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Reduced Physical Fitness in Patients With Heart Failure as a Possible Risk Factor for Impaired Driving Performance / Michael L. Alosco in American Journal of Occupational Therapy, Vol. 69/2 (Mars/Avril 2015)
[article]
Titre : Reduced Physical Fitness in Patients With Heart Failure as a Possible Risk Factor for Impaired Driving Performance Type de document : texte imprimé Auteurs : Michael L. Alosco, Auteur ; Marc S. Penn, Auteur ; Mary Beth Spitznagel, Auteur Année de publication : 2015 Article en page(s) : p.1-8 Langues : Français (fre) Mots-clés : Insuffisance cardiaque Conduite automobile Trouble cognitif léger Facteur risqueAutomobile driving Cognition disorders Computer simulation Heart failure Physical fitness Risk factors Résumé : OBJECTIVE. Reduced physical fitness secondary to heart failure (HF) may contribute to poor driving; reduced physical fitness is a known correlate of cognitive impairment and has been associated with decreased independence in driving. No study has examined the associations among physical fitness, cognition, and driving performance in people with HF.
METHOD. Eighteen people with HF completed a physical fitness assessment, a cognitive test battery, and a validated driving simulator scenario.
RESULTS. Partial correlations showed that poorer physical fitness was correlated with more collisions and stop signs missed and lower scores on a composite score of attention, executive function, and psychomotor speed. Cognitive dysfunction predicted reduced driving simulation performance.
CONCLUSION. Reduced physical fitness in participants with HF was associated with worse simulated driving, possibly because of cognitive dysfunction. Larger studies using on-road testing are needed to confirm our findings and identify clinical interventions to maximize safe driving.Permalink : ./index.php?lvl=notice_display&id=35871
in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-8[article] Reduced Physical Fitness in Patients With Heart Failure as a Possible Risk Factor for Impaired Driving Performance [texte imprimé] / Michael L. Alosco, Auteur ; Marc S. Penn, Auteur ; Mary Beth Spitznagel, Auteur . - 2015 . - p.1-8.
Langues : Français (fre)
in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-8
Mots-clés : Insuffisance cardiaque Conduite automobile Trouble cognitif léger Facteur risqueAutomobile driving Cognition disorders Computer simulation Heart failure Physical fitness Risk factors Résumé : OBJECTIVE. Reduced physical fitness secondary to heart failure (HF) may contribute to poor driving; reduced physical fitness is a known correlate of cognitive impairment and has been associated with decreased independence in driving. No study has examined the associations among physical fitness, cognition, and driving performance in people with HF.
METHOD. Eighteen people with HF completed a physical fitness assessment, a cognitive test battery, and a validated driving simulator scenario.
RESULTS. Partial correlations showed that poorer physical fitness was correlated with more collisions and stop signs missed and lower scores on a composite score of attention, executive function, and psychomotor speed. Cognitive dysfunction predicted reduced driving simulation performance.
CONCLUSION. Reduced physical fitness in participants with HF was associated with worse simulated driving, possibly because of cognitive dysfunction. Larger studies using on-road testing are needed to confirm our findings and identify clinical interventions to maximize safe driving.Permalink : ./index.php?lvl=notice_display&id=35871 Exemplaires (1)
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Exclu du prêtInstrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment / Carrie A. CIRO in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)
[article]
Titre : Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment : A Pilot Project Type de document : texte imprimé Auteurs : Carrie A. CIRO ; Michael P. ANDERSON ; Linda A. HERSHEY ; et al. Année de publication : 2015 Article en page(s) : p.1-10 Langues : Anglais (eng) Mots-clés : Trouble cognitif léger Activités vie quotidienne Projet Expérimentation SatisfactionActivities of daily living Cognition disorders Observation Personal satisfaction Role Self report Résumé : OBJECTIVE. We investigated differences in observed performance of instrumental activities of daily living (IADLs) and self-reported satisfaction with social role performance between people with amnestic mild cognitive impairment (a-MCI) and age- and gender-matched control participants.
METHOD. We measured observed performance of 14 IADLs using the Independence, Safety, and Adequacy domains of the Performance Assessment of Self-Care Skills (PASS) and the Patient-Reported Outcomes Measurement Information Systems (PROMIS) to examine satisfaction with social role performance.
RESULTS. Total PASS scores were significantly lower in participants with a-MCI (median = 40.6) than in control participants (median = 44.2; p = .006). Adequacy scores were also significantly lower. No significant differences were found between groups on the PROMIS measures.
CONCLUSION. IADL differences between groups were related more to errors in adequacy than to safety and independence. Occupational therapy practitioners can play a key role in the diagnosis and treatment of subtle IADL deficits in people with MCI.Permalink : ./index.php?lvl=notice_display&id=35901
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10[article] Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment : A Pilot Project [texte imprimé] / Carrie A. CIRO ; Michael P. ANDERSON ; Linda A. HERSHEY ; et al. . - 2015 . - p.1-10.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10
Mots-clés : Trouble cognitif léger Activités vie quotidienne Projet Expérimentation SatisfactionActivities of daily living Cognition disorders Observation Personal satisfaction Role Self report Résumé : OBJECTIVE. We investigated differences in observed performance of instrumental activities of daily living (IADLs) and self-reported satisfaction with social role performance between people with amnestic mild cognitive impairment (a-MCI) and age- and gender-matched control participants.
METHOD. We measured observed performance of 14 IADLs using the Independence, Safety, and Adequacy domains of the Performance Assessment of Self-Care Skills (PASS) and the Patient-Reported Outcomes Measurement Information Systems (PROMIS) to examine satisfaction with social role performance.
RESULTS. Total PASS scores were significantly lower in participants with a-MCI (median = 40.6) than in control participants (median = 44.2; p = .006). Adequacy scores were also significantly lower. No significant differences were found between groups on the PROMIS measures.
CONCLUSION. IADL differences between groups were related more to errors in adequacy than to safety and independence. Occupational therapy practitioners can play a key role in the diagnosis and treatment of subtle IADL deficits in people with MCI.Permalink : ./index.php?lvl=notice_display&id=35901 Réservation
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