Driving with a chronic whiplash associated disorder: a review of patients' perspectives

Takasaki, H, Johnston, V, Treleaven, J, Pereira, M and Jull, G (2011) Driving with a chronic whiplash associated disorder: a review of patients' perspectives. Archives of Physical Medicine and Rehabilitation, 92 1: 106-110. doi:10.1016/j.apmr.2010.10.008


Author Takasaki, H
Johnston, V
Treleaven, J
Pereira, M
Jull, G
Title Driving with a chronic whiplash associated disorder: a review of patients' perspectives
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2011-01-11
Year available 2010
Sub-type Article (original research)
DOI 10.1016/j.apmr.2010.10.008
Volume 92
Issue 1
Start page 106
End page 110
Total pages 5
Place of publication United States
Publisher W.B. Saunders Co.
Collection year 2011
Language eng
Formatted abstract
Objective
To document troublesome driving tasks and any changes in driving behavior reported by people with chronic whiplash-associated disorders (WADs).

Design
Descriptive study; semistructured interview.

Setting
Tertiary institution.

Participants

Patients (N=33) with chronic WAD.

Interventions

Not applicable.

Main Outcome Measures
Neck Disability Index (NDI), visual analog scale for neck pain at rest and while driving, exposure section of the Driving Habit Questionnaire, self-rating perceived current driving ability, semistructured interview about presenting symptoms, troublesome driving tasks, and perceived changes in driving behavior after a whiplash injury.

Results
Subjects (24 of 33; 73%) reported a decrease in driving ability, rating an average of 6.7±2.2 on an 11-point scale (0, unable to drive; 10, driving at preinjury level). These subjects scored higher on the NDI (41.8%±18.4%), experienced greater neck pain at rest (4.3±2.1/10) and while driving (5.7±2.1/10), and reported decreased concentration more frequently than those who rated their driving ability at a preinjury level (ie, 10). The most frequently nominated troublesome driving tasks were checking blind spots, prolonged driving, and reversing/reverse parking, and the most frequently cited changes in driving behavior included more use of trunk rotation (75%), altered steering wheel grip (63%), more anxious/nervous while driving (54%), and more cautious driving (50%).

Conclusions

The chronic whiplash population appears to have unique troublesome driving tasks (eg, prolonged driving, checking blind spots) that are not readily detected in currently available driving ability/difficulty scales, suggesting that a new scale may be required for this population. © 2011 American Congress of Rehabilitation Medicine.
Keyword Automobile driving
Questionnaires
Rehabilitation
Whiplash injuries
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 01 Mar 2011, 15:13:02 EST by Dr Venerina Johnston on behalf of School of Health & Rehabilitation Sciences