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Driving Competences and Neuropsychological Factors Associated to Driving Counseling in Multiple Sclerosis

Published online by Cambridge University Press:  27 May 2014

Dolors Badenes*
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain Departament Psicología Clinica i Medicina Legal, Facultat de Medicina, Universitat Autònoma de Barcelona, Spain
Maite Garolera
Neuropsychological Unit, Consorci Sanitari de Terrassa, Terrassa, Spain
Laura Casas
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Juan Carlos Cejudo-Bolivar
EAIA, Germanes Hospitalaries Sagrat Cor, Martorell, Spain
Jorge de Francisco
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Silvia Zaragoza
Neuropsychological Research Organization (Psyncro), Sant Joan Despi, Spain
Noemi Calzado
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Miquel Aguilar
Servei de Neurologia; Hospital Universitari Mutua Terrassa, Terrassa, Spain
Correspondence and reprint requests to: Dolors Badenes, Hospital Universitari Mútua de Terrassa, Plaça Dr. Robert 1, 08221 Terrassa, Spain. E-mail:


Multiple Sclerosis (MS) significantly impacts daily living activities, including car driving. To investigate driving difficulties experienced with MS, we compared 50 MS patients with minor or moderate disability and 50 healthy controls (HC) using computerized driving tests (the ASDE driver test and the Useful Field of View (UFOV) test) and neuropsychological tests. Inclusion criteria included being active drivers. We evaluated whether cognitive deterioration in MS is associated with the results of driving tests by comparing MS patients without cognitive deterioration with HC. The results indicated that the MS patients performed worse than the HCs in attention, information processing, working memory and visuomotor coordination tasks. Furthermore, MS patients with cognitive impairments experienced more difficulties in the driving tests than did the non-impaired MS patients. Motor dysfunction associated with MS also played an important role in this activity. The results of this study suggest that MS should be assessed carefully and that special emphasis should be placed on visuomotor coordination and executive functions because patients with minor motor disability and subtle cognitive impairments can pass measures predictive of driving safety. (JINS, 2014, 20, 555–565)

Research Articles
Copyright © The International Neuropsychological Society 2014 

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