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Driving Simulator Performance in Charcot-Marie-Tooth Disease Type 1A
Journal article

Driving Simulator Performance in Charcot-Marie-Tooth Disease Type 1A

Nivedita U Jerath, Nazan Aksan, Jeffrey D Dawson, Matthew Rizzo, Ergun Y Uc and Michael E Shy
SAE International Journal of Transportation Safety, Vol.7(1), pp.31-39
05/10/2019
DOI: 10.4271/09-07-01-0003

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Abstract

Introduction: This study evaluates driving ability in those with Charcot-Marie-Tooth Disease Type 1A, a hereditary peripheral neuropathy. Methods: Individuals with Charcot-Marie-Tooth Disease Type 1A (n = 18, age = 42 ± 7) and controls (n = 19; age = 35 ± 10) were evaluated in a driving simulator. The Charcot-Marie-Tooth Neuropathy Score version 2 was obtained for individuals. Rank Sum test and Spearman rank correlations were used for statistical analysis. Results: A 74% higher rate of lane departures and an 89% higher rate of lane deviations were seen in those with Charcot-Marie-Tooth Disease Type 1A than for controls (p = 0.005 and p < 0.001, respectively). Lane control variability was 10% higher for the individual group and correlated with the neuropathy score (rS = 0.518, p = 0.040), specifically sensory loss (rS = 0.710, p = 0.002) and pinprick sensation loss in the leg (rS = 0.490, p = 0.054). Discussion: Driving simulator assessment demonstrated more lane control errors in those with Charcot-Marie-Tooth Disease Type 1A, which correlated with lower extremity sensory loss. There was no significant difference in reported motor vehicle accidents.
 Driving simulator Charcot-Marie-Tooth Disease Type 1A Charcot-Marie-Tooth Neuropathy Score version 2 Sensory loss Peripheral neuropathy

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