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. 2005 Feb;76(2):176–180. doi: 10.1136/jnnp.2004.047118

Quantitative assessment of driving performance in Parkinson's disease

J Wood 1, C Worringham 1, G Kerr 1, K Mallon 1, P Silburn 1
PMCID: PMC1739510  PMID: 15654027

Abstract

Objectives: The primary aim of this study was to determine how Parkinson's disease (PD) affects driving performance. It also examined whether changes in driver safety were related to specific clinical disease markers or an individual's self rating of driving ability.

Methods: The driving performance of 25 patients with idiopathic PD and 21 age matched controls was assessed on a standardised open road route by an occupational therapist and driving instructor, to provide overall safety ratings and specific driving error scores.

Results: The drivers with PD were rated as significantly less safe (p<0.05) than controls, and more than half of the drivers with PD would not have passed a state based driving test. The driver safety ratings were more strongly related to disease duration (r = –0.60) than to their on time Unified Parkinson's Disease Rating Scale (r = –0.24). Drivers with PD made significantly more errors than the control group during manoeuvres that involved changing lanes and lane keeping, monitoring their blind spot, reversing, car parking, and traffic light controlled intersections. The driving instructor also had to intervene to avoid an incident significantly more often for drivers with PD than for controls. Interestingly, driver safety ratings were unrelated to an individual's rating of their own driving performance, and this was the case for all participants.

Conclusions: As a group, drivers with PD are less safe to drive than age matched controls. Standard clinical markers cannot reliably predict driver safety. Further studies are required to ascertain whether the identified driving difficulties can be ameliorated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Campbell M. K., Bush T. L., Hale W. E. Medical conditions associated with driving cessation in community-dwelling, ambulatory elders. J Gerontol. 1993 Jul;48(4):S230–S234. doi: 10.1093/geronj/48.4.s230. [DOI] [PubMed] [Google Scholar]
  2. Comella Cynthia L. Daytime sleepiness, agonist therapy, and driving in Parkinson disease. JAMA. 2002 Jan 23;287(4):509–511. doi: 10.1001/jama.287.4.509. [DOI] [PubMed] [Google Scholar]
  3. Dubinsky R. M., Gray C., Husted D., Busenbark K., Vetere-Overfield B., Wiltfong D., Parrish D., Koller W. C. Driving in Parkinson's disease. Neurology. 1991 Apr;41(4):517–520. doi: 10.1212/wnl.41.4.517. [DOI] [PubMed] [Google Scholar]
  4. Heikkilä V. M., Turkka J., Korpelainen J., Kallanranta T., Summala H. Decreased driving ability in people with Parkinson's disease. J Neurol Neurosurg Psychiatry. 1998 Mar;64(3):325–330. doi: 10.1136/jnnp.64.3.325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Heun R., Papassotiropoulos A., Jennssen F. The validity of psychometric instruments for detection of dementia in the elderly general population. Int J Geriatr Psychiatry. 1998 Jun;13(6):368–380. doi: 10.1002/(sici)1099-1166(199806)13:6<368::aid-gps775>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  6. Homann C. N., Suppan K., Homann B., Crevenna R., Ivanic G., Ruzicka E. Driving in Parkinson's disease - a health hazard? J Neurol. 2003 Dec;250(12):1439–1446. doi: 10.1007/s00415-003-0239-5. [DOI] [PubMed] [Google Scholar]
  7. Homann Carl Nikolaus, Wenzel Karoline, Suppan Klaudia, Ivanic Gerd, Kriechbaum Norbert, Crevenna Richard, Ott Erwin. Sleep attacks in patients taking dopamine agonists: review. BMJ. 2002 Jun 22;324(7352):1483–1487. doi: 10.1136/bmj.324.7352.1483. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lieb K., Brucker S., Bach M., Els T., Lücking C. H., Greenlee M. W. Impairment in preattentive visual processing in patients with Parkinson's disease. Brain. 1999 Feb;122(Pt 2):303–313. doi: 10.1093/brain/122.2.303. [DOI] [PubMed] [Google Scholar]
  9. Lings S., Dupont E. Driving with Parkinson's disease. A controlled laboratory investigation. Acta Neurol Scand. 1992 Jul;86(1):33–39. doi: 10.1111/j.1600-0404.1992.tb08050.x. [DOI] [PubMed] [Google Scholar]
  10. Low Kathy A., Miller Jeff, Vierck Esther. Response slowing in Parkinson's disease: a psychophysiological analysis of premotor and motor processes. Brain. 2002 Sep;125(Pt 9):1980–1994. doi: 10.1093/brain/awf206. [DOI] [PubMed] [Google Scholar]
  11. Madeley P., Hulley J. L., Wildgust H., Mindham R. H. Parkinson's disease and driving ability. J Neurol Neurosurg Psychiatry. 1990 Jul;53(7):580–582. doi: 10.1136/jnnp.53.7.580. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. McGwin G., Jr, Owsley C., Ball K. Identifying crash involvement among older drivers: agreement between self-report and state records. Accid Anal Prev. 1998 Nov;30(6):781–791. doi: 10.1016/s0001-4575(98)00031-1. [DOI] [PubMed] [Google Scholar]
  13. Radford Kate, Lincoln Nadina, Lennox Graham. The effects of cognitive abilities on driving in people with Parkinson's disease. Disabil Rehabil. 2004 Jan 21;26(2):65–70. doi: 10.1080/09638280310001629633. [DOI] [PubMed] [Google Scholar]
  14. Serrien D. J., Steyvers M., Debaere F., Stelmach G. E., Swinnen S. P. Bimanual coordination and limb-specific parameterization in patients with Parkinson's disease. Neuropsychologia. 2000;38(13):1714–1722. doi: 10.1016/s0028-3932(00)00086-5. [DOI] [PubMed] [Google Scholar]
  15. Smiley-Oyen Ann L., Worringham Charles J., Cross Carol L. Practice effects in three-dimensional sequential rapid aiming in Parkinson's disease. Mov Disord. 2002 Nov;17(6):1196–1204. doi: 10.1002/mds.10278. [DOI] [PubMed] [Google Scholar]
  16. Wood J. M., Mallon K. Comparison of driving performance of young and old drivers (with and without visual impairment) measured during in-traffic conditions. Optom Vis Sci. 2001 May;78(5):343–349. doi: 10.1097/00006324-200105000-00018. [DOI] [PubMed] [Google Scholar]
  17. Wood Joanne M. Age and visual impairment decrease driving performance as measured on a closed-road circuit. Hum Factors. 2002 Fall;44(3):482–494. doi: 10.1518/0018720024497664. [DOI] [PubMed] [Google Scholar]
  18. Zesiewicz T. A., Cimino C. R., Malek A. R., Gardner N., Leaverton P. L., Dunne P. B., Hauser R. A. Driving safety in Parkinson's disease. Neurology. 2002 Dec 10;59(11):1787–1788. doi: 10.1212/01.wnl.0000035636.83680.c6. [DOI] [PubMed] [Google Scholar]

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