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Drivers with Parkinson鈥檚 Disease at Higher Risk of Crashes in Low Visibility
ST. PAUL, Minn. -
Drivers with mild to moderate Parkinson鈥檚 disease may be at higher risk of crashes on foggy days and other times of low visibility. The research, involving a driving simulation test, is published in the October 6, 2009, print issue of , the medical journal of the . In addition to affecting movement, Parkinson鈥檚 disease affects visual skills, such as the ability to see contrast, and the speed of processing what is seen. The study involved a driving simulation test taken by 67 people with mild to moderate Parkinson鈥檚 disease and 51 healthy people about the same age. First they drove in good conditions, with clear skies. Then they drove in a foggy, low visibility situation, leading up to an intersection where another vehicle posed a crash risk. More people with Parkinson鈥檚 disease were unable to avoid the crash鈥76 percent versus 37 percent. Their reaction time was also longer鈥2.7 seconds compared to 2.1 seconds. For those who crashed, those with Parkinson鈥檚 were driving at an average speed of 49 mph at the time of the crash, compared to 39 mph for those who did not have Parkinson鈥檚. 鈥淥ur results suggest that a large proportion of drivers with Parkinson鈥檚 disease may be at risk for unsafe driving in low visibility situations such as fog or twilight,鈥 said study author Ergun Uc, MD, of the University of Iowa in Iowa City and Veterans Affairs Medical Center of Iowa City, who is a member of the 好色先生. Those with Parkinson鈥檚 also had more instances where the car鈥檚 wheels crossed over the center line or the shoulder line than people who did not have Parkinson鈥檚, and their performance worsened with the change from good to poor driving conditions. Among those with Parkinson鈥檚 disease, those who performed the worst on the driving test were those who had the lowest scores on tests of visual processing speed, motion perception, sensitivity to visual contrast and speed of movement. The study was supported by the National Institute of Neurological Disorders and Stroke and the National Institute on Aging.