Impact of specific executive functions on driving performance in people with Parkinson's disease.
Identifieur interne : 000958 ( Main/Exploration ); précédent : 000957; suivant : 000959Impact of specific executive functions on driving performance in people with Parkinson's disease.
Auteurs : Maud Ranchet [France] ; Laurence Paire-Ficout ; Ergun Y. Uc ; Arnaud Bonnard ; Damien Sornette ; Emmanuel BroussolleSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2013.
Descripteurs français
English descriptors
- KwdEn :
- Aged, Analysis of Variance, Automobile Driver Examination, Automobile Driving, Cognition Disorders (etiology), Executive Function (physiology), Female, Humans, Male, Middle Aged, Neuropsychological Tests, Parkinson Disease (complications), Predictive Value of Tests, Psychomotor Performance (physiology).
- MESH :
- complications : Parkinson Disease.
- etiology : Cognition Disorders.
- physiology : Executive Function, Psychomotor Performance.
- Aged, Analysis of Variance, Automobile Driver Examination, Automobile Driving, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Predictive Value of Tests.
Abstract
Executive functions encompass various cognitive processes and are critical in novel or demanding driving situations. Our aim was to determine the role of impairments in specific executive functions (updating, flexibility, inhibition) on road performance in drivers with Parkinson's disease (PD), a condition commonly associated with early executive dysfunction. In this pilot study, 19 patients with mild to moderate PD and 21 healthy controls matched for age, education, and driving experience were tested using a neuropsychological battery assessing global cognitive abilities, updating (n-back task), flexibility (plus-minus task), and inhibition (Stroop test). Participants also underwent a 45-minute road test in which they were scored by a driving instructor and a second experimenter. To separate "at-risk" drivers from safe drivers, a composite driving indicator was calculated from the Test Ride for Investigating Practical Fitness to Drive score, the penalty score from the observation grid, and the number of safety interventions made by the driving instructor. Eight of the 40 drivers (all PD) were rated as "at risk." Measures of updating (the n-back task) and mental flexibility (the plus-minus task) predicted driving safety even after adjustment for group status, explaining 53% of the total variance. These 2 tests also discriminated between safe and "at-risk" drivers within the PD group. These findings, although preliminary, suggest that updating and mental flexibility are critical for safe driving in PD. Assessment batteries for driving fitness should probe different aspects of executive functions, specifically when evaluating drivers with PD.
Url:
DOI: 10.1002/mds.25660
PubMed: 24114952
Affiliations:
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Le document en format XML
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Uc</name></author><author><name sortKey="Bonnard, Arnaud" sort="Bonnard, Arnaud" uniqKey="Bonnard A" first="Arnaud" last="Bonnard">Arnaud Bonnard</name></author><author><name sortKey="Sornette, Damien" sort="Sornette, Damien" uniqKey="Sornette D" first="Damien" last="Sornette">Damien Sornette</name></author><author><name sortKey="Broussolle, Emmanuel" sort="Broussolle, Emmanuel" uniqKey="Broussolle E" first="Emmanuel" last="Broussolle">Emmanuel Broussolle</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24114952</idno><idno type="pmid">24114952</idno><idno type="doi">10.1002/mds.25660</idno><idno type="wicri:Area/PubMed/Corpus">000753</idno><idno type="wicri:Area/PubMed/Curation">000753</idno><idno type="wicri:Area/PubMed/Checkpoint">000972</idno><idno type="wicri:Area/Ncbi/Merge">003D44</idno><idno type="wicri:Area/Ncbi/Curation">003D44</idno><idno type="wicri:Area/Ncbi/Checkpoint">003D44</idno><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:hal-00865320</idno><idno type="url">https://hal.archives-ouvertes.fr/hal-00865320</idno><idno type="wicri:Area/Hal/Corpus">000031</idno><idno type="wicri:Area/Hal/Curation">000031</idno><idno type="wicri:Area/Hal/Checkpoint">000008</idno><idno type="wicri:doubleKey">0885-3185:2013:Ranchet M:impact:of:specific</idno><idno type="wicri:Area/Main/Merge">000958</idno><idno type="wicri:Area/Main/Curation">000958</idno><idno type="wicri:Area/Main/Exploration">000958</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of specific executive functions on driving performance in people with Parkinson's disease.</title><author><name sortKey="Ranchet, Maud" sort="Ranchet, Maud" uniqKey="Ranchet M" first="Maud" last="Ranchet">Maud Ranchet</name><affiliation wicri:level="1"><nlm:affiliation>IFSTTAR, LEPSIS, Marne La Vallée, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>IFSTTAR, LEPSIS, Marne La Vallée</wicri:regionArea><wicri:noRegion>Marne La Vallée</wicri:noRegion><wicri:noRegion>Marne La Vallée</wicri:noRegion></affiliation></author><author><name sortKey="Paire Ficout, Laurence" sort="Paire Ficout, Laurence" uniqKey="Paire Ficout L" first="Laurence" last="Paire-Ficout">Laurence Paire-Ficout</name></author><author><name sortKey="Uc, Ergun Y" sort="Uc, Ergun Y" uniqKey="Uc E" first="Ergun Y" last="Uc">Ergun Y. Uc</name></author><author><name sortKey="Bonnard, Arnaud" sort="Bonnard, Arnaud" uniqKey="Bonnard A" first="Arnaud" last="Bonnard">Arnaud Bonnard</name></author><author><name sortKey="Sornette, Damien" sort="Sornette, Damien" uniqKey="Sornette D" first="Damien" last="Sornette">Damien Sornette</name></author><author><name sortKey="Broussolle, Emmanuel" sort="Broussolle, Emmanuel" uniqKey="Broussolle E" first="Emmanuel" last="Broussolle">Emmanuel Broussolle</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Analysis of Variance</term><term>Automobile Driver Examination</term><term>Automobile Driving</term><term>Cognition Disorders (etiology)</term><term>Executive Function (physiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Parkinson Disease (complications)</term><term>Predictive Value of Tests</term><term>Psychomotor Performance (physiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Executive Function</term><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Analysis of Variance</term><term>Automobile Driver Examination</term><term>Automobile Driving</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Predictive Value of Tests</term></keywords><keywords scheme="mix" xml:lang="fr"><term>COMPORTEMENT DU CONDUCTEUR</term><term>CONDUITE (VEH)</term><term>CONDUITE DU VEHICULE</term><term>MALADIE</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Executive functions encompass various cognitive processes and are critical in novel or demanding driving situations. Our aim was to determine the role of impairments in specific executive functions (updating, flexibility, inhibition) on road performance in drivers with Parkinson's disease (PD), a condition commonly associated with early executive dysfunction. In this pilot study, 19 patients with mild to moderate PD and 21 healthy controls matched for age, education, and driving experience were tested using a neuropsychological battery assessing global cognitive abilities, updating (n-back task), flexibility (plus-minus task), and inhibition (Stroop test). Participants also underwent a 45-minute road test in which they were scored by a driving instructor and a second experimenter. To separate "at-risk" drivers from safe drivers, a composite driving indicator was calculated from the Test Ride for Investigating Practical Fitness to Drive score, the penalty score from the observation grid, and the number of safety interventions made by the driving instructor. Eight of the 40 drivers (all PD) were rated as "at risk." Measures of updating (the n-back task) and mental flexibility (the plus-minus task) predicted driving safety even after adjustment for group status, explaining 53% of the total variance. These 2 tests also discriminated between safe and "at-risk" drivers within the PD group. These findings, although preliminary, suggest that updating and mental flexibility are critical for safe driving in PD. Assessment batteries for driving fitness should probe different aspects of executive functions, specifically when evaluating drivers with PD.</div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Bonnard, Arnaud" sort="Bonnard, Arnaud" uniqKey="Bonnard A" first="Arnaud" last="Bonnard">Arnaud Bonnard</name><name sortKey="Broussolle, Emmanuel" sort="Broussolle, Emmanuel" uniqKey="Broussolle E" first="Emmanuel" last="Broussolle">Emmanuel Broussolle</name><name sortKey="Paire Ficout, Laurence" sort="Paire Ficout, Laurence" uniqKey="Paire Ficout L" first="Laurence" last="Paire-Ficout">Laurence Paire-Ficout</name><name sortKey="Sornette, Damien" sort="Sornette, Damien" uniqKey="Sornette D" first="Damien" last="Sornette">Damien Sornette</name><name sortKey="Uc, Ergun Y" sort="Uc, Ergun Y" uniqKey="Uc E" first="Ergun Y" last="Uc">Ergun Y. Uc</name></noCountry><country name="France"><noRegion><name sortKey="Ranchet, Maud" sort="Ranchet, Maud" uniqKey="Ranchet M" first="Maud" last="Ranchet">Maud Ranchet</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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