UNASSIGNED:我们报告了根据视野丧失的特殊情况规则返回英国驾驶的结果。
未经评估:偏盲适应研究是一项前瞻性临床研究,招募新发同义偏盲的成年卒中幸存者。移动性评估课程(MAC)用于测量导航扫描。为汽车驾驶员提供了1年的中风后评估,以考虑转介进行驾驶评估。
未经批准:在144名参与者中,51人符合驾驶评估资格,13(25.4%)接受英国驾驶和车辆许可机构(DVLA)转介的任命。性别和基线Barthel(卒中严重程度)评分在要求转诊者和下降者之间存在统计学上的显着差异(p=0.046;p<0.001)。MAC结果显着不同,转诊的目标遗漏百分比较低(9.0%),平均课程完成时间较快(46.0s),高于未提及的(28.3%/72.5s)(p=0.006/p<0.001)。DVLA为13个参考中的12个提供了驾驶评估。所有12人都通过了,并返回了驾驶。
UNASSIGNED:中风后同义偏盲的人有可能重返驾驶,满足特殊情况标准的地方。有证据支持使用MAC作为适应的临床测量。对康复的影响中风后同义偏盲的人应该充分了解不同国家之间的驾驶规定,有时一个国家内的不同州,以及提供支持和机会考虑在适当情况下恢复驾驶。在中风多学科团队中提供护理的专业人士应该意识到,同名偏盲的患者有可能重返驾驶,当满足特殊情况标准时。流动性评估课程(MAC)应被视为对同义偏盲的适应性的临床测量。可以采用MAC上≤25%的遗漏分数来确定那些可能长期适应偏盲并可能恢复驾驶的人。
UNASSIGNED: We report results in relation to returning to driving in the UK under the exceptional cases rule for visual field loss.
UNASSIGNED: The
Hemianopia Adaptation
Study is a prospective clinical
study recruiting adult stroke survivors with new onset homonymous
hemianopia. The mobility assessment course (MAC) was used to measure navigational scanning. Car drivers were offered a 1-year post-stroke assessment to consider referral for driving assessment.
UNASSIGNED: Of 144 participants, 51 were eligible for driving assessment, with 13 (25.4%) accepting appointment for UK Driving and Vehicle Licensing Agency (DVLA) referral. A statistically significant difference in gender and baseline Barthel (stroke severity) scores was found between those requesting referral and those declining (p = 0.046; p < 0.001). MAC outcomes were significantly different, with those referred having a lower percentage of target omissions (9.0%) and faster mean course completion time (46.0 s), than those not referred (28.3%/72.5 s) (p = 0.006/p < 0.001). Twelve of the 13 referred were offered a driving assessment by the DVLA. All 12 passed and returned to driving.
UNASSIGNED: It is possible for individuals with post-stroke homonymous
hemianopia to return to driving, where exceptional cases criteria are met. There is evidence to support use of the MAC as a clinical measurement of adaptation.IMPLICATIONS FOR REHABILITATIONIndividuals with post-stroke homonymous
hemianopia should be fully informed regarding driving regulations that can differ between countries and sometimes different states within a country, as well as provided with the support and opportunity to consider a return to driving if appropriate.Professionals providing care within the stroke multi-disciplinary team should be aware that it is possible for patients with homonymous
hemianopia to return to driving, when exceptional cases criteria are met.The mobility assessment course (MAC) should be considered as a clinical measurement of adaptation in homonymous hemianopia.A cut-off score of ≤25% omissions on MAC could be employed to determine those likely to adapt to hemianopia long-term and potentially return to driving.