Evaluation of the Elderly Driver with Arthritis
Clinics in Geriatric MedicinePublished 1 May 1993
W. Neal Roberts, Pamela C. Roberts
Citations20
SJR quartileQ2
SJR score1.03
SNIP1.07
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TL;DR
Examination focusing upon the two clusters of function necessary for turning and braking is important as is nonthreatening questioning about driving.
Abstract
Osteoarthritis is by far the most common rheumatologic disease affecting the elderly population. Although motor effects of arthritis could be classified by disease or by anatomic region, the most productive classification is by clusters of function related to the two most vulnerable driving tasks—turning and stepping on the brake. An eight-point history and physical examination focusing upon cervical rotation, peripheral vision, grip for turning, and lower extremity function for braking can pinpoint impairments. The main management tools include negotiated agreements for restricted driving and inexpensive devices (e.g., large mirrors). Automatic transmission and power steering also are very important.
Keywords
PsychologyMedicine
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