@article{ref1,
title="Motor training after stroke: a novel approach for driving rehabilitation",
journal="Frontiers in neurology",
year="2022",
author="Lodha, Neha and Patel, Prakruti and Casamento-Moran, Agostina and Christou, Evangelos A.",
volume="13",
number="",
pages="e752880-e752880",
abstract="BACKGROUND: A key component of safe driving is a well-timed braking performance. Stroke-related decline in motor and cognitive processes slows braking response and puts individuals with stroke at a higher risk for car crashes. Although the impact of cognitive training on driving has been extensively investigated, the influence of motor interventions and their effectiveness in enhancing specific driving-related skills after stroke remains less understood. We compare the effectiveness of two motor interventions (force-control vs. strength training) to facilitate braking, an essential skill for safe driving. <br><br>METHODS: Twenty-two stroke survivors were randomized to force-control training or strength training. Before and after training, participants performed a braking task during car-following in a driving simulator. We quantified the cognitive and motor components of the braking task with cognitive processing time and movement execution time. <br><br>RESULTS: The cognitive processing time did not change for either training group. In contrast, the movement execution became significantly faster (14%) following force-control training but not strength training. In addition, task-specific effects of training were found in each group. The force-control group showed improved accuracy and steadiness of ankle movements, whereas the strength training group showed increased dorsiflexion strength following training. <br><br>CONCLUSION: Motor intervention that trains ankle force control in stroke survivors improves the speed of movement execution during braking. Driving rehabilitation after stroke might benefit from incorporating force-control training to enhance the movement speed for a well-timed braking response.<p /> <p>Language: en</p>",
language="en",
issn="1664-2295",
doi="10.3389/fneur.2022.752880",
url="http://dx.doi.org/10.3389/fneur.2022.752880"
}