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-
1
Cassavaugh ND, Kramer AF: Transfer of computer-based training to simulated driving in older adults. Appl Ergon 40: 943, 2009.
-
2
Egol KA, Sheikhazadeh A, Mogatederi S, et al: Lower-extremity function for driving an automobile after operative treatment of ankle fracture. J Bone Joint Surg Am 85: 1185, 2003.
-
3
Marecek GS, Schafer MF: Driving after orthopaedic surgery. J Am Acad Orthop Surg 21: 696, 2013.
-
4
Haverkamp D, Rossen NN, Maas AJJ, et al: Resuming driving after a fracture of the lower extremity: a survey among Dutch (orthopaedic) surgeons. Injury 36: 1365, 2005.
-
5
Rees JL, Sharp RJ: Safety to drive after common limb fractures. Injury 33: 51, 2002.
-
6
Giddins GE, Hammerton A: “Doctor, when can I drive?”: a medical and legal view of the implications of advice on driving after injury or operation. Injury 27: 495, 1996.
-
7
Ganz SB, Levin AZ, Peterson MG, et al: Improvement in driving reaction time after total hip arthroplasty. Clin Orthop Related Res 413: 192, 2003.
-
8
Orr J, Dowd T, Rush JK, et al: The effect of immobilization devices and left-foot adapter on brake-response time. J Bone Joint Surg Am 92: 2871, 2010.
-
9
Hernandez VH, Ong A, Orozco F, et al: When is it safe for patients to drive after right total hip arthroplasty? J Arthroplasty 30: 627, 2015.
-
10
Tremblay MA, Corriveau H, Boissy P, et al: Effects of orthopaedic immobilization of the right lower limb on driving performance: an experimental study during simulated driving by healthy volunteers. J Bone Joint Surg Am 91: 2860, 2009.
Does Immobilization Affect Braking Time?
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Background:
Despite the importance to patients of driving, no well-established guideline exists to help either the patient or the physician determine when it is safe for the patient to return to driving. Previous studies have recommended 6 weeks postoperatively before patients can return to driving safely. Several scientific studies have found the nationally recommended safe brake time standard to be 1.25 sec (1,250 msec), looking at brake reaction time (BRT) in all types of patients, surgical and nonsurgical.
Methods:
This is a prospective study assessing BRT after individuals are placed in various forms of immobilization (controlled action motion [CAM] boot, surgical shoe). The study also tested whether BRT is different when using the left foot to brake, with immobilization of the right foot.
Results:
All 29 male and 71 female participants in this study (mean age, 35.49 years) were capable of driving and were not currently being treated for any foot or ankle conditions. No differences were found regarding age, sex, and use of assistive devices. The mean BRT while wearing a CAM boot was 713 msec, while using the left foot to brake (CAM boot on the right foot) was 593.86 msec, and while wearing a surgical shoe was 626.32 msec.
Conclusions:
Although most of the study participants were below the nationally recommended safe brake time standard, it was found that not all of the participants fell within these parameters.
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