| Occupational therapy practice in predriving assessment post stroke in the Irish context: findings from a nominal group technique meeting. | |
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MedLine Citation:
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PMID: 20410013 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Practice in the area of predriving assessment for people with stroke varies, and research findings are not always easily transferred into the clinical setting, particularly when such assessment is not conducted within a dedicated driver assessment programme. This article explores the clinical predriving assessment practices and recommendations of a group of Irish occupational therapists for people with stroke. METHOD: A consensus meeting of occupational therapists was facilitated using a nominal group technique (NGT) to identify specific components of cognition, perception, and executive function that may influence fitness to return to driving and should be assessed prior to referral for on-road evaluation. Standardised assessments for use in predriving assessment were recommended. RESULTS: Thirteen occupational therapists speed of processing; perceptual components of spatial awareness, depth perception, and visual inattention; and executive components of planning, problem solving, judgment, and self-awareness. Consensus emerged for the use of the following standardised tests: Behavioural Assessment of Dysexecutive Syndrome (BADS), Test of Everyday Attention (TEA), Brain Injury Visual Assessment Battery for Adults (biVABA), Rivermead Perceptual Assessment Battery (RPAB), and Motor Free Visual Perceptual Test (MVPT). CONCLUSION: Tests were recommended that gave an indication of the patient's underlying component skills in the area of cognition, perception, and executive functions considered important for driving. Further research is needed in this area to develop clinical practice guidelines for occupational therapists for the assessment of fitness to return to driving after stroke. |
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Authors:
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Tadhg Stapleton; Deirdre Connelly |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Topics in stroke rehabilitation Volume: 17 ISSN: 1074-9357 ISO Abbreviation: Top Stroke Rehabil Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-04-22 Completed Date: 2010-05-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9439750 Medline TA: Top Stroke Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 58-68 Citation Subset: IM |
Affiliation:
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Department of Occupational Therapy, Trinity College Dublin, Dublin, Ireland. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Attention
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physiology Automobile Driving* Executive Function / physiology Group Processes* Humans Ireland Neuropsychological Tests Occupational Therapy / methods* Reference Values Stroke / physiopathology*, rehabilitation* Treatment Outcome Visual Perception / physiology |
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