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Nervenheilkunde 2021; 40(05): 359-366
DOI: 10.1055/a-1298-1151
Übersichtarbeit

Fahrkompetenz und Morbus Parkinson

Ein UpdateAn updateDriving ability and Parkinson’s disease
Vanessa Andelfinger∗
1   Abteilung für Klinische Psychologie und Neuropsychologie SRH Klinikum Karlsbad
,
Matthias Weisbrod∗
2   Abteilung für Psychiatrie und Psychotherapie SRH Klinikum Karlsbad
3   Klinik für allgemeine Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg
,
Michael Fritz∗
4   Abteilung für Neurologie SRH Klinikum Karlsbad
,
Steffen Aschenbrenner∗
1   Abteilung für Klinische Psychologie und Neuropsychologie SRH Klinikum Karlsbad
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ZUSAMMENFASSUNG

Diese Arbeit gibt einen Überblick über die wissenschaftliche Studienlage zum Thema Fahrkompetenz bei Morbus Parkinson. Neben der Darstellung der geltenden Rechtslage erfolgt eine Übersicht über motorische, kognitive, visuelle und dopaminassoziierte Symptome, die Zweifel an der Fahrkompetenz von Parkinson-Patienten begründen können. In diesem Kontext findet eine differenzierte Betrachtung von Fahrverhaltensproben und Fahrsimulatoren statt. Den Abschluss bilden klinische Handlungsempfehlungen für Patienten und Behandler, die Betrachtung medikamentöser Behandlung, operative Behandlungsansätze und neuropsychologische Therapiemöglichkeiten.

ABSTRACT

This article offers an overview of the current state of scientific studies regarding driving ability in patients with Parkinson’s disease. In addition to the current legal situation, an overview of motor, cognitive, visual and dopamine-related symptoms that may cast doubt on the driving ability of Parkinson’s patients is given. In this context, a differentiated examination of on-road driving tests and driving simulators is carried out. At the end, clinical recommendations for patients and practitioners, the consideration of drug treatment, surgical treatment approaches and neuropsychological therapy options are given.

Schlüsselwörter

Morbus Parkinson - Fahrkompetenz - Fahrverhaltensprobe - Fahrsimulator

Key words

Parkinson’s disease - driving ability - on-road driving test - driving simulator


Publikationsverlauf

Artikel online veröffentlicht:
04. Mai 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Buhmann C, Vesper J, Oelsner H. Fahreignung bei Morbus Parkinson. Fortschr Neurol Psychiatr 2018; 86: 43-48
    Thieme ConnectPubMedSuche in Google Scholar
  • 2 Buhmann C, Gerloff C. Autofahren bei Morbus Parkinson. Akt Neurol 2013; 40: 315-320
    Thieme ConnectSuche in Google Scholar
  • 3 Stentzel U, Piegsa J, Fredrich D. et al Accessibility of general practitioners and selected specialist physicians by car and by public transport in a rural region of Germany. BMC Health Serv Res 2016; 16: 587
    CrossrefPubMedSuche in Google Scholar
  • 4 Holmes JD, Alvarez L, Johnson AM. et al Driving with Parkinson’s Disease: Exploring Lived Experience. Parkinsons Dis 2019: 2019
    CrossrefPubMedSuche in Google Scholar
  • 5 Uc EY, Rizzo M, Johnson AM. et al Road safety in drivers with Parkinson disease. Neurology 2009; 73: 2112-2119
    CrossrefPubMedSuche in Google Scholar
  • 6 Thompson T, Poulter D, Miles C. et al Driving impairment and crash risk in Parkinson disease: A systematic review and meta-analysis. Neurology 2018; 91: e906-e916
    CrossrefPubMedSuche in Google Scholar
  • 7 Brenner-Hartmann J. Begutachtungsleitlinien zur Kraftfahreignung. Kommentar. Schriftenreihe Fahreignung. Bonn: Kirschbaum Verlag; 2018
    Suche in Google Scholar
  • 8 Peitz J, Hoffmann-Born H. Arzthaftung bei problematischer Fahreignung. Bonn: Kirschbaum Verlag; 2008
    Suche in Google Scholar
  • 9 Devos H, Vandenberghe W, Tant M. et al Driving and off-road impairments underlying failure on road testing in Parkinson’s disease. Mov Disord 2013; 28: 1949-1956
    CrossrefPubMedSuche in Google Scholar
  • 10 Singh R, Pentland B, Hunter J. et al Parkinson’s disease and driving ability. J Neurol Neurosurg Psychiatry 2007; 78: 363-366
    CrossrefPubMedSuche in Google Scholar
  • 11 Pfeiffer RF. Non-motor symptoms in Parkinson’s disease. Parkinsonism Relat Disord 2016; 22 (Suppl. 01) S119-22
    CrossrefPubMedSuche in Google Scholar
  • 12 Ranchet M, Broussolle E, Poisson A. et al Relationships between cognitive functions and driving behavior in Parkinson’s disease. Eur Neurol 2012; 68: 98-107
    CrossrefPubMedSuche in Google Scholar
  • 13 Rektorova I. Current treatment of behavioral and cognitive symptoms of Parkinson’s disease. Parkinsonism Relat Disord 2019; 59: 65-73
    CrossrefPubMedSuche in Google Scholar
  • 14 Uc EY, Rizzo M, O’Shea AMJ. et al Longitudinal decline of driving safety in Parkinson disease. Neurology 2017; 89: 1951-1958
    CrossrefPubMedSuche in Google Scholar
  • 15 Uc EY, Rizzo M, Anderson SW. et al Driving under low-contrast visibility conditions in Parkinson disease. Neurology 2009; 73: 1103-1110
    CrossrefPubMedSuche in Google Scholar
  • 16 Ranchet M, Broussolle E, Paire-Ficout L. Longitudinal Executive Changes in Drivers with Parkinson’s Disease: Study Using Neuropsychological and Driving Simulator Tasks. Eur Neurol 2016; 76: 143-150
    CrossrefPubMedSuche in Google Scholar
  • 17 Amick MM, Grace J, Ott BR. Visual and cognitive predictors of driving safety in Parkinson’s disease patients. Arch Clin Neuropsychol 2007; 22: 957-967
    CrossrefPubMedSuche in Google Scholar
  • 18 Ranchet M, Morgan JC, Akinwuntan AE. et al Visual search and target detection during simulated driving in Parkinson’s disease. Accid Anal Prev 2020: 134
    CrossrefPubMedSuche in Google Scholar
  • 19 Uc EY, Rizzo M. Driving and neurodegenerative diseases. Curr Neurol Neurosci Rep 2008; 8: 377-383
    CrossrefPubMedSuche in Google Scholar
  • 20 Toepper M, Falkenstein M. Driving Fitness in Different Forms of Dementia: An Update. J Am Geriatr Soc 2019; 67: 2186-2192
    CrossrefPubMedSuche in Google Scholar
  • 21 Weil RS, Schrag AE, Warren JD. et al Visual dysfunction in Parkinson’s disease. Brain 2016; 139: 2827-2843
    CrossrefPubMedSuche in Google Scholar
  • 22 Crizzle AM, Classen S, Uc EY. Parkinson disease and driving: an evidence-based review. Neurology 2012; 79: 2067-2074
    CrossrefPubMedSuche in Google Scholar
  • 23 Voss H. Zur Beurteilung der Fahrtauglichkeit bei Morbus Parkinson. Nervenheilkunde 2015; 34: 154-160
    Thieme ConnectSuche in Google Scholar
  • 24 Classen S, Brumback B, Crawford K. et al Visual Attention Cut Points for Driver Fitness in Parkinson’s Disease. OTJR (Thorofare N J) 2019; 39: 257-265
    CrossrefPubMedSuche in Google Scholar
  • 25 Devos H, Vandenberghe W, Nieuwboer A. et al Validation of a screening battery to predict driving fitness in people with Parkinson’s disease. Mov Disord 2013; 28: 671-674
    CrossrefPubMedSuche in Google Scholar
  • 26 Barrash J, Stillman A, Anderson SW. et al Prediction of driving ability with neuropsychological tests: demographic adjustments diminish accuracy. J Int Neuropsychol Soc 2010; 16: 679-686
    CrossrefPubMedSuche in Google Scholar
  • 27 Cordell R, Lee HC, Granger A. et al Driving assessment in Parkinson’s disease -a novel predictor of performance?. Mov Disord 2008; 23: 1217-1222
    CrossrefPubMedSuche in Google Scholar
  • 28 Uc EY, Rizzo M, Anderson SW. et al Impaired navigation in drivers with Parkinson’s disease. Brain 2007; 130: 2433-2440
    CrossrefPubMedSuche in Google Scholar
  • 29 Thiri Kyaw W, Nishikawa N, Moritoyo T. et al Evaluating the driving ability in patients with Parkinson’s disease using a driving simulator. Internal medicine 2013; 52: 871-876
    CrossrefPubMedSuche in Google Scholar
  • 30 Aksan N, Hacker SD, Sager L. et al Correspondence between Simulator and On-Road Drive Performance: Implications for Assessment of Driving Safety. Geriatrics 2016; 1: 1-9
    CrossrefPubMedSuche in Google Scholar
  • 31 Meindorfner C, Körner Y, Möller JC. et al Driving in Parkinson’s disease: mobility, accidents, and sudden onset of sleep at the wheel. Mov Disord 2005; 20: 832-842
    CrossrefPubMedSuche in Google Scholar
  • 32 Höglund A, Hagell P, Broman J-E. et al A 10-Year Follow-Up of Excessive Daytime Sleepiness in Parkinson’s Disease. Parkinsons Dis 2019: 2019
    CrossrefPubMedSuche in Google Scholar
  • 33 Reiff J, Jost WH. Drug-induced impulse control disorders in Parkinson’s disease. J Neurol 2011; 258: 323-327
    CrossrefPubMedSuche in Google Scholar
  • 34 Rizzone MG, Fasano A, Daniele A. et al Long-term outcome of subthalamic nucleus DBS in Parkinson’s disease: from the advanced phase towards the late stage of the disease?. Parkinsonism Relat Disord 2014; 20: 376-381
    CrossrefPubMedSuche in Google Scholar
  • 35 Buhmann C, Vettorazzi E, Oehlwein C. et al Impact of Deep Brain Stimulation on Daily Routine Driving Practice in Patients with Parkinson’s Disease. Parkinsons Dis 2015: 1-9
    CrossrefPubMedSuche in Google Scholar
  • 36 Witt K, Daniels C, Reiff J. et al Neuropsychological and psychiatric changes after deep brain stimulation for Parkinson’s disease: a randomised, multicentre study. The Lancet Neurology 2008; 7: 605-614
    CrossrefPubMedSuche in Google Scholar
  • 37 Aybek S, Gronchi-Perrin A, Berney A. et al Long-term cognitive profile and incidence of dementia after STN-DBS in Parkinson’s disease. Mov Disord 2007; 22: 974-981
    CrossrefPubMedSuche in Google Scholar
  • 38 Buhmann C, Gerloff C. Could deep brain stimulation help with driving for patients with Parkinson’s?. Expert Rev Med Devices 2014; 11: 427-429
    CrossrefPubMedSuche in Google Scholar
  • 39 Michon JA.. Dealing with danger. Summary report of a workshop in the traffic reasearch center. 1979
    PubMedSuche in Google Scholar
  • 40 Heikkilä VM, Turkka J, Korpelainen J. et al Decreased driving ability in people with Parkinson’s disease. J Neurol Neurosurg Psychiatry 1998; 64: 325-330
    CrossrefPubMedSuche in Google Scholar
  • 41 Stolwyk RJ, Triggs TJ, Charlton JL. et al Effect of a concurrent task on driving performance in people with Parkinson’s disease. Mov Disord 2006; 21: 2096-2100
    CrossrefPubMedSuche in Google Scholar
  • 42 Crizzle AM, Myers AM, Almeida QJ. Self-regulatory practices of drivers with Parkinson’s disease: accuracy of patient reports. Parkinsonism Relat Disord 2013; 19: 176-180
    CrossrefPubMedSuche in Google Scholar
  • 43 Aschenbrenner S, Schale A, Weisbrod M. et al Wiedererlangung der Fahrkompetenz. Behandlungsziel bei psychischen Erkrankungen. Nervenheilkunde 2013; 32: 376-380
    Thieme ConnectSuche in Google Scholar
  • 44 Devos H, Morgan JC, Onyeamaechi A. et al Use of a driving simulator to improve on-road driving performance and cognition in persons with Parkinson’s disease: A pilot study. Aust Occup Ther J 2016; 63: 408-414
    CrossrefPubMedSuche in Google Scholar
  • 45 Teasdale N, Simoneau M, Hudon L. et al Older Adults with Mild Cognitive Impairments Show Less Driving Errors after a Multiple Sessions Simulator Training Program but Do Not Exhibit Long Term Retention. Front Hum Neurosci 2016: 10
    CrossrefPubMedSuche in Google Scholar
  • 46 Surges F. Kognitive Störungen und Verkehrssicherheit. Heft 303. Berichte der Bundesanstalt für Straßenwesen M, Mensch und Sicherheit. Bremen: Fachverlag NW in der Carl Schünemann Verlag GmbH; 2020
    Suche in Google Scholar