A randomized trial of a physical conditioning program to enhance the driving performance of older persons.

A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Research Abstract Details 

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A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Abstract Text:

Richard A Marottoli,Heather Allore,Katy L B Araujo,Lynne P Iannone,Denise Acampora,Margaret Gottschalk,Peter Charpentier,Stanislav Kasl,Peter Peduzzi,

BACKGROUND: As the number of older drivers increases, concern has been raised about the potential safety implications. Flexibility, coordination, and speed of movement have been associated with older drivers' on road performance. OBJECTIVE: To determine whether a multicomponent physical conditioning program targeted to axial and extremity flexibility, coordination, and speed of movement could improve driving performance among older drivers. DESIGN: Randomized controlled trial with blinded assignment and end point assessment. Participants randomized to intervention underwent graduated exercises; controls received home, environment safety modules. PARTICIPANTS: Drivers, 178, age > or = 70 years with physical, but without substantial visual (acuity 20/40 or better) or cognitive (Mini Mental State Examination score > or =24) impairments were recruited from clinics and community sources. MEASUREMENTS: On-road driving performance assessed by experienced evaluators in dual-brake equipped vehicle in urban, residential, and highway traffic. Performance rated three ways: (1) 36-item scale evaluating driving maneuvers and traffic situations; (2) evaluator's overall rating; and (3) critical errors committed. Driving performance reassessed at 3 months by evaluator blinded to treatment group. RESULTS: Least squares mean change in road test scores at 3 months compared to baseline was 2.43 points higher in intervention than control participants (P = .03). Intervention drivers committed 37% fewer critical errors (P = .08); there were no significant differences in evaluator's overall ratings (P = .29). No injuries were reported, and complaints of pain were rare. CONCLUSIONS: This safe, well-tolerated intervention maintained driving performance, while controls declined during the study period. Having interventions that can maintain or enhance driving performance may allow clinician-patient discussions about driving to adopt a more positive tone, rather than focusing on driving limitation or cessation.

A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Publishing Authors By Initials

RA Marottoli,H Allore,KL Araujo,LP Iannone,D Acampora,M Gottschalk,P Charpentier,S Kasl,P Peduzzi,

For similar psychological phenomena and processes: psychomotor performance research abstracts see: psychological phenomena and processes: psychomotor performance research

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A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of general internal medicine : official jo

VOLUME: 22

Page Numbers: 590-7

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ISSN: 1525-1497

DAY: 3

MONTH: May

YEAR: 2007

A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Information

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LANGUAGE: eng

NlmUniqueID: 8605834

A randomized trial of a physical conditioning program to enhance the driving performance of older persons. Keywords Mesh Terms:

KEYWORDS: Psychomotor Performance

MESH TERMS: prevention & control

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Grant and Affiliation Information for A randomized trial of a physical conditioning program to enhance the driving performance of older persons.

AFFILIATION: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. Richard.Marottoli@ynhh.org

Country: United States

AGENCY: United States NIA

GRANT: P60-AG10469-NIA

ACRONYM: AG

MEDLINETA: J Gen Intern Med

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