active drivers. We evaluated whether cognitive deterioration in MS is associated with the results of driving tests by comparing MS patients without cognitive deterioration with HC. The results indicated that the MS patients performed worse than the HCs in attention, information processing, working memory and visuomotor coordination tasks. Furthermore, MS patients with cognitive impairments experienced more difficulties in the driving tests than did the non-impaired MS patients. Motor dysfunction associated with MS also played an important role in this activity. The results of this study suggest that MS should be assessed carefully and that special emphasis should be placed on visuomotor coordination and executive functions because patients with minor motor disability and subtle cognitive impairments can pass measures predictive of driving safety. (JINS, 2014, 20, 555–565)

Từ khóa


Tài liệu tham khảo

10.1016/j.acn.2004.07.002

10.1080/07317110903552180

10.1093/brain/awm178

10.1136/jnnp.2004.049338

10.1212/01.WNL.0000139301.01177.35

10.1053/apmr.2002.33730

10.1016/j.apmr.2009.09.026

10.1053/apmr.2002.34279

10.1212/WNL.56.8.1089

Schanke, 1995, Multiple sclerosis and prerequisites for driver’s license. A retrospective study of 33 patients with multiple sclerosis assessed at Sunnaas hospital, Tidsskr Nor Laegeforen, 115, 1349

10.1080/13803390802119922

10.1212/WNL.41.5.685

10.1093/arclin/acp042

Monterde H. (2005). La evaluación psicológica mediante los equipos normalizados driver-test: Mod. N-845. Valencia, España: General ASDE, S.A.

McDonald, 2001, Annals of Neurology, 50, 121

10.1212/01.WNL.0000141920.33580.5D

10.1111/j.1600-0404.1992.tb08050.x

10.1177/1352458507080467

10.1212/WNL.33.11.1444

10.1080/15389580903179901

10.1016/S1474-4422(08)70259-X

10.1161/01.STR.31.6.1329

10.1177/0891988704269825

10.1177/135245850100700409

Ball, 1993, The useful field of view test: A new technique for evaluating age-related declines in visual function, Journal of the American Optometric Association, 64, 71

Ball, 1998, Useful field of view

Badenes, 2008, Evaluation of the capacity to drive in patients diagnosed of mild cognitive impairment and dementia, Neurologia, 23, 575

10.1212/01.wnl.0000245086.32787.61

Cohen, 1988, Statistical power analysis for the behavioral sciences

Randolph, 1998, RBANS Repeatable Battery Assessment for Neuropsychological Status

Lezak, 1995, Neuropsychological assessment

10.1016/j.jns.2006.08.011

10.1212/WNL.46.4.907

10.1016/j.apmr.2007.12.049

10.1159/000073057

Wechsler, 1999, Escala de inteligencia de Wechsler para adultos-III

10.1016/j.jns.2005.08.019

Reynolds, 2002, Comprehensive Trail Making Test: Examiner’s manual

Thông tin
Thông tin xuất bản

Journal of the International Neuropsychological Society

Tập 20 Số 5

555-565

Thông tin tác giả