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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.117 SNIP: 0.228 CiteScore™: 0.17

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2017020023
pages 215-224

Driving Ability among Patients with Multiple Sclerosis: Can Legislation Be Provided on the Matter?

Yara Dadalti Fragoso
Department of Neurology, Coordinator of the Multiple Sclerosis Reference Centre, Universidade Metropolitana de Santos, SP, Brazil
Filipe Benetti Rocha
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Tamara Maia Nestlehner Beloni
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Bruna Orquiza
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Pedro Banho Rosa
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Rafael Werlanger Donadel
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Joara Turi Aniceto
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil
Rodrigo Pizzolante Diniz
Academic League of Neurology and Neurosciences, Universidade Metropolitana de Santos, SP, Brazil

ABSTRACT

Background−Multiple sclerosis (MS) is a chronic condition with relapsing periods of neurological disabilities which is often followed by a progressive stage of disability accumulation. Depending upon the area where demyelination has occurred, the neurological manifestations vary: patients may be visually impaired with adequate motor function or have normal vision with tetraparesis, for example. Likewise, they may have good coordination and cognitive dysfunction or lack of coordination and adequate cognitive abilities. Multiple sclerosis typically affects young adults who may be willing to drive and may be completely fit or partially/totally unfit to do so. Methods−The authors performed a systematic review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Results−Twenty-seven papers on the subject were identified. The majority of these papers agree that MS may negatively influence the ability to drive, particularly when patients have physical and/or cognitive and/or emotional disabilities. The heterogeneity of methods and assessments in these papers make it difficult to draw conclusions and so aid clear legislation on the subject. Conclusion−There is no specific literature on driving abilities in patients with MS that assists in creating legislation.