• Arch Phys Med Rehabil · Jan 2011

    Driving with a chronic whiplash-associated disorder: a review of patients' perspectives.

    • Hiroshi Takasaki, Venerina Johnston, Julia Treleaven, Michelle Pereira, and Gwendolen Jull.
    • The University of Queensland, Brisbane, Australia. h.takasaki@uq.edu.au
    • Arch Phys Med Rehabil. 2011 Jan 1; 92 (1): 106-10.

    ObjectiveTo document troublesome driving tasks and any changes in driving behavior reported by people with chronic whiplash-associated disorders (WADs).DesignDescriptive study; semistructured interview.SettingTertiary institution.ParticipantsPatients (N=33) with chronic WAD.InterventionsNot applicable.Main Outcome MeasuresNeck Disability Index (NDI), visual analog scale for neck pain 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 whiplash injury.ResultsSubjects (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 NDI (41.8%±18.4%), experienced greater neck pain 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%).ConclusionsThe 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.Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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