Driving is central in maximising autonomy, work potential, independenceand community integration after stroke. Research evidence demonstratesthat not returning to driving following stroke leads to social isolation,depression and a reduced quality of life, for both stroke survivors andtheir carer’s. People with stroke have a range of deficits that may influencetheir driving ability, including reduced visual scanning, attention, processing speed, visuospatial skills and hemiplegia. These deficits translate into areduction in on-road driving abilities, including difficulty with observation,delayed planning of vehicle manoeuvres and impaired physical control.Clinical recommendations related to driving after stroke need to balance both an individual’s independence by returning to driving where appropriate, and community safety. With varying deficits and their severity across stroke, evidence based and objective approaches are required to support clinical recommendations related to driving for individual’s after stroke. A critique of international best practice, and its evidence base, to assessment approaches including visual, cognitive, neurocorrelation, simulation and on-road, will be presented.Intervention approaches, including remediation and rehabilitation, are used clinically and in research settings to improve driving ability after stroke. A recent review has found approaches to intervention included:the contextual approach of driving simulation (rehabilitation); and under-lying skill development approach (remediation), such as speed of visual processing and visual motor skills. The opportunities in the application of new technologies, including automated vehicles, will be explored and recommendations for future clinical/research practice presented.
|Publication status||Published - 2016|
|Event||SMART STROKES 2016 Conference - National Convention Centre, Canberra, Australia|
Duration: 25 Aug 2016 → 26 Aug 2016
|Conference||SMART STROKES 2016 Conference|
|Period||25/08/16 → 26/08/16|
|Other||SMART STROKES is a not-for-profit conference organised by clinicians and researchers for clinicians and researchers with a strong focus on improving the clinical care and management of stroke. Conference delegates will have the opportunity to hear from two leading international and two leading national keynote speakers who will share their wealth of knowledge and experience, along with peer-reviewed abstract presentations both in oral and poster format, and more in-depth symposium sessions to round off the conference program.|