Predictors of driving ability following stroke: a systematic review.
OBJECTIVE
The objective of this review is to identify the most consistent predictors of driving ability post stroke.


METHODS
A computerized search of numerous databases from 1966 forward was completed. Measured outcomes included voluntary driving cessation or results of on-road driving evaluation. Studies were evaluated using the Newcastle-Ottawa Quality Assessment Scale.


RESULTS
17 eligible studies were identified. The most useful screening tests were tests assessing cognitive abilities. These included the Trail Making A and B tests, the Rey-Osterreith Complex Figure Design, and the Useful Field of View Test.


CONCLUSIONS
Cognitive tests that assess multiple cognitive domains relevant to driving appear to have the best reproducibility in predicting fitness to drive in stroke patients.
Marshall
Shawn C
SC
Physical Medicine and Rehabilitation, The Rehabilitation Centre, Elisabeth Bruyère Research Institute, University of Ottawa, Ottawa, Canada.
Molnar
Frank
F
Man-Son-Hing
Malcolm
M
Blair
Richard
R
Brosseau
Lucie
L
Finestone
Hillel M
HM
Lamothe
Catherine
C
Korner-Bitensky
Nicol
N
Wilson
Keith G
KG
D001333:Automobile Driver Examination; D001334:Automobile Driving; D003071:Cognition; D006801:Humans; D009483:Neuropsychological Tests; D011597:Psychomotor Performance; D012307:Risk Factors; D020521:Stroke / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation