Driving with Parkinson’s disease : Cut points for clinical predictors of on-road outcomes / Liliana Alvarez
Creator: Álvarez, Liliana [autor].
Material type: ArticleContent type: text Media type: informàtic Carrier type: recurs en líniaSubject(s): Teràpia Ocupacional | Malaltia de Parkinson | Malalties neurodegeneratives | Conducció de vehicles | Predicció | Avaluació dels resultatsOnline resources: Accés restringit a usuaris de l'EUIT
Contents:
In:
CANADIAN JOURNAL OF OCCUPATIONAL THERAPY 2018 JUN;85(3):232–241.Summary: Background.
Parkinson’s disease (PD) is a common neurodegenerative disorder that impacts a person’s fitness to drive. Practitioners require a sensitive and predictive battery of clinical tests to identify at-risk drivers.
Purpose.
This study aimed to identify clinical predictors and their optimal cut points, sensitivity, specificity, and predictive values of on-road outcomes in drivers with PD.
Method.
Participants (N = 101) underwent a comprehensive driving evaluation. We identified predictors of pass/fail outcomes through logistic regression and computed optimal cut points through receiver operating characteristic curves and corresponding Youden indexes.
Findings.
The Trail Making Test Part B (Trails B; sensitivity = .89, specificity = .74; positive predictive value [PPV] = .71; negative predictive value [NPV] = .91) and contrast sensitivity (sensitivity = .82, specificity = .63; PPV = .61; NPV = .84) emerged as significant predictors. The optimal cut point for the Trails B was 108 s (area under the curve = .86).
Implications.
Occupational therapists can benefit from implementing Trails B and contrast sensitivity screening as part of in-office screening of potentially at-risk drivers with PD.
Sherrilene Classen
Item type | Current library | Collection | Call number | URL | Status | Date due | Barcode | |
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Journal | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Exclòs de préstec | 0001017291412 | |||
Journal article | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Not for loan | 0000101726854 |
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