TY - JOUR PY - 2003// TI - Effectiveness of a visual attention retraining program on the driving performance of clients with stroke JO - Archives of physical medicine and rehabilitation A1 - Mazer, B. L. A1 - Sofer, Susan A1 - Korner-Bitensky, Nicol A1 - Gelinas, Isabelle A1 - Hanley, James A1 - Wood-Dauphinee, Sharon SP - 541 EP - 550 VL - 84 IS - 4 N2 - OBJECTIVE: To compare the effectiveness of a visual attention retraining program using the Useful Field of View (UFOV) with a traditional visuoperception treatment program on the driving performance of clients with stroke. DESIGN: Randomized controlled trial. SETTING: Rehabilitation hospital located in Quebec, Canada. PARTICIPANTS: Ninety-seven individuals referred for driving evaluation after a stroke. INTERVENTIONS: Participants were randomized to receive 20 sessions of either UFOV training of visual processing speed, divided attention, and selective attention or traditional computerized visuoperception retraining. MAIN OUTCOME MEASURES: Subjects were evaluated with an on-road driving evaluation, visuoperception tests, and the Test of Everyday Attention. An occupational therapist unaware of group assignment conducted all evaluations. RESULTS: Eighty-four participants completed the outcome evaluation. There were no significant differences between groups on any of the outcome measures. There was, however, almost a 2-fold increase (52.4% vs 28.6%) in the rate of success on the on-road driving evaluation after UFOV training for subjects with right-sided lesions. CONCLUSIONS: Rehabilitation that targets visual attention skills was not significantly more beneficial than traditional perceptual training in improving the outcome of an on-road driving evaluation. However, results suggest a potential improvement for subjects with right-sided lesions, indicating that training must target specific skills.
Language: en
LA - en SN - 0003-9993 UR - http://dx.doi.org/10.1053/apmr.2003.50085 ID - ref1 ER -