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Comparison of driving cognition on paretic side in drivers following stroke
Phys Ther Rehabil Sci 2018;7:114-8
Published online September 30, 2018
© 2018 Korean Academy of Physical Therapy Rehabilitation Science.

Na Ri Gang, Hwa-Kyung Shin

Department of Physical Therapy, Graduate School of Health and Welfare, Daegu Catholic University, Gyeongsan, Republic of Korea
Correspondence to: Hwa-Kyung Shin (ORCID
Department of Physical Therapy, Graduate School of Health and Welfare, Daegu Catholic University, 13-13 Hayang-ro, Geumnak-ri, Hayang-eup, Gyeongsan 38430, Republic of Korea
Tel: 82-53-850-2532 Fax: 82-53-359-6772 E-mail:
Received August 24, 2018; Revised September 13, 2018; Accepted September 13, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: The left and right sides of the brain has different roles. This study investigated the differences in cognitive driving ability between stroke survivors with damage to the left brain and right brain. Therefore, the purpose of this study was to compare the driving cognitive ability of left and right hemispheric drivers following stroke.
Design: Cross-sectional study.
Methods: The Stroke Drivers’ Screening Assessment (SDSA) from the UK was translated to the Korean Stroke Drivers’ Screening Assessment (K-SDSA) to meet the specific traffic environments of Korea. The SDSA is composed of 4 tasks :1) a dot cancellation task that measures concentration and visuospatial abilities necessary for driving, 2) a directional matrix task to measure spatio-temporal executive function required for driving, 3) a compass matrix task to measure accurate direction determination ability required for driving, and 4) recognition of traffic signs and reasoning ability to understanding traffic situation. The SDSA assessment time is about 30 minutes. The K-SDSA was used to compare the cognitive driving abilities between 15 stroke survivors with left and 15 stroke survivors with right brain damage.
Results: There were significant differences between the persons with stroke patients with left brain lesions (right hemiplegia) compared to the persons with stroke with right brain lesions (left hemiplegia) (p<0.05). It was found that the cognitive driving abil-ity of those with right brain damage was lower than that of the group of left brain damage.
Conclusions: This research investigated the driving cognitive ability of persons with stroke. The therapists can use this information as basis for the driving test and training purposes. It could also be used as a basis to understanding if the cognitive ability of not only stroke survivors but also those with brain damage is adequate to actually drive.
Keywords : Cognition, Drive, Hemiplegia


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