Show simple item record

dc.contributor.authorMotta, Karen
dc.contributor.authorLee, Hoe
dc.contributor.authorFalkmer, Torbjorn
dc.contributor.editorThomas W. Planek
dc.date.accessioned2017-01-30T13:41:53Z
dc.date.available2017-01-30T13:41:53Z
dc.date.created2015-07-28T20:00:49Z
dc.date.issued2014
dc.identifier.citationMotta, K. and Lee, H. and Falkmer, T. 2014. Post-stroke driving: Examining the effect of executive dysfunction, in Planek, R. and Sinelnikov, S. and Thomas, J. and Kolosh, K. and Porretta, K. (ed), Proceedings of the 4th International Conference on Road Safety and Simulation (RSS 2013), Oct 23-25 2013, pp. 33-38. Rome, Italy: Roma Tre University.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/34205
dc.identifier.doi10.1016/j.jsr.2014.02.005
dc.description.abstract

Introduction: Executive dysfunction can refer to both neurocognitive deficits and behavioral symptoms that include impaired judgment, slow decision making, disorganization, impulsiveness, and risk-taking behaviors. Executive dysfunction is relatively common in the post-stroke population but is often undetected. The impact of executive dysfunction on post-stroke driving is unclear but it may pose a risk to affected drivers and other road users. Aim: The aim of this study was to investigate the relationship between executive functioning following stroke and driving performance. Methodology: A case–control study design was used. Purposive sampling was used to recruit stroke participants (n = 19) and healthy controls (n = 22). Participants were screened using a battery of psychometric assessments including the Montreal Cognitive Assessment and the Benton Judgment of Line Orientation. Driving performance was assessed using the STISIM driving simulator. Executive function was assessed using the Behavioural Assessment of the Dysexecutive Syndrome (BADS) and the Trail Making Test Part B.Results: The control participants performed better than the stroke participants on the driving assessment and psychometric assessments. There was an association between the scores of the Trail Making Test Part B (Rho = 0.34, p = 0.034) and the Key Search Test of the BADS (Rho = − 0.61, p = 0.005), and the driving assessment scores. However, there was no association between the overall BADS scores and the driving assessment scores of the stroke participants. Conclusions: The stroke participants underperformed in the driving assessment and the psychometric assessments that detected neurocognitive deficits, which included executive function. The Trail Making Test Part B and Key Search Test of the BADS were related to identify participants' deterioration in driving performance. Practical Applications: In clinical practice, the latter could be used as an indication of a post-stroke driver's performance.

dc.publisherPergamon
dc.subjectDriving simulator
dc.subjectPost-stroke driving
dc.subjectExecutive dysfunction
dc.titlePost-stroke driving: Examining the effect of executive dysfunction
dc.typeConference Paper
dcterms.source.volume61
dcterms.source.number1
dcterms.source.startPage33
dcterms.source.endPage38
dcterms.source.issn00224375
dcterms.source.titleJournal of Safety Research - Volume 49, June 2014
dcterms.source.seriesJournal of Safety Research - Volume 49, June 2014
dcterms.source.conferenceProceedings of the International Conference on Road Safety (RSS2013)
dcterms.source.conference-start-dateOct 1 2013
dcterms.source.conferencelocationRome, Italy
dcterms.source.placeUnited Kingdom
curtin.departmentSchool of Occupational Therapy and Social Work
curtin.accessStatusFulltext not available


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record