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    New research sheds light on when it's safe to drive after a stroke

    Consumer Reports News: February 22, 2011 10:57 AM

    Three simple tests that take just 15 minutes in a doctor's office can help people who've had a stroke determine when they can safely get back behind the wheel, according to a study in the Feb. 22, 2011, issue of Neurology, the journal of the American Academy of Neurology.

    Researchers analyzed 30 previous trials, including 1,728 stroke victims with an average age of 61. All the studies involved three in-office tests taken about 9 months after the stroke: a road-sign recognition test that assesses traffic knowledge and visual comprehension; a compass test that examines visual-perceptual and mental speed; and a trail-making test that measures visual-motor tracking and visual scanning abilities.

    People who scored low in any of those tests (below 8.5 out of 12 on the road sign test or 25 out of 32 on the compass test, and who took more than 90 seconds to finish the trail-making test) were more likely to fail an on-road evaluation. The tests correctly classified 80 to 85 percent of the drivers who failed the on-road test. In addition, the analysis found that three out of four studies showed no increased risk of accidents for people cleared to drive after a stroke.

    "People who've had a stroke should talk with their doctor about the tests," says Orly Avitzur, M.D., medical adviser to Consumer Reports and a board-certified neurologist. "If necessary, they should ask for a referral to neuropsychologist or occupational therapist experienced in giving them." In addition, people recovering from a stroke should make sure that they are enrolled in a comprehensive rehabilitation program, and ask about the various adaptive devices that can help people recovering from a stroke drive safely.

    —Joel Keehn, senior editor

     Read about when it's time to take the keys from an older driver, as well as research showing that older drivers can be safe drivers.

     


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