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Cognitive and motor deficits contribute to longer braking time in stroke
- Source :
- Journal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-10 (2021), Journal of NeuroEngineering and Rehabilitation
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Background Braking is a critical determinant of safe driving that depends on the integrity of cognitive and motor processes. Following stroke, both cognitive and motor capabilities are impaired to varying degrees. The current study examines the combined impact of cognitive and motor impairments on braking time in chronic stroke. Methods Twenty stroke survivors and 20 aged-matched healthy controls performed cognitive, motor, and simulator driving assessments. Cognitive abilities were assessed with processing speed, divided attention, and selective attention. Motor abilities were assessed with maximum voluntary contraction (MVC) and motor accuracy of the paretic ankle. Driving performance was examined with the braking time in a driving simulator and self-reported driving behavior. Results Braking time was 16% longer in the stroke group compared with the control group. The self-reported driving behavior in stroke group was correlated with braking time (r = − 0.53, p = 0.02). The stroke group required significantly longer time for divided and selective attention tasks and showed significant decrease in motor accuracy. Together, selective attention time and motor accuracy contributed to braking time (R2 = 0.40, p = 0.01) in stroke survivors. Conclusions This study provides novel evidence that decline in selective attention and motor accuracy together contribute to slowed braking in stroke survivors. Driving rehabilitation after stroke may benefit from the assessment and training of attentional and motor skills to improve braking during driving.
- Subjects :
- Male
Automobile Driving
030506 rehabilitation
medicine.medical_specialty
Neurology
Braking time
Movement
medicine.medical_treatment
Health Informatics
lcsh:RC321-571
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Reaction Time
medicine
Humans
Attention
Cognitive Dysfunction
Muscle Strength
Selective attention
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Stroke
Visual attention
Motor skill
Aged
Motor accuracy
Rehabilitation
business.industry
Research
Driving simulator
Cognition
Middle Aged
Divided attention
medicine.disease
body regions
Motor Skills
Female
Self Report
0305 other medical science
business
human activities
030217 neurology & neurosurgery
Driving
Subjects
Details
- ISSN :
- 17430003
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of NeuroEngineering and Rehabilitation
- Accession number :
- edsair.doi.dedup.....c52ae0a51aafcec23b00a9f251cc992e