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Journal Article

Citation

Rabadi MH, Akinwuntan AE, Gorelick P. Stroke 2010; 41(12): 2991-2996.

Affiliation

From the Department of Neurology, Oklahoma University, Oklahoma City, Ok, and Department of Neurology and Neuro-rehabilitation, Oklahoma City VA Medical Center, Oklahoma City, Ok; Departments of Physical Therapy, Neurology, and Graduate Studies, Medical College of Georgia, Augusta, Ga; Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, Ill.

Copyright

(Copyright © 2010, American Heart Association, Publisher Lippincott Williams and Wilkins)

DOI

10.1161/STROKEAHA.110.587196

PMID

21030709

Abstract

BACKGROUND AND PURPOSE: Current guidelines for commercial motor vehicle (CMV) drivers to return to driving after a TIA or stroke was last reviewed in 1988. Updated recommendations are presented based on recent evidence. METHODS: A 3-member medical expert panel chosen by the U.S. Department of Transportation's Federal Motor Carrier Safety Administration used findings of systematic literature review up to January 2008 to provide updated recommendations for return to driving for CMV drivers after TIA or stroke. RESULTS: Evidence from the systematic review showed that TIA patients are at increased risk for stroke, and stroke patients are at increased risk for motor vehicle crash. Although no studies provide direct evidence of predictability of crash risk of CMV drivers using outcomes of neuropsychological assessments, there is evidence that certain neuropsychological tests can identify on-road driving performance after stroke. CONCLUSIONS: The medical expert panel recommended driving cessation for 1 year after a TIA or stroke, and return to driving a CMV should be allowed only after successful completion of a comprehensive neurological evaluation, neuropsychological assessments, and on-road testing.


Language: en

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