Driving ability after a stroke: evaluation and recovery.
BACKGROUND
The ability to drive after a stroke has been recognised by many authors as a sign of independence and it is closely associated with proper social reintegration. However, it remains unclear how the driving ability of an individual who has suffered a stroke should be evaluated, and by whom. Neurorehabilitation can produce improvements in patients who have suffered a stroke, and patients may therefore be able to resume driving at the end of an appropriate neurorehabilitation programme. The aim of this article is to present a literature review in order to highlight current evidence regarding methods for assessing driving ability and therapeutic methods applied in order to recover a patient's ability to drive.


METHODS
A literature search was performed in different databases for the period between 1993 and 2011. Studies were analysed individually based on methods for assessing driving ability and neurorehabilitation measures.


CONCLUSIONS
If there are any doubts regarding stroke patients' ability to drive, patients should be assessed appropriately. The proper way to assess these patients according to the literature is by employing a multidisciplinary evaluation to determine who is able to take a road test. Neurorehabilitation exercises currently in use may be able to improve driving ability in stroke patients.
Unidad de Neurorrehabilitación, Departamento de Neurología, Clínica Universidad de Navarra, Pamplona, Navarra, España. Electronic address: manumurie@gmail.com.
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Murie-Fernandez
Unidad de Neurorrehabilitación, Departamento de Neurología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
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Iturralde
Unidad de Neurorrehabilitación, Departamento de Neurología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
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Cenoz
Unidad de Neurorrehabilitación, Departamento de Neurología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
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Casado
Departamento de Rehabilitación y Medicina Física, St Joseph́s Health Care London, Parkwood Hospital, Universidad de Western Ontario, London, Ontario, Canadá
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Teasell
D001334:Automobile Driving; D006801:Humans; D009483:Neuropsychological Tests; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation