Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease
Objective. To determine the influence of deep brain stimulation (DBS) on daily routine driving behavior in Parkinson’s disease (PD) patients. Methods. A cross-sectional questionnaire survey was done in 121 DBS-PD patients. The influences of patient characteristics and DBS on current driving and driv...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2015/608961 |
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| author | Carsten Buhmann Eik Vettorazzi Christian Oehlwein Fred Rikkers Monika Poetter-Nerger Alessandro Gulberti Christian Gerloff Christian K. Moll Wolfgang Hamel |
| author_facet | Carsten Buhmann Eik Vettorazzi Christian Oehlwein Fred Rikkers Monika Poetter-Nerger Alessandro Gulberti Christian Gerloff Christian K. Moll Wolfgang Hamel |
| author_sort | Carsten Buhmann |
| collection | DOAJ |
| description | Objective. To determine the influence of deep brain stimulation (DBS) on daily routine driving behavior in Parkinson’s disease (PD) patients. Methods. A cross-sectional questionnaire survey was done in 121 DBS-PD patients. The influences of patient characteristics and DBS on current driving and driving at time of surgery and the predictive value of the preoperative levodopa-test on postoperative driving were evaluated. Results. 50% of 110 driving-license holders currently drove. 63.0% rated themselves as safe drivers, 39.4% reported improvement, and 10.9% noted deterioration in driving after DBS surgery. Inactive drivers had quit driving mainly due to disease burden (90.9%). Active drivers were younger, more often males, and less impaired according to H&Y and MMSE, had surgery more recently, and reported more often overall benefit from DBS. H&Y “on” and UPDRS III “off” scores at time of surgery were lower in pre- and postoperative active than in inactive drivers. Tremor and akinesia were less frequent reasons to quit driving after than before DBS surgery. Postoperatively, 22.7% (10/44) of patients restarted and 10.6% (7/66) of patients discontinued driving, independently of H&Y stage. The preoperative levodopa-test was not predictive for the postoperative driving outcome. Conclusion. 50% of PD patients with DBS drive. DBS surgery changes daily routine driving behavior. |
| format | Article |
| id | doaj-art-9ce51b2c6c8d47f9a1bd797f77c01242 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-9ce51b2c6c8d47f9a1bd797f77c012422025-02-03T05:54:39ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/608961608961Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s DiseaseCarsten Buhmann0Eik Vettorazzi1Christian Oehlwein2Fred Rikkers3Monika Poetter-Nerger4Alessandro Gulberti5Christian Gerloff6Christian K. Moll7Wolfgang Hamel8Department of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyNeurological Outpatient Clinic for Parkinson’s Disease and Deep Brain Stimulation, Lasurstrasse 27, 07551 Gera, GermanyDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyObjective. To determine the influence of deep brain stimulation (DBS) on daily routine driving behavior in Parkinson’s disease (PD) patients. Methods. A cross-sectional questionnaire survey was done in 121 DBS-PD patients. The influences of patient characteristics and DBS on current driving and driving at time of surgery and the predictive value of the preoperative levodopa-test on postoperative driving were evaluated. Results. 50% of 110 driving-license holders currently drove. 63.0% rated themselves as safe drivers, 39.4% reported improvement, and 10.9% noted deterioration in driving after DBS surgery. Inactive drivers had quit driving mainly due to disease burden (90.9%). Active drivers were younger, more often males, and less impaired according to H&Y and MMSE, had surgery more recently, and reported more often overall benefit from DBS. H&Y “on” and UPDRS III “off” scores at time of surgery were lower in pre- and postoperative active than in inactive drivers. Tremor and akinesia were less frequent reasons to quit driving after than before DBS surgery. Postoperatively, 22.7% (10/44) of patients restarted and 10.6% (7/66) of patients discontinued driving, independently of H&Y stage. The preoperative levodopa-test was not predictive for the postoperative driving outcome. Conclusion. 50% of PD patients with DBS drive. DBS surgery changes daily routine driving behavior.http://dx.doi.org/10.1155/2015/608961 |
| spellingShingle | Carsten Buhmann Eik Vettorazzi Christian Oehlwein Fred Rikkers Monika Poetter-Nerger Alessandro Gulberti Christian Gerloff Christian K. Moll Wolfgang Hamel Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease Parkinson's Disease |
| title | Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease |
| title_full | Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease |
| title_fullStr | Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease |
| title_full_unstemmed | Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease |
| title_short | Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease |
| title_sort | impact of deep brain stimulation on daily routine driving practice in patients with parkinson s disease |
| url | http://dx.doi.org/10.1155/2015/608961 |
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