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Cited by 155Older Adults Driving StudiesParkinson's Disease Mechanisms and TreatmentsTraffic and Road Safety

Decreased driving ability in people with Parkinson's disease

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Heikkila, V-M, Turkka, J, Korpelainen, J, Kallanranta, T, Summala, H·1998·Journal of Neurology, Neurosurgery & Psychiatry
DOI 10.1136/jnnp.64.3.325PMC PMC2170019
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Abstract

BACKGROUND: Driving is a complex form of activity involving especially cognitive and psychomotor functions. These functions may be impaired by Parkinson's disease. The relation between Parkinson's disease and driving ability is still obscure and clinicians have to make decisions concerning the driving ability of their patients based on insufficient information. Until now no studies have compared different methods for evaluating the driving ability of patients with Parkinson's disease. METHODS: The driving ability of 20 patients with idiopathic Parkinson's disease and 20 age and sex matched healthy control subjects was evaluated by a neurologist, psychologist, vocational rehabilitation counsellor, and driving instructor using a standard 10 point scale. The patients and controls also evaluated their own driving ability. Cognitive and psychomotor laboratory tests and a structured on road driving test were used for evaluating the subjects' driving ability. RESULTS: The patients with Parkinson's disease performed worse than the controls both in the laboratory tests and in the driving test. There was a high correlation between the laboratory tests and driving test both in the patient group and in the control group. Disease indices were not associated with the driving test. The neurologist overestimated the ability of patients with Parkinson's disease to drive compared with the driving ability evaluated by the structured on road driving test and with the driving related laboratory tests. Patients themselves were not capable of evaluating their own ability reliably. CONCLUSION: Driving ability is greatly decreased in patients with even mild to moderate Parkinson's disease. The evaluation of patients' driving ability is very difficult to carry out without psychological and psychomotor tests and/or a driving test.

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  • Drivers with PD make more critical driving errors than healthy controls, including red light violations and difficulty maintaining lane position.

    “drivers with PD make more critical driving errors than healthy controls—including red light violations and difficulty maintaining lane position [4, 5]”

    From Driving with Parkinson's Disease: Exploring Lived Experience (2019) · cites this paper as [4]

    The Results (page not supplied) report that drivers with Parkinson’s disease committed significantly more risky faults and traffic offences than healthy controls. Our copy does not identify red-light violations or difficulty maintaining lane position as examples; searches for those terms found no supporting passage. (LLM, conf=0.88)

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Research works printed but not linked: 2

  1. [10]10. Poewe W, Berger W, Benke T, et al. High-speed memory scanning in Parkinson's disease: adverse eVects of levo- dopa. Ann Neurol 1991;29:670-3.
  2. [28]28. Lings S, Dupont E. Driving with Parkinson's disease. Acta Neurol Scand 1992;86:33-9.

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Authors
Heikkila, V.-M., Turkka, J., Korpelainen, J., Kallanranta, T., & Summala, H.
Affiliations
University of Helsinki (FI)
ORCID
Summala, H
Venue
Journal of Neurology, Neurosurgery & Psychiatry
Publisher
BMJ
Published
1998-03-01
Volume
64
Issue
3
Pages
325-330
ISSN
0022-3050 (ISSN-L)
DOI
10.1136/jnnp.64.3.325
PMC
PMC2170019
OpenAlex
W2172205270
Semantic Scholar
e1154630c76c8702aa79a92a153a1fcacc6769c5
Cited by
155
References
31
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 5 · 2015: 6 · 2014: 10 · 2013: 14 · 2012: 12
FWCI
9.52
Type
journal article
Language
en
Open access
Locations
  • Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
Keywords
Parkinson's disease, driving ability, driving assessment, on-road driving test, psychomotor impairment, cognitive impairment, clinician assessment
MeSH terms
Adult, Aged, Automobile Driver Examination, Automobile Driving, Cognition, Humans, Male, Middle Aged, Neuropsychological Tests, Parkinson Disease, Psychomotor Performance, Severity of Illness Index, Reproducibility of Results, Bias, Case-Control Studies

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