COMPARING THE IMPAIRMENT PROFILES OF OLDER DRIVERS AND NON-DRIVERS: TOWARD THE DEVELOPMENT OF A FITNESS-TO-DRIVE MODEL

Overview

Journal Saf Sci

Publisher Elsevier

Specialty Public Health

Date 2011 Nov 8

PMID 22058607

Citations 4

Authors

Jonathan F Antin

Thurmon E Lockhart

Laura M Stanley

Feng Guo

Affiliations

Soon will be listed here.

Abstract

The purpose of this research effort was to compare older driver and non-driver functional impairment profiles across some 60 assessment metrics in an initial effort to contribute to the development of fitness-to-drive assessment models. Of the metrics evaluated, 21 showed statistically significant differences, almost all favoring the drivers. Also, it was shown that a logistic regression model comprised of five of the assessment scores could completely and accurately separate the two groups. The results of this study imply that older drivers are far less functionally impaired than non-drivers of similar ages, and that a parsimonious model can accurately assign individuals to either group. With such models, any driver classified or diagnosed as a non-driver would be a strong candidate for further investigation and intervention.

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References

Giovagnoli A, Del Pesce M, Mascheroni S, Simoncelli M, Laiacona M, Capitani E . Trail making test: normative values from 287 normal adult controls. Ital J Neurol Sci. 1996; 17(4):305-9. DOI: 10.1007/BF01997792. View

Fildes B . Future directions for older driver research. Traffic Inj Prev. 2008; 9(4):387-93. DOI: 10.1080/15389580802272435. View

Chandler J, Duncan P, Kochersberger G, Studenski S . Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders?. Arch Phys Med Rehabil. 1998; 79(1):24-30. DOI: 10.1016/s0003-9993(98)90202-7. View

Simoneau E, Martin A, Van Hoecke J . Muscular performances at the ankle joint in young and elderly men. J Gerontol A Biol Sci Med Sci. 2005; 60(4):439-47. DOI: 10.1093/gerona/60.4.439. View

Ball K, Roenker D, Wadley V, Edwards J, Roth D, McGwin Jr G . Can high-risk older drivers be identified through performance-based measures in a Department of Motor Vehicles setting?. J Am Geriatr Soc. 2006; 54(1):77-84. DOI: 10.1111/j.1532-5415.2005.00568.x. View

Stutts J, Stewart J, Martell C . Cognitive test performance and crash risk in an older driver population. Accid Anal Prev. 1998; 30(3):337-46. DOI: 10.1016/s0001-4575(97)00108-5. View

Staplin L, Gish K, Joyce J . 'Low mileage bias' and related policy implications--a cautionary note. Accid Anal Prev. 2008; 40(3):1249-52. DOI: 10.1016/j.aap.2007.10.012. View

Kim S, Lockhart T, Nam C . Leg Strength Comparison between Younger and Middle-age Adults. Int J Ind Ergon. 2010; 40(3):315-320. PMC: 2861367. DOI: 10.1016/j.ergon.2009.11.003. View

Freund B, Gravenstein S, Ferris R, Burke B, Shaheen E . Drawing clocks and driving cars. J Gen Intern Med. 2005; 20(3):240-4. PMC: 1490081. DOI: 10.1111/j.1525-1497.2005.40069.x. View

10.

Braver E, Trempel R . Are older drivers actually at higher risk of involvement in collisions resulting in deaths or non-fatal injuries among their passengers and other road users?. Inj Prev. 2004; 10(1):27-32. PMC: 1756534. DOI: 10.1136/ip.2003.002923. View

11.

Hakamies-Blomqvist L . Older drivers' accident risk: conceptual and methodological issues. Accid Anal Prev. 1998; 30(3):293-7. DOI: 10.1016/s0001-4575(97)00120-6. View

12.

Chambers A, Cham R . Slip-related muscle activation patterns in the stance leg during walking. Gait Posture. 2006; 25(4):565-72. DOI: 10.1016/j.gaitpost.2006.06.007. View

13.

Rubenstein L, Josephson K, Trueblood P, Loy S, Harker J, Pietruszka F . Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. J Gerontol A Biol Sci Med Sci. 2000; 55(6):M317-21. DOI: 10.1093/gerona/55.6.m317. View

14.

Lockhart T, Kim S . Relationship between hamstring activation rate and heel contact velocity: factors influencing age-related slip-induced falls. Gait Posture. 2005; 24(1):23-34. PMC: 2895264. DOI: 10.1016/j.gaitpost.2005.06.016. View

15.

Shinar D, Schieber F . Visual requirements for safety and mobility of older drivers. Hum Factors. 1991; 33(5):507-19. DOI: 10.1177/001872089103300503. View

16.

Langford J . Usefulness of off-road screening tests to licensing authorities when assessing older driver fitness to drive. Traffic Inj Prev. 2008; 9(4):328-35. DOI: 10.1080/15389580801895178. View

17.

Dellinger A, Sehgal M, Sleet D, Barrett-Connor E . Driving cessation: what older former drivers tell us. J Am Geriatr Soc. 2001; 49(4):431-5. DOI: 10.1046/j.1532-5415.2001.49087.x. View

18.

Ball K, Owsley C, Sloane M, Roenker D, BRUNI J . Visual attention problems as a predictor of vehicle crashes in older drivers. Invest Ophthalmol Vis Sci. 1993; 34(11):3110-23. View

19.

Tang P, Woollacott M . Inefficient postural responses to unexpected slips during walking in older adults. J Gerontol A Biol Sci Med Sci. 1998; 53(6):M471-80. DOI: 10.1093/gerona/53a.6.m471. View

20.

Marshall S . The role of reduced fitness to drive due to medical impairments in explaining crashes involving older drivers. Traffic Inj Prev. 2008; 9(4):291-8. DOI: 10.1080/15389580801895244. View