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On-road assessment of fitness-to-drive in persons with MS with cognitive impairment: A prospective study.
Morrow, Sarah A; Classen, Sherrilene; Monahan, Miriam; Danter, Tim; Taylor, Robert; Krasniuk, Sarah; Rosehart, Heather; He, Wenqing.
Afiliação
  • Morrow SA; Department of Clinical Neurological Sciences, London Health Sciences Center, Western University, London, ON, Canada.
  • Classen S; School of Occupational Therapy, Western University, London, ON, Canada/Department of Occupational Therapy, University of Florida, Gainesville, FL, USA.
  • Monahan M; School of Occupational Therapy, Western University, London, ON, Canada/The Driver Rehabilitation Institute, Santa Rosa, CA, USA.
  • Danter T; School of Occupational Therapy, Western University, London, ON, Canada/All Dominion Driver Training and Traffic Education Centres Limited, Oakville, ON, Canada.
  • Taylor R; Department of Statistical and Actuarial Sciences, Western University, London, ON, Canada.
  • Krasniuk S; School of Occupational Therapy, Western University, London, ON, Canada.
  • Rosehart H; Department of Clinical Neurological Sciences, London Health Sciences Center, Western University, London, ON, Canada.
  • He W; Department of Statistical and Actuarial Sciences, Western University, London, ON, Canada.
Mult Scler ; 24(11): 1499-1506, 2018 10.
Article em En | MEDLINE | ID: mdl-28782411
ABSTRACT

BACKGROUND:

Cognitive impairment is common in multiple sclerosis (MS). In other populations, cognitive impairment is known to affect fitness-to-drive. Few studies have focused on fitness-to-drive in MS and no studies have solely focused on the influence of cognitive impairment.

OBJECTIVE:

To assess fitness-to-drive in persons with MS with cognitive impairment and low physical disability.

METHODS:

Persons with MS, aged 18-59 years with EDSS ⩽ 4.0, impaired processing speed, and impairment on at least one measure of memory or executive function, were recruited. Cognition was assessed using the Minimal Assessment of Cognitive Function battery. A formal on-road driving assessment was conducted. Chi-square analysis examined the association between the fitness-to-drive (pass/fail) and the neuropsychological test results (normal/impaired). Bayesian statistics predicting failure of the on-road assessment were calculated.

RESULTS:

Of 36 subjects, eight (22.2%) were unfit to drive. Only the BVMTR-IR, measuring visual-spatial memory, predicted on-road driving assessment failure ( X2 ( df = 1, N = 36) = 3.956; p = 0.047) with a sensitivity of 100%, but low specificity (35.7%) due to false positives (18/25).

CONCLUSION:

In persons with MS and impaired processing speed, impairment on the BVMTR-IR should lead clinicians to address fitness-to-drive.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exame para Habilitação de Motoristas / Condução de Veículo / Disfunção Cognitiva / Esclerose Múltipla Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exame para Habilitação de Motoristas / Condução de Veículo / Disfunção Cognitiva / Esclerose Múltipla Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article