Stroke and return to driving

    Research output: Contribution to conferencePaperpeer-review

    Abstract

    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.
    Original languageEnglish
    DOIs
    Publication statusPublished - 2016
    EventSMART STROKES 2016 Conference -
    Duration: 25 Aug 2016 → …

    Conference

    ConferenceSMART STROKES 2016 Conference
    Period25/08/16 → …

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