Driving and visual deficits in stroke patients

ABSTRACT Objective: The aim of the present study was to conduct an exploratory assessment of visual impairment following stroke, and to discuss the possibilities of reintroducing patients to the activity of driving. Methods: The Useful Field of View test was used to assess visual processing and visual attention. Results: A total of 18 patients were included in the study, and were assigned to either the drive group (n = 9) or the intention group (n = 9). In the drive group, one patient was categorized as moderate-to-high risk; whereas, in the intention group, one patient was categorized as low-to-moderate risk. Additionally, two patients in the intention group were categorized as high risk. The patients did not perceive their visual deficits as a limitation. Conclusion: Visual attention is an interference factor in terms of the safe performance of driving after a stroke. All patients showed a high level of interest for the independence provided through being able to drive.

摘要
研究目的：本研究旨在对卒中后视力损伤情况开展探索性评估，并探讨协助患者重返驾驶活动的可行路径。
方法：采用有用视野测验（Useful Field of View test）评估视觉处理能力与视觉注意力。
结果：本研究共纳入18例患者，将其分为驾驶组（n=9）与意向组（n=9）。驾驶组中有1例患者被归类为中高度风险；意向组内则有1例患者被归类为低中度风险，另有2例患者被归类为高度风险。所有患者均未将自身视觉缺陷视为驾驶活动的限制因素。
结论：视觉注意力是影响卒中后安全驾驶的干扰因素。所有患者均对驾驶所能提供的出行独立性表现出极高的兴趣。