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- Title
Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease.
- Authors
Buhmann, Carsten; Vettorazzi, Eik; Oehlwein, Christian; Rikkers, Fred; Poetter-Nerger, Monika; Gulberti, Alessandro; Gerloff, Christian; Moll, Christian K.; Hamel, Wolfgang
- Abstract
Objective. To determine the influence of deep brain stimulation (DBS) on daily routine driving behavior in Parkinson’s disease (PD) patients. Methods. A cross-sectional questionnaire survey was done in 121 DBS-PD patients. The influences of patient characteristics and DBS on current driving and driving at time of surgery and the predictive value of the preoperative levodopa-test on postoperative driving were evaluated. Results. 50% of 110 driving-license holders currently drove. 63.0% rated themselves as safe drivers, 39.4% reported improvement, and 10.9% noted deterioration in driving after DBS surgery. Inactive drivers had quit driving mainly due to disease burden (90.9%). Active drivers were younger, more often males, and less impaired according to H&Y and MMSE, had surgery more recently, and reported more often overall benefit from DBS. H&Y “on” and UPDRS III “off” scores at time of surgery were lower in pre- and postoperative active than in inactive drivers. Tremor and akinesia were less frequent reasons to quit driving after than before DBS surgery. Postoperatively, 22.7% (10/44) of patients restarted and 10.6% (7/66) of patients discontinued driving, independently of H&Y stage. The preoperative levodopa-test was not predictive for the postoperative driving outcome. Conclusion. 50% of PD patients with DBS drive. DBS surgery changes daily routine driving behavior.
- Subjects
AUTOMOBILE drivers' tests; AUTOMOBILE driving; EXPERIMENTAL design; LONGITUDINAL method; MOTIVATION (Psychology); PARKINSON'S disease; QUESTIONNAIRES; STATISTICS; SURVEYS; STATISTICAL power analysis; DATA analysis; DESCRIPTIVE statistics; DEEP brain stimulation
- Publication
Parkinson's Disease (20420080), 2015, p1
- ISSN
2090-8083
- Publication type
Article
- DOI
10.1155/2015/608961