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Krankheiten, die Funktionsst\u00f6rungen dieser Strukturen verursachen, k\u00f6nnen Beschwerden sowohl k\u00f6rperlicher als auch kognitiver Art hervorrufen. Damit k\u00f6nnen neurologische Erkrankungen in besonderer Weise die pers\u00f6nliche Mobilit\u00e4t sowohl durch k\u00f6rperliche Einschr\u00e4nkungen als auch durch kognitive Defizite beeintr\u00e4chtigen. Viele dieser Erkrankungen zeigen im Alter eine deutliche Zunahme der H\u00e4ufigkeit.<\/jats:p><jats:p>K\u00f6rperlich bedingte Einschr\u00e4nkungen der Mobilit\u00e4t manifestieren sich schwerpunktm\u00e4\u00dfig in Form von Gangst\u00f6rungen. Diese werden in relevanter Auspr\u00e4gung bei 2 Dritteln der \u00fcber 80-J\u00e4hrigen festgestellt und bilden eine h\u00e4ufige Ursache f\u00fcr St\u00fcrze mit oft erheblichen Folgesch\u00e4den. Beim Fahren eines Kraftfahrzeugs resultieren u.\u202fU. negative Auswirkungen z.\u202fB. auf Reaktionsgeschwindigkeit, Bremskraft und Schulterblick. Hierf\u00fcr k\u00f6nnen die Parkinson-Krankheit sowie L\u00e4hmungen und Sensibilit\u00e4tsst\u00f6rungen im Rahmen von Polyneuropathien verantwortlich sein.<\/jats:p><jats:p>Das Autofahren ist ein naheliegender Kompensationsmechanismus im Falle von Beeintr\u00e4chtigungen der Gehf\u00e4higkeit. Allerdings liegt bei zahlreichen die Gehf\u00e4higkeit beeintr\u00e4chtigenden Erkrankungen die Ursache im zentralen Nervensystem, oft im Bereich des Gro\u00dfhirns. Folglich k\u00f6nnen sich neben k\u00f6rperlichen auch kognitive Defizite manifestieren, die einen Verlust der Fahreignung begr\u00fcnden. Als alterstypische neurologische Erkrankungen, die in dieser Weise die Mobilit\u00e4t einschr\u00e4nken, sind hier wiederum die Parkinson-Krankheit sowie Durchblutungsst\u00f6rungen des Gehirns zu erw\u00e4hnen. Zudem treten im Alter vermehrt epileptische Anf\u00e4lle als Symptom anderer Erkrankungen auf.<\/jats:p>","DOI":"10.1007\/s00103-024-03920-7","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T15:00:35Z","timestamp":1721142035000},"page":"890-895","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Einfluss neurologischer Erkrankungen auf Beweglichkeit und Fahreignung","Influence of neurological diseases on mobility and ability to drive"],"prefix":"10.1007","volume":"67","author":[{"given":"G\u00fcnther","family":"Thayssen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"P\u00fcschel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"issue":"7","key":"3920_CR1","doi-asserted-by":"publisher","first-page":"e69627","DOI":"10.1371\/journal.pone.0069627","volume":"8","author":"P Mahlknecht","year":"2013","unstructured":"Mahlknecht\u00a0P, Kiechl\u00a0S, Bloem\u00a0BR et\u00a0al (2013) Prevalence and burden of gait disorders in elderly men and women aged 60\u201397\u00a0years: a\u00a0population-based study. 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