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Abstract

This study investigated the value of a driving simulator as an assessment procedure for stroke patients who wished to resume driving. Thirty-eight stroke patients who had been driving immediately prior to their stroke were assessed using a driving simulator. On the basis of this assessment, patients were graded into ‘pass’, ‘borderline’ or ‘fail' categories. Patients were then given a road test and were again graded into the same three groups by a driving instructor. Judgements of fitness to drive obtained using a simulator were compared with those of a road test using the Kappa coefficient to define levels of agreement. The simulator and road test gradings showed poor agreement (K=0.29). This indicates that a simulator should not be used as the sole indication of fitness to drive for stroke patients.

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References

1. Espir

Godwin-Austen

. Disorders of the nervous system. In: Medical Aspects of Fitness to Drive, fourth edition, London: Medical Commission on Accident Prevention, 1985.

2. Nouri

. Driving after stroke: a survey (in preparation).

3. Nouri

Tinson

Lincoln

. The relationship between cognitive ability and driving after a stroke. Inter Disab Studies 1987; 9: 110–15.

4. Doron Precision Systems, Inc P.O. Box 400, Brighampton, New York 13902, USA.

5. Drosdol

Kading

Panik

. The Daimler-Benz driving simulator: new technologies demand new instruments. Proceedings 9th IAVSD Symposium, Linkoping, Sweden, 1985.

6. Irwin

Ranu

Bruley

Kerr

Hale

. Quantitative assessment of residual capabilities as a method of predicting disabled driver performance. Proceedings 2nd Inter Conference on Rehabil Engineering, Ottawa, Canada, 1984.

7. Chan

Hershler

Laszlo

Baxter

. The GF Strong computerized driver assessment module (CDAM). 12th C.M.B.E.C./1st Pan Pacific symposium, Vancouver, Canada, 1986.

8. Matsko

Boblitz

Glass

Rosenthal

. Driving skill prediction in communication impaired stroke patients. Arch Phys Med Rehabil 1975; 56: 552.

9. Jones

. A new rehabilitation technique. New Zealand Hospital 1977; 27: 27–28.

10.

10. Crancer

. Department of Motor Vehicles, Office of Research and Technology, Washington State, USA, 1971.

11.

11. Hakkinen

. Traffic accidents and driver characteristics. Institute of Technology, Scientific Researches No. 13, Helsinki, Finland, 1958.

12.

12. Goodenough

. A review of individual differences in field dependence as a factor in auto safety. Human Factors 1976; 18: 53–62.

13.

13. Jones

Giddens

Croft

. Assessment and training of brain damaged drivers. Amer Jou Occ Ther 1983; 37: 754–60.

14.

14. Quigley

De Lisa

. Assessing the driving potential of cerebral vascular accident patients. Amer Jou Occ Ther 1983; 37: 474–78.

15.

15. Miller

Goodson

. Motion sickness in a helicopter simulator. Aerospace Medicine 1960; 31: 204–21.

16.

16. Wilson

Smith

. Driving after stroke. Int Rehabil Med 1983; 5: 170–77.

17.

17. Cohen

. A coefficient of agreement for nominal scales. Educational and Psychological Measurement 1960; 20: 37–46.

18.

18. Fleiss

. The measurement of inter-rater agreement, in: Statistical methods for rates and proportions. New York: John Wiley and Sons, 1981.

A Comparison of a Driving Simulator and a Road Test in the Assessment of Driving Ability after a Stroke

Abstract

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References