Automobile driving in Huntington's disease
Identifieur interne : 005937 ( Main/Exploration ); précédent : 005936; suivant : 005938Automobile driving in Huntington's disease
Auteurs : Rebok [États-Unis] ; Frederick W. Bylsma [États-Unis] ; Penelope M. Keyl [États-Unis] ; Jason Brandt [États-Unis] ; Susan E. Folstein [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1995-11.
English descriptors
- KwdEn :
- Accident rates, Accidents, Traffic (prevention & control), Accidents, Traffic (psychology), Adult, Automobile Driving (psychology), Cognition, Computer Simulation, Disability Evaluation, Driving, Female, Humans, Huntington Disease (diagnosis), Huntington Disease (genetics), Huntington Disease (psychology), Huntington's disease, Male, Mental Status Schedule, Middle Aged, Motor impairment, Neurologic Examination, Neuropsychological Tests, Psychomotor Performance (physiology), Reaction time, Risk Factors.
- MESH :
- diagnosis : Huntington Disease.
- genetics : Huntington Disease.
- physiology : Psychomotor Performance.
- prevention & control : Accidents, Traffic.
- psychology : Accidents, Traffic, Automobile Driving, Huntington Disease.
- Adult, Computer Simulation, Disability Evaluation, Female, Humans, Male, Mental Status Schedule, Middle Aged, Neurologic Examination, Neuropsychological Tests, Risk Factors.
Abstract
We assessed the influence of the neurological and cognitive impairments of Huntington's disease (HD) on automobile driving. In a group of 73 HD outpatients, 53 (72%) continued to drive after illness onset. Those no longer driving had more severe symptoms than those still driving. Twenty‐nine HD patients who were still driving and 16 healthy control subjects underwent a clinical examination, a cognitive examination, a driving‐simulator assessment, and completed questionnaires about driving history and habits. HD patients performed significantly worse than control subjects on the driving‐simulator tasks and were more likely to have been involed in a collision in the preceding 2 years (58% of HD vs. 11% of control subjects). Patients with collisions were less functionally impaired but had slower simple reaction time scores than did those without collisions. HD patients are at increased risk for accidents, but patients who have accidents are not easily distinguished from those who do not.
Url:
DOI: 10.1002/mds.870100611
Affiliations:
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Le document en format XML
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Bylsma</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Keyl, Penelope M" sort="Keyl, Penelope M" uniqKey="Keyl P" first="Penelope M." last="Keyl">Penelope M. 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Folstein</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Tufts University School of Medicine, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1995-11">1995-11</date><biblScope unit="vol">10</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="778">778</biblScope><biblScope unit="page" to="787">787</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8C900C2B48FB70D8D7BC8B180B3BFA9D8C55B8D4</idno><idno type="DOI">10.1002/mds.870100611</idno><idno type="ArticleID">MDS870100611</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accident rates</term><term>Accidents, Traffic (prevention & control)</term><term>Accidents, Traffic (psychology)</term><term>Adult</term><term>Automobile Driving (psychology)</term><term>Cognition</term><term>Computer Simulation</term><term>Disability Evaluation</term><term>Driving</term><term>Female</term><term>Humans</term><term>Huntington Disease (diagnosis)</term><term>Huntington Disease (genetics)</term><term>Huntington Disease (psychology)</term><term>Huntington's disease</term><term>Male</term><term>Mental Status Schedule</term><term>Middle Aged</term><term>Motor impairment</term><term>Neurologic Examination</term><term>Neuropsychological Tests</term><term>Psychomotor Performance (physiology)</term><term>Reaction time</term><term>Risk Factors</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidents, Traffic</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Accidents, Traffic</term><term>Automobile Driving</term><term>Huntington Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Computer Simulation</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Status Schedule</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Neuropsychological Tests</term><term>Risk Factors</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We assessed the influence of the neurological and cognitive impairments of Huntington's disease (HD) on automobile driving. In a group of 73 HD outpatients, 53 (72%) continued to drive after illness onset. Those no longer driving had more severe symptoms than those still driving. Twenty‐nine HD patients who were still driving and 16 healthy control subjects underwent a clinical examination, a cognitive examination, a driving‐simulator assessment, and completed questionnaires about driving history and habits. HD patients performed significantly worse than control subjects on the driving‐simulator tasks and were more likely to have been involed in a collision in the preceding 2 years (58% of HD vs. 11% of control subjects). Patients with collisions were less functionally impaired but had slower simple reaction time scores than did those without collisions. HD patients are at increased risk for accidents, but patients who have accidents are not easily distinguished from those who do not.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Rebok" sort="Rebok" uniqKey="Rebok" last="Rebok">Rebok</name></region><name sortKey="Brandt, Jason" sort="Brandt, Jason" uniqKey="Brandt J" first="Jason" last="Brandt">Jason Brandt</name><name sortKey="Bylsma, Frederick W" sort="Bylsma, Frederick W" uniqKey="Bylsma F" first="Frederick W." last="Bylsma">Frederick W. Bylsma</name><name sortKey="Folstein, Susan E" sort="Folstein, Susan E" uniqKey="Folstein S" first="Susan E." last="Folstein">Susan E. Folstein</name><name sortKey="Keyl, Penelope M" sort="Keyl, Penelope M" uniqKey="Keyl P" first="Penelope M." last="Keyl">Penelope M. 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