Evaluation of driving fitness using driving simulators in patients with right-hemisphere damage: an unmatched case-control study.
Patients with right hemisphere damage (RHD) may exhibit mild unilateral spatial neglect (USN), which is difficult to detect in general assessments performed during driving rehabilitation. We compared driving simulator performance, practical driving performance, and neuropsychological test results be...
| Publicado en: | Topics in Stroke Rehabilitation Vol. 31; no. 2; pp. 167 - 178 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174684469&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174684469 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10749357 0OG jtl: Topics in Stroke Rehabilitation issn: 10749357 maglogo: N pubinfo: dt: Mar2024 vid: 31 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 174684469 164899177 174684469 174684469 10.1080/10749357.2023.2235797 174684469 ppf: 167 ppct: 11 formats: tig: atl: Evaluation of driving fitness using driving simulators in patients with right-hemisphere damage: an unmatched case-control study. aug: au: Sotokawa, Tasuku Nasu, Satonori Ikuta, Junichi Sonohara, Kazuki affil: Department of Occupational Therapy, Faculty of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan sug: subj: Right Hemisphere Injuries Rehabilitation Unilateral Neglect Rehabilitation Automobile Driving Evaluation Simulations Utilization Psychomotor Performance Neuropsychological Tests Task Performance and Analysis Human Male Female Middle Age Aged Case Control Studies Attention Motor Activity Reaction Time Signage ROC Curve Descriptive Statistics Comparative Studies Confidence Intervals Sensitivity and Specificity Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Patients with right hemisphere damage (RHD) may exhibit mild unilateral spatial neglect (USN), which is difficult to detect in general assessments performed during driving rehabilitation. We compared driving simulator performance, practical driving performance, and neuropsychological test results between patients with RHD who were able and unable to return to driving to predict driving fitness based on driving simulator performance. This unmatched case-control study included 29 patients with RHD who were able (return-to-driving group, n = 16) and unable (non-return-to-driving group, n = 13) to return to driving. Patient demographics, motor function, attention, driving simulator performance (participants' reaction time and rate to green lamps appearing in any of the three displays and average lane position), and practical driving performance were compared between the groups. Receiver operating characteristic (ROC) analysis was performed to examine the predictive performance of driving fitness in reaction rate and paper-and-pencil tests. The non-return-to-driving group had a significantly lower reaction rate than the return-to-driving group (p = 0.027; 95% confidence interval [CI], 0–7; r = 0.407). No significant difference in reaction time or lane position in either the left or right lane during driving simulation was observed. ROC analysis of the reaction rate in the driving simulator task showed sensitivity of 0.692, specificity of 0.812, and area under the curve of 0.738 [95% CI, 0.541–0.935]. Decreases in reaction rates during simulated driving assessments are associated with an inability to resume driving in patients with RHD. Such assessments may aid in predicting fitness for driving in these patients. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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