Reaction time and visual field are the most relevant factors of driving ability of motorized mobility scooters after stroke - 15/07/18
Résumé |
Introduction/Background |
Maintaining active community mobility and community participation are important instrumental activities of daily living, and are issues that occupational therapists concern about. The use of motorized mobility scooters (MMS) has grown in older people and disabled people to improve active community mobility. However, traffic accidents related to MMS driving increase. How to judge whether patients can drive MMS safely or not becomes an important issue. The objective of this study was to investigate the related factors of MMS driving ability.
Material and method |
This study was a cross-sectional study to investigate the association between cognitive, visual, motor function and MMS driving performance. Inclusion criteria of subjects were diagnosis of stroke and Mini-Mental State Examination score ≥ 24. Cognition related measurements included Color Trails Test (CTT) and reaction time test. Visual function related measurements included visual acuity and visual field. Motor function related measurements included Jamar dynamometer and Box-and-Block Test. MMS driving performance was measured with Power Mobility Clinical Driving Assessment Tool (PMCDA).
Results |
Thirty participants with stroke were recruited (age 63.8±13.4 years old). There were significant associations between CTT (rho=−0.40, P=0.03), reaction time (rho=−0.66, P<0.01), visual acuity (rho=0.42, P=0.02), visual field (rho=0.63, P<0.01), Jamar dynamometer (rho=0.48, P=0.01) and PMCDA. The stepwise multiple regression analyses found that reaction time (Beta=−0.44, P=0.01) and visual field (Beta=0.37, P=0.03) were the significant related factors of PMCDA (adjusted R2=0.30).
Conclusion |
There were various levels of association between cognitive, visual, motor function and MMS driving performance. Reaction time and visual field were the most relevant factors especially. The finding of this study could provide professionals an efficient method to determine MMS driving ability from cognitive and visual function of stroke patients.
Le texte complet de cet article est disponible en PDF.Keywords : Motorized mobility scooters, Community mobility, Stroke
Plan
Vol 61 - N° S
P. e186 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.