Driving Difficulties Among Patients with Alzheimer's Disease and Other Neurodegenerative Disorders.

Background/objective: Neurodegenerative disorders impact fitness to drive of older drivers, but on-road driving studies investigating patients with different neurodegenerative disorders are scarce. A variety of driving errors have been reported in patients with Alzheimer's disease (AD), but it is unclear which types of driving errors occur most frequently. Moreover, patients with other neurodegenerative disorders than AD typically present with different symptoms and impairments, therefore different driving errors may be expected.

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility.

Background: Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility.

Assessing Fitness to Drive in Patients With Different Types of Dementia.

Dementia is a risk factor for unsafe driving. Therefore, an assessment strategy has recently been developed for the prediction of fitness to drive in patients with the Alzheimer disease (AD). The aim of this study was to investigate whether this strategy is also predictive of fitness to drive in patients with non-AD dementia, that is, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies.

Assessing fitness to drive-A validation study on patients with mild cognitive impairment.

Objectives: There is no consensus yet on how to determine which patients with cognitive impairment are able to drive a car safely and which are not. Recently, a strategy was composed for the assessment of fitness to drive, consisting of clinical interviews, a neuropsychological assessment, and driving simulator rides, which was compared with the outcome of an expert evaluation of an on-road driving assessment. A selection of tests and parameters of the new approach revealed a predictive accuracy of 97.

Prediction of Fitness to Drive in Patients with Alzheimer's Dementia.

The number of patients with Alzheimer's disease (AD) is increasing and so is the number of patients driving a car. To enable patients to retain their mobility while at the same time not endangering public safety, each patient should be assessed for fitness to drive. The aim of this study is to develop a method to assess fitness to drive in a clinical setting, using three types of assessments, i.

A different perspective on conspicuity related motorcycle crashes.

The most common type of conflict in which a motorcyclist is injured or killed is a collision between a motorcycle and a car, often in priority situations. Many studies on motorcycle safety focus on the question why car drivers fail to give priority and on the poor conspicuity of motorcycles. The concept of 'looked-but-failed-to-see' crashes is a recurring item.

Exocentric pointing in depth.

An exocentric pointing task was used to compare the indicated pointing directions under exchange of target and pointer. Such a pair of pointing directions, together with the pointer and target locations, specifies a unique cubic arc. Such an arc may assume one of two qualitatively different shapes, namely a "C-arc" (constant sign of curvature) or an "S-arc" (containing a point of inflection between the endpoints).

Effects of context on a visual 3-D pointing task.

We examined the effects of egocentric and contextual references on a 3-D exocentric pointing task. Large systematic deviations were found for the slant (angle in the horizontal plane). For most observers, the deviations were smaller when the veridical pointing direction was parallel to a wall.

Horizontal-vertical anisotropy in visual space.

We investigated the structure of visual space with a 3D exocentric pointing task. Observers had to direct a pointer towards a ball. Positions of both objects were varied.

Visual space under free viewing conditions.

Most research on visual space has been done under restricted viewing conditions and in reduced environments. In our experiments, observers performed an exocentric pointing task, a collinearity task, and a parallelity task in a entirely visible room. We varied the relative distances between the objects and the observer and the separation angle between the two objects.