运动障碍中的驾驶功能损害
Driving Impairment in Movement Disorders.
作者信息
Makhoul Karim, Jankovic Joseph
机构信息
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology Baylor College of Medicine Houston Texas USA.
出版信息
Mov Disord Clin Pract. 2023 Feb 14;10(3):369-381. doi: 10.1002/mdc3.13676. eCollection 2023 Mar.
BACKGROUND
Driving may be adversely affected by any movement disorder, but has been mostly studied in Parkinson's disease (PD). Few studies have addressed driving impairment in patients with Huntington's disease (HD); driving in other movement disorders such as dystonia, blepharospasm and Tourette syndrome (TS) has not been adequately evaluated.
OBJECTIVES
The aim of this review is to summarize the findings of driving impairment in movement disorders and evaluate the usefulness of clinical tools in guiding clinicians whether to refer patients for driving assessment.
METHODS
A review of literature was performed on PubMed and articles on driving and movement disorders were identified using a Boolean phrase.
RESULTS
We were able to identify 66 articles that fulfilled the target subject: impairment of driving in PD, cervical dystonia, blepharospasm, HD and TS. We also included articles discussing the role of driving rehabilitation in patients with movement disorders.
CONCLUSIONS
Driving is often impaired in patients with PD and other movement disorders not only due to motor symptoms but also because of cognitive and behavioral co-morbidities. Certain screening tools may be helpful in guiding the clinician in referring the patients for driving assessment.
背景
任何运动障碍都可能对驾驶产生不利影响，但大多研究集中在帕金森病（PD）。很少有研究探讨亨廷顿舞蹈病（HD）患者的驾驶功能受损情况；对于其他运动障碍，如肌张力障碍、眼睑痉挛和图雷特综合征（TS）患者的驾驶情况，尚未进行充分评估。
目的
本综述旨在总结运动障碍患者驾驶功能受损的研究结果，并评估临床工具在指导临床医生是否将患者转介进行驾驶评估方面的实用性。
方法
在PubMed上进行文献综述，使用布尔短语识别有关驾驶和运动障碍的文章。
结果
我们能够识别出66篇符合目标主题的文章：PD、颈部肌张力障碍、眼睑痉挛、HD和TS患者的驾驶功能受损情况。我们还纳入了讨论驾驶康复在运动障碍患者中作用的文章。
结论
PD和其他运动障碍患者的驾驶功能常受到损害，这不仅是由于运动症状，还因为认知和行为共病。某些筛查工具可能有助于指导临床医生将患者转介进行驾驶评估。
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