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Driving Risk in Patients with Movement Disorders
Book chapter

Driving Risk in Patients with Movement Disorders

Ergun Y. Uc
Movement Disorder Emergencies, pp.355-373
Current Clinical Neurology, Humana Press
10/16/2012
DOI: 10.1007/978-1-60761-835-5_26

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Abstract

Impairments in cognition, visual perception, motor function, and increased daytime sleepiness reduce driving performance and safety in Parkinson’s disease (PD). Although drivers with PD perform worse than controls on experimental road and driving simulation studies, there is no well-established epidemiological association with increased crashes in drivers with PD. However, drivers with PD cease driving earlier than controls. Medical diagnosis or a clinician’s assessment alone is inadequate to determine driving competence in drivers with PD. Although testing of motor, cognitive, and visual functions help to understand the mechanisms of driving impairment in PD, there are no established guidelines on assessing driver fitness in PD. There are no evidence based methods for driver rehabilitation in PD.
Crash Risk Instrument Vehicle National Highway Traffic Safety Administration Paced Auditory Serial Addition Task Road Test

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