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Journal of NeuroEngineering and Rehabilitation
Published in: Journal of NeuroEngineering and Rehabilitation 1/2021

01-12-2021 | Stroke | Research

Cognitive and motor deficits contribute to longer braking time in stroke

Authors: Neha Lodha, Prakruti Patel, Joanna M. Shad, Agostina Casamento-Moran, Evangelos A. Christou

Published in: Journal of NeuroEngineering and Rehabilitation | Issue 1/2021

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Abstract

Background

Braking is a critical determinant of safe driving that depends on the integrity of cognitive and motor processes. Following stroke, both cognitive and motor capabilities are impaired to varying degrees. The current study examines the combined impact of cognitive and motor impairments on braking time in chronic stroke.

Methods

Twenty stroke survivors and 20 aged-matched healthy controls performed cognitive, motor, and simulator driving assessments. Cognitive abilities were assessed with processing speed, divided attention, and selective attention. Motor abilities were assessed with maximum voluntary contraction (MVC) and motor accuracy of the paretic ankle. Driving performance was examined with the braking time in a driving simulator and self-reported driving behavior.

Results

Braking time was 16% longer in the stroke group compared with the control group. The self-reported driving behavior in stroke group was correlated with braking time (r = − 0.53, p = 0.02). The stroke group required significantly longer time for divided and selective attention tasks and showed significant decrease in motor accuracy. Together, selective attention time and motor accuracy contributed to braking time (R2 = 0.40, p = 0.01) in stroke survivors.

Conclusions

This study provides novel evidence that decline in selective attention and motor accuracy together contribute to slowed braking in stroke survivors. Driving rehabilitation after stroke may benefit from the assessment and training of attentional and motor skills to improve braking during driving.
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Metadata
Title
Cognitive and motor deficits contribute to longer braking time in stroke
Authors
Neha Lodha
Prakruti Patel
Joanna M. Shad
Agostina Casamento-Moran
Evangelos A. Christou
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Stroke
Published in
Journal of NeuroEngineering and Rehabilitation / Issue 1/2021
Electronic ISSN: 1743-0003
DOI
https://doi.org/10.1186/s12984-020-00802-2

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