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Alzheimer's
disease patients are subject to a unique form of brain damage
that causes "motion blindness," according to researchers at the
University of Rochester Medical Center.
The condition
can be assessed by looking at a person's loss of ability to stay
in one lane while driving a car.
"While it's
obvious that people with Alzheimer's disease are losing their
memory, that's only part of the reason why they become lost,"
said Dr. Charles Duffy, neurologist and lead researcher. "These
patients also lose their ability to perceive their own motion.
That's ultimately what puts them at much greater risk than others
of becoming lost."
Researchers
studied 26 elderly patients with Alzheimer's disease, 50 healthy
elderly adults, and 32 healthy young adults. The participants
were evaluated for vision and their ability to perceive motion.
The Alzheimer's
patients who were still driving were given a standard New York
State driver's test. As expected, older patients had more difficulty
with memory than the younger patients and among the older patients,
the group with Alzheimer's had a harder time detecting motion
than the healthy group, according to the researchers.
The 11 Alzheimer's
patients who were still driving performed adequately on all areas
of the test except the portion that measures their own knowledge
of their location on the road. These patients tended to drift
out of their lane, either across the middle or to the right, and
they had a hard time knowing how close or far away they were from
the car ahead of them, according to the study published in the
journal Cerebral Cortex.
"These people
weren't just bad drivers. They were bad drivers in a particular
way," said Duffy. "They couldn't judge where they were in their
lane, which mirrors what we've found in the laboratory."
"Losing the
right to drive is a tremendous burden; it inflicts further hardship
on people who are already having a very difficult time," said
Duffy. "If we can understand who is really at risk for having
difficulty driving, and for getting lost -- if the disease didn't
mean the kind of loss of independence it now means for most people
-- that would be significant. It's crucial not to be arbitrary."
Duffy first
reported the condition of motion blindness three years ago when
he discovered that many Alzheimer's patients had a harder time
detecting motion as they move in the world.
Other
sources: University of Rochester Medical Center
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