ArticleJournal of neuroengineering and rehabilitation2021
Cognitive and motor deficits contribute to longer braking time in stroke.
Article in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Driving behavior and driving outcomes after acute and critical illness: A systematic review.International journal of nursing studies · 2025Pooled it
- Cognitive Impairments Impact Functional Mobility in Stroke Survivors.Neurorehabilitation and neural repair · 2025Article
- Implications of Intra-Individual Variability in Motor Performance on Functional Mobility in Stroke Survivors.Geriatrics (Basel, Switzerland) · 2025Article
- Bundled assessment to replace on-road test on driving function in stroke patients: a binary classification model via random forest.Frontiers in aging neuroscience · 2025Article
- Driving Rehabilitation for Stroke Patients: A Systematic Review with Meta-Analysis.Healthcare (Basel, Switzerland) · 2023Review
- Repetitive Transcranial Magnetic Stimulation of the Brain After Ischemic Stroke: Mechanisms from Animal Models.Cellular and molecular neurobiology · 2023Review
- Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study.Journal of cardiovascular development and disease · 2023Article
- Imbalance of Microbacterial Diversity Is Associated with Functional Prognosis of Stroke.Neural plasticity · 2023Article
- Motor Training After Stroke: A Novel Approach for Driving Rehabilitation.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBraking is a critical determinant of safe driving that depends on the integrity of cognitive and motor processes. Following stroke, both cognitive and motor capabilities are impaired to varying degrees. The current study examines the combined impact of cognitive and motor impairments on braking time in chronic stroke.
methodsTwenty stroke survivors and 20 aged-matched healthy controls performed cognitive, motor, and simulator driving assessments. Cognitive abilities were assessed with processing speed, divided attention, and selective attention. Motor abilities were assessed with maximum voluntary contraction (MVC) and motor accuracy of the paretic ankle. Driving performance was examined with the braking time in a driving simulator and self-reported driving behavior.
resultsBraking time was 16% longer in the stroke group compared with the control group. The self-reported driving behavior in stroke group was correlated with braking time (r = - 0.53, p = 0.02). The stroke group required significantly longer time for divided and selective attention tasks and showed significant decrease in motor accuracy. Together, selective attention time and motor accuracy contributed to braking time (R
conclusionsThis study provides novel evidence that decline in selective attention and motor accuracy together contribute to slowed braking in stroke survivors. Driving rehabilitation after stroke may benefit from the assessment and training of attentional and motor skills to improve braking during driving.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.