Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson's Disease
Standard
Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson's Disease. / Buhmann, Carsten; Vettorazzi, Eik; Oehlwein, Christian; Rikkers, Fred; Poetter-Nerger, Monika; Gulberti, Alessandro; Gerloff, Christian; Moll, Christian K; Hamel, Wolfgang.
in: PARKINSONS DIS-US, Jahrgang 2015, 2015, S. 608961.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson's Disease
AU - Buhmann, Carsten
AU - Vettorazzi, Eik
AU - Oehlwein, Christian
AU - Rikkers, Fred
AU - Poetter-Nerger, Monika
AU - Gulberti, Alessandro
AU - Gerloff, Christian
AU - Moll, Christian K
AU - Hamel, Wolfgang
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
U2 - 10.1155/2015/608961
DO - 10.1155/2015/608961
M3 - SCORING: Journal article
C2 - 26640738
VL - 2015
SP - 608961
JO - PARKINSONS DIS-US
JF - PARKINSONS DIS-US
SN - 2090-8083
ER -
