Brief Report  |   May 2013
Assessing the Driving Performance of a Person With Epilepsy Presurgery and Postsurgery
Author Affiliations
  • Alexander M. Crizzle, PhD, is Postdoctoral Associate, Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, Gainesville
  • Sherrilene Classen, PhD, is Associate Professor and Director, Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, PO Box 100164, Gainesville, FL 32610-0164; sclassen@phhp.ufl.edu
  • Christina LaFranca, BHS, is Honors Student, Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, Gainesville
  • Sandra M. Winter, PhD, is Coordinator, Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, Gainesville
  • Steven N. Roper, MD, is Professor, Department of Neurosurgery, College of Medicine, University of Florida, Gainesville
  • Stephan Eisenschenk, MD, is Associate Professor, Department of Neurosurgery, College of Medicine, University of Florida, Gainesville
Article Information
Community Mobility and Driving / Neurologic Conditions / Departments
Brief Report   |   May 2013
Assessing the Driving Performance of a Person With Epilepsy Presurgery and Postsurgery
American Journal of Occupational Therapy, May/June 2013, Vol. 67, e24-e29. doi:10.5014/ajot.2013.006569
American Journal of Occupational Therapy, May/June 2013, Vol. 67, e24-e29. doi:10.5014/ajot.2013.006569
Abstract

Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded.