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Driving Risk in Patients with Movement Disorders

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Movement Disorder Emergencies

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Impairments in cognition, visual perception, motor function, and increased daytime sleepiness reduce driving performance and safety in Parkinson’s disease (PD). Although drivers with PD perform worse than controls on experimental road and driving simulation studies, there is no well-established epidemiological association with increased crashes in drivers with PD. However, drivers with PD cease driving earlier than controls.

Medical diagnosis or a clinician’s assessment alone is inadequate to determine driving competence in drivers with PD. Although testing of motor, cognitive, and visual functions help to understand the mechanisms of driving impairment in PD, there are no established guidelines on assessing driver fitness in PD. There are no evidence based methods for driver rehabilitation in PD.

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Acknowledgments

Supported by NIH R01 grant NS044930.

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Authors and Affiliations

  1. Department of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins Drive-2RCP, Iowa City, IA, 52242, USA

    Ergun Y. Uc M.D.

  2. Neurology Service, Veterans Affairs Medical Center, Iowa City, IA, USA

    Ergun Y. Uc M.D.

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  1. Ergun Y. Uc M.D.
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Correspondence to Ergun Y. Uc M.D. .

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  1. , Neurology, Columbia University Medical Center, West 168th St. Suite 310 710, New York, 10032, USA

    Steven J. Frucht

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Uc, E.Y. (2013). Driving Risk in Patients with Movement Disorders. In: Frucht, S. (eds) Movement Disorder Emergencies. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-835-5_26

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  • DOI: https://doi.org/10.1007/978-1-60761-835-5_26

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  • Publisher Name: Humana Press, Totowa, NJ

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