Reliability of a road test after stroke.
OBJECTIVE
To determine the reliability of the road test performed by stroke patients.


METHODS
Prospective study of a 6-month predriving evaluation.


METHODS
Driving safety center in Belgium.


METHODS
Thirty patients with sequelae of stroke.


METHODS
Not applicable.


METHODS
Results of driving performance as judged by 2 assessors from the Center for Determination of Fitness to Drive and Car Adaptations (CARA), in a car fitted with a video camera. A third assessor also evaluated all the video recordings. Interrater reliability was evaluated by comparing results from real-life performance and video recording, as judged by the CARA assessors and video judgments between CARA assessors and the third assessor.


RESULTS
Most subitems of the road test showed more than 80% scoring agreement between the various evaluations. Intraclass correlation coefficients (ICCs) of the items varied from -.08 to 1.0. The ICC of the overall performance was.62 when real-life scores were compared with video evaluations and.80 in video versus video comparison.


CONCLUSIONS
The reliability of assessing overall performance of stroke patients in the road test is moderately high and better when assessed using the same evidence. Yet, the reliability of some items needs further attention.
Akinwuntan
Abiodun Emmanuel
AE
Department of Rehabilitation Sciences, Faculty of Physical Education and Physiotherapy, Katholieke Universiteit Leuven, Tervuursevest 101, B-3001 Heverlee, Leuven, Belgium. Emmanuel.Akinwuntan@flok.kuleuven.ac.be
DeWeerdt
Willy
W
Feys
Hilde
H
Baten
Guido
G
Arno
Patricia
P
Kiekens
Carlotte
C
D001333:Automobile Driver Examination; D001334:Automobile Driving; D001530:Belgium; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D015203:Reproducibility of Results; D000071939:Stroke Rehabilitation; D013647:Task Performance and Analysis; D014743:Videotape Recording