Predictors of Driving Ability Following Stroke: A Systematic Review

Shawn C. MarshallPhysical Medicine and RehabilitationThe Rehabilitation Centre, Élisabeth Bruyère Research Institute, University of Ottawa, Ottawa, Canada.

Frank MolnarGeriatric Medicine and EpidemiologyThe Ottawa Hospital, Élisabeth Bruyère Research Institute, University of Ottawa, Ottawa, Canada.

Malcolm Man-Son-HingGeriatric Medicine and EpidemiologyThe Ottawa Hospital, Élisabeth Bruyère Research Institute, University of Ottawa, Ottawa, Canada.

Richard BlairStroke Rehabilitation ProgramÉlisabeth Bruyère Health Centre, Élisabeth Bruyère Research Institute, Ottawa, Canada.

Lucie BrosseauOntario Ministry of Health Career Scientist, School of Rehabilitation Sciences, University of Ottawa, Canada.

Hillel M. FinestoneStroke Rehabilitation ProgramThe Rehabilitation Centre, Élisabeth Bruyère Health Centre, Élisabeth Bruyère Research Institute, University of Ottawa, Canada.

Catherine LamotheSchool of Rehabilitation SciencesUniversity of Ottawa, Canada.

Nicol Korner-BitenskySchool of Physical and Occupational TherapyMcGill University, Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Canada, Montreal.

Keith G. WilsonClinical Epidemiology Program Department of Medicine and School of Psychology, The Ottawa Hospital Rehabilitation Centre, Ottawa Health Research Institut, University of Ottawa, Ottawa, Canada.

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Abstract

Background and Purpose: The objective of this review is to identify the most consistent predictors of driving ability post stroke. Method: 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. Conclusion: Cognitive tests that assess multiple cognitive domains relevant to driving appear to have the best reproducibility in predicting fitness to drive in stroke patients.

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