Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis
Driving enables stroke survivors to freely participate in social integration. The purpose of this review was to summarize the evidence for the therapeutic effects of driving rehabilitation for patients when they return to driving after stroke and evaluate the predictors of returning to driving to id...
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
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| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/11/11/1637 |
| _version_ | 1797597513700605952 |
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| author | Sujin Hwang Chiang-Soon Song |
| author_facet | Sujin Hwang Chiang-Soon Song |
| author_sort | Sujin Hwang |
| collection | DOAJ |
| description | Driving enables stroke survivors to freely participate in social integration. The purpose of this review was to summarize the evidence for the therapeutic effects of driving rehabilitation for patients when they return to driving after stroke and evaluate the predictors of returning to driving to identify the factors impacting their driving rehabilitation. This study employed a systematic review and meta-analysis. PubMed and four other databases were searched until 31 December 2022. Our review included randomized controlled trials (RCT) and non-RCTs that investigated driving rehabilitation for stroke and observational studies. A total of 16 studies (two non-RCT and 14 non-RCT) were reviewed; two RCTs investigated the effect of driving rehabilitation with a simulator system, and eight and six non-RCTS evaluated the predictive factors of driving return post-stroke and compared the effects of driving rehabilitation for stroke, respectively. The National Institute of Health Stroke Scale (NIHSS) and Mini Mental State Examination (MMSE) scores and having paid employment were significant predictors of resuming driving after stroke. The results suggest that NIHSS, MMSE, and paid employment are predictors of returning to driving post-stroke. Future research should investigate the effect of driving rehabilitation on the resumption of driving in patients with stroke. |
| first_indexed | 2024-03-11T03:07:06Z |
| format | Article |
| id | doaj.art-efde6cb2068943f797f3bfeb98b08985 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T03:07:06Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-efde6cb2068943f797f3bfeb98b089852023-11-18T07:54:11ZengMDPI AGHealthcare2227-90322023-06-011111163710.3390/healthcare11111637Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-AnalysisSujin Hwang0Chiang-Soon Song1Department of Physical Therapy, Division of Health Science, Baekseok University, Cheonan 31065, Republic of KoreaDepartment of Occupational Therapy, College of Natural Science and Public Health and Safety, Chosun University, Gwangju 61452, Republic of KoreaDriving enables stroke survivors to freely participate in social integration. The purpose of this review was to summarize the evidence for the therapeutic effects of driving rehabilitation for patients when they return to driving after stroke and evaluate the predictors of returning to driving to identify the factors impacting their driving rehabilitation. This study employed a systematic review and meta-analysis. PubMed and four other databases were searched until 31 December 2022. Our review included randomized controlled trials (RCT) and non-RCTs that investigated driving rehabilitation for stroke and observational studies. A total of 16 studies (two non-RCT and 14 non-RCT) were reviewed; two RCTs investigated the effect of driving rehabilitation with a simulator system, and eight and six non-RCTS evaluated the predictive factors of driving return post-stroke and compared the effects of driving rehabilitation for stroke, respectively. The National Institute of Health Stroke Scale (NIHSS) and Mini Mental State Examination (MMSE) scores and having paid employment were significant predictors of resuming driving after stroke. The results suggest that NIHSS, MMSE, and paid employment are predictors of returning to driving post-stroke. Future research should investigate the effect of driving rehabilitation on the resumption of driving in patients with stroke.https://www.mdpi.com/2227-9032/11/11/1637automobile drivingpredictorsrehabilitationstroke |
| spellingShingle | Sujin Hwang Chiang-Soon Song Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis Healthcare automobile driving predictors rehabilitation stroke |
| title | Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis |
| title_full | Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis |
| title_fullStr | Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis |
| title_full_unstemmed | Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis |
| title_short | Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis |
| title_sort | driving rehabilitation for stroke patients a systematic review with meta analysis |
| topic | automobile driving predictors rehabilitation stroke |
| url | https://www.mdpi.com/2227-9032/11/11/1637 |
| work_keys_str_mv | AT sujinhwang drivingrehabilitationforstrokepatientsasystematicreviewwithmetaanalysis AT chiangsoonsong drivingrehabilitationforstrokepatientsasystematicreviewwithmetaanalysis |