Abstract
Background: Driving is an important activity of daily living associated with improved community reintegration and better quality of life. It is however unclear if there is a definite difference in the motor function, community reintegration and quality of life of stroke survivors who returned to driving and those who did not.
Methods: Stroke survivors with pre-stroke driving history participated in this cross sectional survey. Socio-demographics, clinical characteristics and driving history were documented. Motor function, community reintegration and quality of life were assessed using the Modified Motor Assessment Scale (MMAS), Reintegration to Normal Living Index (RNLI) and Health-Related Quality of Life in Stroke Patients (HRQOLISP-40) respectively. Returners and non-returners were compared using Mann Whitney U test at á0.05.
Results: Fifteen out of the 44 stroke survivors (34.1%) who participated in this study had returned to driving after their stroke. There was no significant difference in age, time since stroke onset and years of driving experience prior to stroke onset (p >0.05) between returners and non-returners. There was however a significant difference in the motor function, community reintegration and quality of life between the two groups (p<0.01).
Conclusion: Stroke survivors with pre-stroke driving who returned to driving after stroke had better motor function, community reintegration and quality of life compared to their counterparts who had not returned to driving.
Keywords: Return-to-driving, motor function, community reintegration, quality of life,
Résumé
Contexte: La conduite est une activité de la vie quotidienne importante associée à une meilleure réinsertion sociale et à une meilleure qualité de vie. Il n’est toutefois pas clair s’il existe une différence nette entre la fonction motrice, la réinsertion sociale et la qualité de vie des survivants d’AVC qui sont retournés au volant et de ceux qui ne le sont pas. Les méthodes : Les survivants d’AVC avec antécédents de conduite avant l’AVC ont participé à cette enquête transversale. Les données sociodémographiques, les caractéristiques cliniques et les antécédents de conduite ont été documentés. La fonction motrice, la réintégration en communauté et la qualité de vie ont été respectivement évaluées à l’aide de l’échelle d’évaluation de la motricité modifiée (EEMM), l’indice de réintégration dans la vie normale (IRVN) et de la qualité de vie liée à la santé chez les patients ayant subi un AVC (HRQOLISP-40). Ceux qui sont revenus à la conduite et ceux qui ne sont pas revenus ont été comparés en utilisant letest U de Mann Whitney à α0,05.
Résultats: Quinze des 44 survivants d’AVC (34,1%) ayant participé à cette étude étaient revenus à la conduite après leur AVC. Il n’y avait pas de différence significative dans l’âge, le temps écoulé depuis le début de l’AVC et les années d’expérience de conduite avant le début de l’AVC (p> 0.05) entre ceux qui sont revenus et ceux qui ne sont pas revenus. Il y avait cependant une différence significative dans la fonction motrice, la réintégration dans la communauté et la qualité de vie entre les deux groupes (p <0,01).
Conclusion: Les victimes d’accident vasculaire cérébral avec conduiteavant l’AVCqui sont revenues à la conduite après l’AVC avaient une meilleure fonction motrice, réintégration dans la communauté et une qualité de vie supérieure à celle de leurs homologues qui n’étaient pas revenus à la conduite.
Mots - clés: Retour à la conduite, Fonction motrice, Réintégration dans la communauté, Qualité de vie,
Correspondence: Dr. Olubukola A. Olaleye, Department of Physiotherapy, College of Medicine, University of Ibadan, Nigeria. E-mail: olubukolaolaleye@yahoo.com
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