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Journal Article

Citation

Cubo E, Martin PM, Gonzalez M, Bergareche A, Campos V, Fernández JM, Alvarez M, Bayes A. Disabil. Rehabil. 2010; 32(5): 374-378.

Affiliation

Neurology Department, Hospital General Yague Burgos, Spain.

Copyright

(Copyright © 2010, Informa - Taylor and Francis Group)

DOI

10.3109/09638280903168507

PMID

19958153

Abstract

Purpose. To determine the most significant clinical predictors that influence driving ability in Parkinson disease (PD). Methods. National-multi-centre, cross-sectional study covering PD outpatients. Clinical assessment was based on the following questionnaires: cognition (SCOPA-Cog); motor impairment and disabilities (SCOPA motor); depression/anxiety; sleep (SCOPA-Sleep); psychosis and severity/global impairment (HY and CISI-PD). Driving status data was obtained using a standardized questionnaire. Comparisons between drivers and ex-drivers were calculated using chi(2) and Student t-tests as appropriate. Multi-variate logistic regression analysis was performed to identify independent driving ability clinical predictors. Results. Compared with the drivers, the ex-drivers were older (p = 0.00005), had longer disease duration (p = 0.03), had more overall cognitive dysfunction (p = 0.004) and had greater motor impairment, as measured by the CISI (p = 0.02), HY stage (p = 0.034) and by the SCOPA-motor scale (p = 0.002) and difficulty in activities of daily life (p = 0.002). In the regression model analysis, aging and ADL impairment were the principal clinical predictors that differentiated drivers from ex-drivers. Conclusions. Although overall driving impairment in PD is associated with advancing disease severity, driving ability seems to be more strongly influenced by age and ADL impairment. Multi-disciplinary teams are required to assess driving ability in patients with PD and develop rehabilitation measures for safer driving.


Language: en

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