title: Retraining visual processing skills to improve driving ability after stroke.
abstract: Crotty M, George S. Retraining visual processing skills to improve driving ability after stroke.
  
  
  OBJECTIVE
  To evaluate the effectiveness of retraining using the Dynavision on driving performance of people with stroke.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Outpatient rehabilitation clinic in Australia.
  
  
  METHODS
  People with stroke (N=26) referred for driving assessment.
  
  
  METHODS
  Eligible participants were randomized to either receive retraining with the Dynavision apparatus for 18 sessions or to receive no intervention and go onto a waitlist.
  
  
  METHODS
  The primary outcome was an assessment of on-road ability. Secondary outcomes included measures of response speed, visual scanning, and self-efficacy. All assessments were conducted by assessors blinded to group assignment.
  
  
  RESULTS
  No significant difference (P=.223) was found between the intervention and control groups in results of on-road assessment in terms of pass or fail; the primary outcome measure; or the results on the secondary outcome measures of response speed, visual scanning, and self-efficacy.
  
  
  CONCLUSIONS
  In this small trial, training underlying skills (such as executing a continuous wide scan, combining motor and visual processing into a motor response) using the Dynavision apparatus did not improve the outcomes of an on-road assessment for people after strokes. Larger trials are needed to evaluate devices that claim to retrain underlying skills related to driving.
authors.affiliation: Department of Rehabilitation and Aged Care, Flinders University, South Australia, Australia.
authors.forename: Maria
authors.initials: M
authors.lastname: Crotty
authors.forename: Stacey
authors.initials: S
authors.lastname: George
mesh_terms: D000368:Aged; D001334:Automobile Driving; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology; D009788:Occupational Therapy / Q000295:instrumentation*; D011597:Psychomotor Performance / Q000502:physiology*; D020377:Self Efficacy; D020521:Stroke / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation; D013647:Task Performance and Analysis; D014796:Visual Perception / Q000502:physiology*