@article{ref1,
title="Retraining visual processing skills to improve driving ability after stroke",
journal="Archives of physical medicine and rehabilitation",
year="2009",
author="Crotty, Maria and George, Stacey",
volume="90",
number="12",
pages="2096-2102",
abstract="OBJECTIVE: To evaluate the effectiveness of retraining using the Dynavision on driving performance of people with stroke. DESIGN: Randomized controlled trial. SETTING: Outpatient rehabilitation clinic in Australia. PARTICIPANTS: People with stroke (N=26) referred for driving assessment. INTERVENTIONS: Eligible participants were randomized to either receive retraining with the Dynavision apparatus for 18 sessions or to receive no intervention and go onto a waitlist. MAIN OUTCOME MEASURES: The primary outcome was an assessment of on-road ability. Secondary outcomes included measures of response speed, visual scanning, and self-efficacy. All assessments were conducted by assessors blinded to group assignment. RESULTS: No significant difference (P=.223) was found between the intervention and control groups in results of on-road assessment in terms of pass or fail; the primary outcome measure; or the results on the secondary outcome measures of response speed, visual scanning, and self-efficacy. CONCLUSIONS: In this small trial, training underlying skills (such as executing a continuous wide scan, combining motor and visual processing into a motor response) using the Dynavision apparatus did not improve the outcomes of an on-road assessment for people after strokes. Larger trials are needed to evaluate devices that claim to retrain underlying skills related to driving.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2009.08.143",
url="http://dx.doi.org/10.1016/j.apmr.2009.08.143"
}