Journal article
Examining the Relationship Between Cognition and Driving Performance in Multiple Sclerosis
Archives of physical medicine and rehabilitation, v 91(3), pp 465-473
2010
PMID: 20298841
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Schultheis MT, Weisser V, Ang J, Elovic E, Nead R, Sestito N, Fleksher C, Millis SR. Examining the relationship between cognition and driving performance in multiple sclerosis.
To identify cognitive predictors of driving performance after multiple sclerosis (MS).
Prospective design examining predictive value of cognitive measures on driving performance.
All data were collected in an outpatient research setting and an outpatient driver rehabilitation program.
Participants were community-dwelling persons (N=66) with clinically defined MS (86% relapsing-remitting, 14% progressive) with a mean age of 43.47 years. All were active drivers who met vision requirements established by their respective states, and none required adaptive driving equipment.
Not applicable.
Participants were administered a comprehensive neuropsychologic assessment and a clinical behind-the-wheel (BTW) driving evaluation. Additional measures of driving performance included history of traffic violations and collisions (since MS onset).
Logistic regression indicated that information processing speed (Symbol Digit Modality Test [SDMT]) was the strongest predictor of BTW performance. A logistic regression revealed that the strongest predictors of collision and violation frequency were visuospatial learning and recall (7/24 Spatial Recall Test [SPART 7/24]).
These findings indicate that information processing and visuospatial skills are predictive of driving performance among persons with MS. These measures (SDMT and SPART 7/24) may serve as screening methods for identifying the potential impact of cognitive impairment on driving. Furthermore, the findings raise questions regarding the appropriateness of the BTW evaluation to evaluate driving difficulties accurately among individuals with MS.
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Details
- Title
- Examining the Relationship Between Cognition and Driving Performance in Multiple Sclerosis
- Creators
- Maria T Schultheis - Department of Psychology, Drexel University, Philadelphia, PAValerie Weisser - Department of Psychology, Drexel University, Philadelphia, PAJocelyn Ang - Department of Psychology, Drexel University, Philadelphia, PAElie Elovic - Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UTRichard Nead - Kessler Medical Rehabilitation Research and Education Corp., West Orange, NJNicole Sestito - Department of Psychology, Drexel University, Philadelphia, PACassandra Fleksher - Kessler Medical Rehabilitation Research and Education Corp., West Orange, NJScott R Millis - Department of Physical Medicine and Rehabilitation, Wayne State University School of Medicine, Detroit, MI
- Publication Details
- Archives of physical medicine and rehabilitation, v 91(3), pp 465-473
- Publisher
- Elsevier
- Grant note
- RG 3353A1/1 / National Multiple Sclerosis Society
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology)
- Web of Science ID
- WOS:000277417900022
- Scopus ID
- 2-s2.0-77949293828
- Other Identifier
- 991014878298904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rehabilitation
- Sport Sciences