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Driving Competences and Neuropsychological Factors Associated to Driving Counseling in Multiple Sclerosis

Published online by Cambridge University Press:  27 May 2014

Dolors Badenes ,
Maite Garolera ,
Laura Casas ,
Juan Carlos Cejudo-Bolivar ,
Jorge de Francisco ,
Silvia Zaragoza ,
Noemi Calzado  and
Miquel Aguilar
Dolors Badenes*
Affiliation:
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain Departament Psicología Clinica i Medicina Legal, Facultat de Medicina, Universitat Autònoma de Barcelona, Spain
Maite Garolera
Affiliation:
Neuropsychological Unit, Consorci Sanitari de Terrassa, Terrassa, Spain
Laura Casas
Affiliation:
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Juan Carlos Cejudo-Bolivar
Affiliation:
EAIA, Germanes Hospitalaries Sagrat Cor, Martorell, Spain
Jorge de Francisco
Affiliation:
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Silvia Zaragoza
Affiliation:
Neuropsychological Research Organization (Psyncro), Sant Joan Despi, Spain
Noemi Calzado
Affiliation:
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Miquel Aguilar
Affiliation:
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
*
Correspondence and reprint requests to: Dolors Badenes, Hospital Universitari Mútua de Terrassa, Plaça Dr. Robert 1, 08221 Terrassa, Spain. E-mail: [email protected]
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Abstract

Multiple Sclerosis (MS) significantly impacts daily living activities, including car driving. To investigate driving difficulties experienced with MS, we compared 50 MS patients with minor or moderate disability and 50 healthy controls (HC) using computerized driving tests (the ASDE driver test and the Useful Field of View (UFOV) test) and neuropsychological tests. Inclusion criteria included being active drivers. We evaluated whether cognitive deterioration in MS is associated with the results of driving tests by comparing MS patients without cognitive deterioration with HC. The results indicated that the MS patients performed worse than the HCs in attention, information processing, working memory and visuomotor coordination tasks. Furthermore, MS patients with cognitive impairments experienced more difficulties in the driving tests than did the non-impaired MS patients. Motor dysfunction associated with MS also played an important role in this activity. The results of this study suggest that MS should be assessed carefully and that special emphasis should be placed on visuomotor coordination and executive functions because patients with minor motor disability and subtle cognitive impairments can pass measures predictive of driving safety. (JINS, 2014, 20, 555–565)

Keywords

Multiple sclerosisDrivingCognitionDaily living activitiesExecutive functionCounseling
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 20 , Issue 5 , May 2014 , pp. 555 - 565
Copyright
Copyright © The International Neuropsychological Society 2014 

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References

Amato, M.P., Zipoli, V., & Portaccio, E. (2006). Multiple sclerosis-related cognitive changes: A review of cross-sectional and longitudinal studies. Journal of the Neurological Sciences, 245(1-2), 41–46. doi:10.1016/j.jns.2005.08.019CrossRefGoogle ScholarPubMed
Badenes, D., Casas, L., Cejudo Bolivar, J.C., & Aguilar, M. (2008). Evaluation of the capacity to drive in patients diagnosed of mild cognitive impairment and dementia. Neurologia, 23(9), 575–582.Google Scholar
Ball, K. (1998). Useful field of view. San Antonio, TX: The Psychological Corporation.Google Scholar
Ball, K., & Owsley, C. (1993). The useful field of view test: A new technique for evaluating age-related declines in visual function. Journal of the American Optometric Association, 64(1), 71–79.Google Scholar
Boringa, J.B., Lazeron, R.H., Reuling, I.E., Ader, H.J., Pfennings, L., Lindeboom, J., … de Sonneville, L.M. (2001). The brief repeatable battery of neuropsychological tests: Normative values allow application in multiple sclerosis clinical practice. Multiple Sclerosis, 7(4), 263–267. doi:10.1177/135245850100700409CrossRefGoogle ScholarPubMed
Brown, L.B., & Ott, B.R. (2004). Driving and dementia: A review of the literature. Journal of Geriatric Psychiatry and Neurology, 17(4), 232–240. doi:10.1177/0891988704269825Google Scholar
Chiaravalloti, N.D., & Deluca, J. (2008). Cognitive impairment in multiple sclerosis. Lancet Neurology, 7(12), 1139–1151. doi:10.1016/S1474-4422(08)70259-XGoogle Scholar
Classen, S., McCarthy, D.P., Shechtman, O., Awadzi, K.D., Lanford, D.N., Okun, M.S., … Fernandez, H.H. (2009). Useful field of view as a reliable screening measure of driving performance in people with Parkinson’s disease: Results of a pilot study. Traffic Injury Prevention, 10(6), 593–598. doi:10.1080/15389580903179901Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum.Google Scholar
Crawley, F., Stygall, J., Lunn, S., Harrison, M., Brown, M.M., & Newman, S. (2000). Comparison of microembolism detected by transcranial Doppler and neuropsychological sequelae of carotid surgery and percutaneous transluminal angioplasty. Stroke, 31(6), 1329–1334. doi:10.1161/01.STR.31.6.1329Google Scholar
Kotterba, S., Orth, M., Eren, E., Fangerau, T., & Sindern, E. (2003). Assessment of driving performance in patients with relapsing-remitting multiple sclerosis by a driving simulator. European Neurology, 50(3), 160–164. doi:10.1159/000073057Google Scholar
Kurtzke, J.F. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology, 33(11), 1444–1452. doi:10.1212/WNL.33.11.1444CrossRefGoogle ScholarPubMed
Lezak, M.D. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press.Google Scholar
Lincoln, N.B., & Radford, K.A. (2008). Cognitive abilities as predictors of safety to drive in people with multiple sclerosis. Multiple Sclerosis, 14(1), 123–128. doi:10.1177/1352458507080467CrossRefGoogle ScholarPubMed
Lings, S., & Dupont, E. (1992). Driving with Parkinson’s disease. A controlled laboratory investigation. Acta Neurologica Scandinavica, 86(1), 33–39. doi:10.1111/j.1600-0404.1992.tb08050.xGoogle Scholar
Lublin, F.D., & Reingold, S.C. (1996). Defining the clinical course of multiple sclerosis: Results of an international survey. National Multiple Sclerosis Society (USA) Advisory Committee on Clinical Trials of New Agents in Multiple Sclerosis. Neurology, 46(4), 907–911. doi:10.1212/WNL.46.4.907Google Scholar
Marcotte, T.D., Rosenthal, T.J., Roberts, E., Lampinen, S., Scott, J.C., Allen, R.W., & Corey-Bloom, J. (2008). The contribution of cognition and spasticity to driving performance in multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 89(9), 1753–1758. doi:10.1016/j.apmr.2007.12.049Google Scholar
Marcotte, T.D., Wolfson, T., Rosenthal, T.J., Heaton, R.K., Gonzalez, R., Ellis, R.J., & Grant, I. (2004). A multimodal assessment of driving performance in HIV infection. Neurology, 63(8), 1417–1422. doi:10.1212/01.WNL.0000141920.33580.5DGoogle Scholar
McDonald, W.I., Compston, A., Edan, G., Goodkin, D., Hartung, H.P., Lublin, F.D., McFarland, H.F., … Wolinsky, J.S. (2001). Recommended diagnostic criteria for multiple sclerosis: Guidelines from the International Panel on the diagnosis of multiple sclerosis. Annals of Neurology, 50(1), 121–127. doi:10.1002/ana.1032Google Scholar
Monterde, H. (2005). La evaluación psicológica mediante los equipos normalizados driver-test: Mod. N-845. Valencia, España: General ASDE, S.A.Google Scholar
Peña-Casanova, J., Quiñones-Ubeda, S., Gramunt-Fombuena, N., Quintana-Aparicio, M., Aguilar, M., Badenes, D., … Blesa, R. (2009). Spanish Multicenter Normative Studies (NEURONORMA Project): Norms for verbal fluency tests. Archives of Clinical Neuropsychology, 24(4), 395–411. doi:10.1093/arclin/acp042Google Scholar
Randolph, C. (1998). RBANS Repeatable Battery Assessment for Neuropsychological Status. San Antonio, TX: Psychological Corporation.Google Scholar
Rao, S.M., Leo, G.J., Bernardin, L., & Unverzagt, F. (1991). Cognitive dysfunction in multiple sclerosis: Frequency, patterns, and prediction. Neurology, 41, 685–691. doi:10.1212/WNL.41.5.685Google Scholar
Reynolds, C.R. (2002). Comprehensive Trail Making Test: Examiner’s manual. Austin, TX: PRO-ED.Google Scholar
Ryan, K.A., Rapport, L.J., Telmet, H.K., Fuerst, D., Bieliauskas, L., Khan, O., & Lisak, R. (2009). Fitness to drive in multiple sclerosis: Awareness of deficit moderates risk. Journal of Clinical and Experimental Neuropsychology, 31(1), 126–139. doi:10.1080/13803390802119922CrossRefGoogle ScholarPubMed
Schanke, A.K., Grimsmo, J., & Sundet, K. (1995). Multiple sclerosis and prerequisites for driver’s license. A retrospective study of 33 patients with multiple sclerosis assessed at Sunnaas hospital. Tidsskr Nor Laegeforen, 115(11), 1349–1352.Google Scholar
Schultheis, M.T., Garay, E., & Deluca, J. (2001). The influence of cognitive impairment on driving performance in multiple sclerosis. Neurology, 56, 1089–1094. doi:10.1212/WNL.56.8.1089Google Scholar
Schultheis, M.T., Garay, E., Millis, S.R., & Deluca, J. (2002). Motor vehicle crashes and violations among drivers with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 83(8), 1175–1178. doi:10.1053/apmr.2002.34279CrossRefGoogle ScholarPubMed
Schultheis, M.T., Weisser, V., Ang, J., Elovic, E., Nead, R., Sestito, N., … Millis, S.R. (2010). Examining the relationship between cognition and driving performance in multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 91(3), 465–473. doi:10.1016/j.apmr.2009.09.026Google Scholar
Shawaryn, M.A., Schultheis, M.T., Garay, E., & Deluca, J. (2002). Assessing functional status: Exploring the relationship between the multiple sclerosis functional composite and driving. Archives of Physical Medicine and Rehabilitation, 83(8), 1123–1129. doi:10.1053/apmr.2002.33730CrossRefGoogle ScholarPubMed
Uc, E.Y., Rizzo, M., Anderson, S.W., Shi, Q., & Dawson, J.D. (2004). Driver route-following and safety errors in early Alzheimer disease. Neurology, 63(5), 832–837. doi:10.1212/01.WNL.0000139301.01177.35Google Scholar
Uc, E.Y., Rizzo, M., Anderson, S.W., Shi, Q., & Dawson, J.D. (2005). Driver landmark and traffic sign identification in early Alzheimer’s disease. Journal of Neurology, Neurosurgery, & Psychiatry, 76(6), 764–768. doi:10.1136/jnnp.2004.049338Google Scholar
Uc, E.Y., Rizzo, M., Anderson, S.W., Shi, Q., & Dawson, J.D. (2006). Unsafe rear-end collision avoidance in Alzheimer’s disease. Journal of the Neurological Sciences, 251(1-2), 35–43. doi:10.1016/j.jns.2006.08.011Google Scholar
Uc, E.Y., Rizzo, M., Anderson, S.W., Sparks, J.D., Rodnitzky, R.L., & Dawson, J.D. (2006). Driving with distraction in Parkinson disease. Neurology, 67(10), 1774–1780. doi:10.1212/01.wnl.0000245086.32787.61CrossRefGoogle ScholarPubMed
Uc, E.Y., Rizzo, M., Anderson, S.W., Sparks, J.D., Rodnitzky, R.L., & Dawson, J.D. (2007). Impaired navigation in drivers with Parkinson’s disease. Brain, 130(9), 2433–2440. doi:10.1093/brain/awm178CrossRefGoogle ScholarPubMed
Viamonte, S., Vance, D., Wadley, V., Roenker, D., & Ball, K. (2010). Driving-related cognitive performance in older adults with pharmacologically treated cardiovascular disease. Clinical Gerontologist, 33(2), 109–123. doi:10.1080/07317110903552180Google Scholar
Wechsler, D. (1999). Escala de inteligencia de Wechsler para adultos-III. Madrid, TEA.Google Scholar
Whelihan, W.M., DiCarlo, M.A., & Paul, R.H. (2005). The relationship of neuropsychological functioning to driving competence in older persons with early cognitive decline. Archives of Clinical Neuropsychology, 20(2), 217–228. doi:10.1016/j.acn.2004.07.002Google Scholar