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Subject: Reduced Driving Safety in PD (AAN 2000) Date: 5/8/2000 Reduced Driving Safety in PD (AAN 2000)E-MOVE reports from the 52nd Annual Meeting of the American Academy of Neurology, held in San Diego, California, 30 April-5 May 2000. Citation numbers below refer to abstracts of presentations and posters, which are published in Neurology 2000;54(suppl.3). Driving safety in Parkinson's disease TA Zesiewicz, CR Cimino, NM Gardner, P Leaverton, RA Hauser S80.005 The risk of automobile accidents increases with parkinsonian disability, according to this study. Thirty-nine PD patients (including 17 who had reduced or stopped driving after disease onset) underwent driving tests in a driving simulator. Total collisions in the simulator were elevated approximately six-fold compared to age-matched controls (p<0.01), and remained significantly elevated even after removing non-driving PD patients from the analysis. Number of collisions was significantly correlated with UPDRS motor score and Hoehn and Yahr stage, but not with patient self-report of driving ability, or with presence of tremor or dyskinesia. While the present study did not test it, the authors noted that, anecdotally, physician assessment of driving-related ability is not correlated with driving ability as determined by the simulator. E-MOVE Editor: Richard Robinson, NASW, WE MOVE
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