Radiographic Hip or Knee Osteoarthritis and the Ability to Drive

Autor: Christopher Glatzel, Ulf Krister Hofmann, Maurice Jordan, Martina Feierabend, Maximilian von Bernstorff, Ingmar Ipach
Rok vydání: 2016
Předmět:
Zdroj: Orthopedics. 40(1)
ISSN: 1938-2367
Popis: The question of whether patients with musculoskeletal disorders are fit to drive is of paramount importance for them and frequently is directed to the treating orthopedic specialist. Although perioperative braking performance has been increasingly investigated in recent years, scientific data on braking safety in individuals with osteoarthritis (OA) are scarce. This study analyzed the braking performance of 158 patients with OA of the right or left knee or hip and compared the results with radiographic OA grading according to the Kellgren-Lawrence classification scale. Reaction time and foot transfer time (together called brake response time [BRT]) and brake force were measured in a real car cabin, and the values were compared with measurements obtained from young (n=34) and age-matched (n=36) control groups. Although the majority of BRTs in both control groups remained below 600 milliseconds, patients with both hip and knee OA, whether on the right or left side, had significantly worse values ( P P =.92; Kendall tau for brake force: τ=−0.014, P =.82), which makes radiographs an inadequate tool for medical driving recommendations. [ Orthopedics. 2017; 40(1):e82–e89.]
Databáze: OpenAIRE