Driving with a chronic @entity74 : a review of XXXX ' perspectives.

@entity1 @entity7125 @entity4048 @entity74 @entity158 @entity717
OBJECTIVE: To document troublesome driving tasks and any changes in driving behavior reported by @entity1 with chronic @entity74 ( @entity74 ). DESIGN: Descriptive study; semistructured interview. SETTING: Tertiary institution. @entity1 : @entity1 (N=33) with chronic WAD. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: @entity717 ( @entity717 ), visual analog scale for neck @entity158 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 @entity7125 . 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 @entity717 (41.8%  18.4%), experienced @entity4048 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.
