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학술저널
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대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제34권 제4호
발행연도
2010.1
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458 - 464 (7page)

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Objective: To assess the driving ability of older drivers, their visual function, cognitive-perceptual function, motor function and driving performance were evaluated. Method: Subjects were 55 drivers aged 65 years or older. Visual function test included visual acuity, visual field, color vision and contrast sensitivity. Cognitive perceptual function was evaluated with the cognitive perceptual assessment for driving (CPAD) and clock drawing test. For motor function, muscle strength and range of motion were evaluated. Driving performance was evaluated by virtual reality based driving simulator. For comparision, 48 younger drivers aged between late twenties and early forties underwent the same evaluation. Results: Among older drivers, 21 (38.2%) had visual acuity less than 20/40, 3 (5.5%) had visual field narrower than 140o bilaterally. Contrast sensitivity was significantly decreased in both day and night with glare light conditions. In cognitive- perceptual function assessment, 20 subjects (36.4%) passed CPAD test, 3 subjects (5.5%) failed, and 32 subjects (58.1%) fell into borderline group. Mean CPAD score was 50.65± 5.62, which was significantly lower than that of younger drivers. 18 subjects (32.7%) were incorrect in clock drawing test. In motor function assessment, 4 subjects (7.3%) in older drivers showed hemiparesis secondary to stroke. In driving simulator, 21 subjects (38.2%) failed whereas only 4 subjects (8.3%) did in younger drivers. Average demerit score was 24.09±15.53 and was significantly higher than that of younger drivers. Conclusion: Older drivers showed significantly higher incidence of visual and cognitive-perceptual dysfunction, and poorer driving performance compared to younger drivers group. (J Korean Acad Rehab Med 2010; 34: 458-464)
#Automobile driving #Cognition #Perception #Geriatric assessment

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참고문헌 (20)

참고문헌 신청
American Medical Association and National Highway Traffic Safety Association / 2003 / Formally assess function / Physician’s guide to assessing and counseling older drivers google schola American Medical Association and National Highway Traffic Safety Association / 2003 / The driver rehabilitation specialist / Physician’s guide to assessing and counseling o google schola Attebo K / 1996 / Visual acuity and the causes of visual loss in Australia. The Blue Mountains Eye Study / Ophthalmology 103 : 357 ~ 364 google schola Decina LE / 1993 / Retrospective evaluation of alternative vision screening criteria for older and younger drivers / Accid Anal Prev 25 : 267 ~ 275 google schola Fonda G / 1986 / Suggested vision standards for drivers in the United States with vision ranging from 20/175 (6/52) to 20/50 (6/15) / Ann Ophthalmol 18 : 76 ~ 79 google schola

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