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مجله علوم اعصاب شفای خاتم، جلد ۲، شماره ۴، صفحات ۱۶۰-۱۶۰
عنوان فارسی P۱۱۰: Driving and Neurodegenerative Diseases
چکیده فارسی مقاله لطفاً به چکیده انگلیسی مراجعه شود.
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عنوان انگلیسی P110: Driving and Neurodegenerative Diseases
چکیده انگلیسی مقاله The proportion of elderly in the general population is rising, resulting in greater numbers of Drivers with neurodegenerative disorders such as Alzheimer’s disease (AD) and Parkinson’s disease (PD). Alzheimer’s disease is a progressive neurodegenerative disorder typified by memory impairment with executive dysfunction, motor problems, and/or language difficulties. Parkinson’s disease is a progressive neurodegenerative disease that impairs ability to execute conscious physical movement in addition to other motor functions. What is more, mood disturbances may occur as well. However, PD appears to be associated with decreased driving and increased crashes, especially in those with worse motor and cognitive dysfunction. A review panel found that drivers with mild cognitive impairment (MCI)-very mild AD (Clinical Dementia Rating Scale [CDR]=0.5) - have impairments similar to drivers aged 16–21 or those driving under the influence of alcohol at a blood alcohol concentration< 0.08%. They were also recommended to reassess dementia severity and driving fitness every 6 months, but quit driving in mild AD (CDR=1) due to history of increased crashes and poor driving performance. In conclusion, Medical diagnosis or a clinician’s assessments alone are not accurate enough to determine driving competence in those with dementia. Although neuropsychological tests help them to understand associations of driver performance with cognitive impairment, a general lack of validated cut off scores makes it impossible to employ these tests in a standardized fashion to advice patients. Furthermore, there are no established guidelines on driver’s follow-up timing with mild dementia recommendations range from 6 months or less than a year. Thus, medical diagnosis or age alone is not reliable enough to predict driver safety, crashes, or revoke the driving privileges of these drivers. In addition, outlining the evolution of driving safety, understanding the mechanisms of driving impairment, and developing a reliable and efficient standardized test battery for prediction of driver safety in neurodegenerative disorder informed healthcare providers to advise their patients about neurodegenerative disorders with more certainty, affected policy, and develop rehabilitative measures for driving.
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نویسندگان مقاله مصطفی مدرس موسوی | mostafa modarres mousavi
shefa neuroscience research center, khatam alanbia hospital, tehran, iran.

سازمان اصلی تایید شده: مرکز تحقیقات علوم اعصاب شفا (Shefa neuroscience research center)

مریم جعفریان | maryam jafarian
a. shefa neuroscience research center, khatam alanbia hospital, tehran, iran. b. school of advanced technologies in medicine, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

سجاد سحاب نگاه | sajad sahab negah
shefa neuroscience research center, khatam alanbia hospital, tehran, iran.

سازمان اصلی تایید شده: مرکز تحقیقات علوم اعصاب شفا (Shefa neuroscience research center)

آرزو اسحق آبادی | arezou eshaghabadi
shefa neuroscience research center, khatam alanbia hospital, tehran, iran.

سازمان اصلی تایید شده: مرکز تحقیقات علوم اعصاب شفا (Shefa neuroscience research center)

شاهین محمد صادقی | shahin mohammad sadeghi
department of plastic and reconstructive surgery, shahid beheshti university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

نشانی اینترنتی http://shefayekhatam.ir/browse.php?a_code=A-10-24-509&slc_lang=fa&sid=fa
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/337/article-337-332357.pdf
کد مقاله (doi)
زبان مقاله منتشر شده fa
موضوعات مقاله منتشر شده نورولوژی
نوع مقاله منتشر شده مروری
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