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KMID : 1035420200080020089
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Journal of The Korean Society of Integrative Medicine
2020 Volume.8 No. 2 p.89 ~ p.95
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Correlation of Cognitive Function, activities of daily living and Driving Performance in Stroke Hemiplegic Patients
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Kwak Ho-Soung
Yoo Chan-Uk
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Abstract
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Purpose : This study aims to evaluate the correlation of cognitive function, activities of daily living (ADL), and driving performance in stroke hemiplegic patients residing in Korea.
Methods : Subjects of the study were 18 stroke hemiplegic patients admitted to hospitals situated in Seoul. A clock drawing test (CDT), a modified barthel index (MBI), and a virtual reality driving simulator (Eca faros-driving simulator) were used to examine their cognitive function, their ADL ability, and their driving skills, respectively.
Results : Driving skills of stroke hemiplegic patients were shown to be associated with the CDT evaluation tool (r=?.777) (p<.001), but they were found to have any correlation with MBI (r=?.022) (p>.05). Additionally, an individual’s CDT showed that the driving simulator evaluation result (pass/fail) could be discriminated with a sensitivity of 100.0 %, a specificity of 40.0 %, and an accuracy of 66.7 %. The result confirmed that the CDT is a useful evaluation tool for screening driving ability in people with stroke. But the MBI did not show any significant results (sensitivity of 62.5 %, specificity of 40.0 %, and predicted the results of the simulator with 50.0 % of accuracy) (p>.05).
Conclusion : This study shows that cognitive function influences the driving performance in people with stroke. Driving skills of stroke hemiplegic patients are seen to be highly related to CDT. In the field of driving rehabilitation, these findings could be useful for evaluating driving skills relating to CDT. Furthermore, the study results will set a guideline for domestic occupational therapists to use the evaluation tool for assessing driving abilities in people with stroke.
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KEYWORD
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stroke, cognitive function, activities of daily living, driving performance
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