Assessing the driving performance of a person with epilepsy presurgery and postsurgery / Alexander M. CRIZZLE in American Journal of Occupational Therapy, Vol. 67/3 (mai-juin 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) Titre : Assessing the driving performance of a person with epilepsy presurgery and postsurgery Type de document : texte imprimé Auteurs : Alexander M. CRIZZLE ; Sherrilene Classen ; et al. ; Christina LAFRANCA Année de publication : 2013 Langues : Anglais (eng) Mots-clés : Conduite automobile  Ergothérapie  Epilepsie Résumé : Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded. Note de contenu : Oline Only Permalink : ./index.php?lvl=notice_display&id=14003 [article] Assessing the driving performance of a person with epilepsy presurgery and postsurgery [texte imprimé] / Alexander M. CRIZZLE ; Sherrilene Classen ; et al. ; Christina LAFRANCA . - 2013. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) Mots-clés : Conduite automobile  Ergothérapie  Epilepsie Résumé : Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded. Note de contenu : Oline Only Permalink : ./index.php?lvl=notice_display&id=14003

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Predicting older driver on-road performance by means of the useful field of view and trail making test part B / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 67/5 (septembre-octobre 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.574-582 Titre : Predicting older driver on-road performance by means of the useful field of view and trail making test part B Type de document : texte imprimé Auteurs : Sherrilene Classen ; Alexander M. CRIZZLE ; Yanning WANG ; et al. Année de publication : 2013 Article en page(s) : p.574-582 Langues : Anglais (eng) Mots-clés : Personne âgée  Vieillissement  Conduite automobile  Test visuel  Développement intellectuel Résumé : The Useful Field of View(®) (UFOV) and Trail Making Test Part B (Trails B) are measures of divided attention. We determined which measure was more accurate in predicting on-road outcomes among drivers (N = 198, mean age = 73.86, standard deviation = 6.05). Receiver operating characteristic curves for the UFOV (Risk Index [RI] and Subtests 1-3) and Trails B significantly predicted on-road outcomes. Contrasting Trails B with the UFOV RI and subtests, the only difference was found between the UFOV RI and Trails B, indicating the UFOV RI was the best predictor of on-road outcomes. Misclassifications of drivers totaled 28 for the UFOV RI, 62 for Trails B, and 58 for UFOV Subtest 2. The UFOV RI is a superior test in predicting on-road outcomes, but the Trails B has acceptable accuracy and is comparable to the other UFOV subtests. Permalink : ./index.php?lvl=notice_display&id=14191 [article] Predicting older driver on-road performance by means of the useful field of view and trail making test part B [texte imprimé] / Sherrilene Classen ; Alexander M. CRIZZLE ; Yanning WANG ; et al. . - 2013 . - p.574-582. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.574-582 Mots-clés : Personne âgée  Vieillissement  Conduite automobile  Test visuel  Développement intellectuel Résumé : The Useful Field of View(®) (UFOV) and Trail Making Test Part B (Trails B) are measures of divided attention. We determined which measure was more accurate in predicting on-road outcomes among drivers (N = 198, mean age = 73.86, standard deviation = 6.05). Receiver operating characteristic curves for the UFOV (Risk Index [RI] and Subtests 1-3) and Trails B significantly predicted on-road outcomes. Contrasting Trails B with the UFOV RI and subtests, the only difference was found between the UFOV RI and Trails B, indicating the UFOV RI was the best predictor of on-road outcomes. Misclassifications of drivers totaled 28 for the UFOV RI, 62 for Trails B, and 58 for UFOV Subtest 2. The UFOV RI is a superior test in predicting on-road outcomes, but the Trails B has acceptable accuracy and is comparable to the other UFOV subtests. Permalink : ./index.php?lvl=notice_display&id=14191

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