title: Confirmation of the accuracy of a short battery to predict fitness-to-drive of stroke survivors without severe deficits.
abstract: OBJECTIVE
  The aim of this prospective study was to confirm the accuracy of a short assessment battery, used previously in a study to predict fitness-to-drive after stroke, in a new cohort of stroke survivors without severe deficits.
  
  
  METHODS
  A prospective study.
  
  
  METHODS
  A total of 43 (39 men and 4 women) consecutive survivors after stroke who were not severely impaired and who performed the pre-driving assessment, which included a standardized on-road test at the Belgian Road Safety Institute in Brussels, Belgium. On average, participants were 6 months post-stroke, independently ambulant with or without assistive devices, possessed valid drivers' licenses and actively drove prior to stroke onset.
  
  
  METHODS
  Fitness-to-drive decisions based on performance in 15 tests of a full-scale assessment battery were predicted using only the scores from the 3 predictive tests previously identified.
  
  
  RESULTS
  When the discriminant equation from the previous study including performance in the 3 tests (figure of Rey, visual neglect (lateralized mean reaction time) and on-road test) was applied, 37 (86%) of the 43 participants were correctly predicted to pass or fail the pre-driving assessment. The sensitivity and specificity of the predictions were 77% and 92%, respectively.
  
  
  CONCLUSIONS
  This study shows that the short assessment battery is a good predictor of fitness-to-drive in stroke survivors with moderate physical and cognitive impairments.
authors.affiliation: Department of Physical Therapy, School of Allied Health Sciences, Medical College of Georgia, Augusta, GA 30912-0800, USA. aakinwuntan@mcg.edu
authors.forename: Abiodun E
authors.initials: AE
authors.lastname: Akinwuntan
authors.forename: Hannes
authors.initials: H
authors.lastname: Devos
authors.forename: Hilde
authors.initials: H
authors.lastname: Feys
authors.forename: Geert
authors.initials: G
authors.lastname: Verheyden
authors.forename: Guido
authors.initials: G
authors.lastname: Baten
authors.forename: Carlotte
authors.initials: C
authors.lastname: Kiekens
authors.forename: Willy
authors.initials: W
authors.lastname: De Weerdt
mesh_terms: D000328:Adult; D000368:Aged; D001333:Automobile Driver Examination; D001334:Automobile Driving; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011446:Prospective Studies; D011597:Psychomotor Performance; D011930:Reaction Time; D012449:Safety; D020521:Stroke / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation