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Devos, H., Hawley, Carol, Conn, A. M., Marshall, S. C. and Akinwuntan, A. E. (2021) Driving after stroke. In: Platz, Thomas, (ed.) Clinical Pathways in Stroke Rehabilitation. Cham: Springer, pp. 243-260. ISBN 9783030585044
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Official URL: https://doi.org/10.1007/978-3-030-58505-1_13
Abstract
Driving a motor vehicle is an important instrumental activity of daily living recognized across countries and cultures. Driving provides convenience, independence, and mobility. However, after a stroke, patients may exhibit visual, cognitive, behavioral, and motor symptoms that may negatively affect driving ability. Patients often ask healthcare providers when they can resume driving. It can be difficult to identify those who are fit to drive, those who are not, and those who would benefit from driving rehabilitation. The aim of this chapter is to present evidence to guide clinical decision-making in returning to drive after stroke. The authors are from three different continents and represent important disciplines involved in driving after stroke: medicine, occupational therapy, physiotherapy, and psychology. We first explain the importance of return to driving as a key rehabilitation goal in post-stroke care. We then present an evidence-based overview of key issues related to driving after stroke. Afterwards, we provide a framework for driving screening, assessment, and intervention based on best evidence and practice. An illustrative case study is presented to demonstrate the multiple factors involved in a driving assessment and rehabilitation after stroke.
Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed.
The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Item Type: | Book Item | ||||||
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Subjects: | R Medicine > R Medicine (General) | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Publisher: | Springer | ||||||
Place of Publication: | Cham | ||||||
ISBN: | 9783030585044 | ||||||
Book Title: | Clinical Pathways in Stroke Rehabilitation | ||||||
Editor: | Platz, Thomas | ||||||
Official Date: | 15 January 2021 | ||||||
Dates: |
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Number of Pages: | 284 | ||||||
Page Range: | pp. 243-260 | ||||||
DOI: | 10.1007/978-3-030-58505-1_13 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 20 October 2021 | ||||||
RIOXX Funder/Project Grant: |
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