Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson's Disease
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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, Vol. 2015, 2015, p. 608961.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -