Driver Identification of Landmarks and Traffic Signs after a Stroke

Abstract

A study was done to assess the ability for visual search and recognition of roadside targets and safety errors during a landmark and traffic sign identification task in drivers with stroke, that is, drivers who have had a stroke. Visual search for roadside targets during automobile driving can compete for a driver's cognitive resources and may impair driving, especially in drivers with cognitive impairment caused by stroke. Thirty-two drivers with stroke and 137 neurologically normal older adults underwent a battery of visual, cognitive, and motor tests and were asked to report sightings of specific landmarks and traffic signs along a segment of an experimental drive. The drivers with stroke identified significantly fewer landmarks and traffic signs and showed a tendency to make more at-fault safety errors during the task than did control subjects. Roadside target identification performance and safety errors were predicted by scores on standardized tests of visual, cognitive, and motor function. Drivers with stroke are impaired in a task of visual search and recognition of roadside targets whose demands on visual perception, attention, executive functions, and memory probably increased the cognitive load and worsened their driving safety.