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도로 주행 능력을 향상시키기 위한 운전재활의 체계적 고찰

Systematic Review of Driving Rehabilitation for Improving On-Road Driving

박지혁|서준|허서윤|박진혁
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2016.08|재활치료과학 (Therapeutic Science for Rehabilitation)|제5권 제2호|pp. 35-47

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키워드

Systematic review체계적 고찰운전재활Driving rehabilitation도로 주행On-road

초록

목적: 본 연구의 목적은 도로 주행 능력을 향상시키기 위한 운전재활의 방법과 효과에 대해 체계적 고찰을 통하여 추후에 있을 운전재활 연구의 방향을 제시하고자 한다. 연구방법: 2014년 12월부터 2015년 1월까지 운전재활에 관한 연구를 CINAHL, Embase, Pubmed, PsycINFO, Riss를 통하여 검색하였다. 선정기준에 따라 최종적으로 15편의 연구를 분석하였으며 주요검색용어로는 “On-road” OR “Driving” AND “Driving rehabilitation”AND “Intervention”을 사용하였다. 결과: 고찰한 연구는 총 15개로 근거 수준은 , , 이었다. 연구대상은 뇌졸중 환자(40.0%), 고령 운전자(20.0%), 외상성 뇌손상 환자(20.0%), 후천적 뇌손상 환자(13.3%), 척수환자(6.7%)였으며, 실제도로 주행 능력을 향상시키기 위한 중재 방법은 시뮬레이터를 이용한 훈련(53.3%), 인지 기술을 훈련(26.6%), 운전을 위한 교육(6.7%), 보조 기기의 적용(6.7%), 운전 연수(6.7%)이었다. 중재 효과는 방법에 따라 차이가 있었지만 시뮬레이터를 이용한 모든 연구에서 중재 후 도로 주행 능력의 유의한 향상을보고하였다. 결론: 도로 주행 능력을 향상시키기 위한 운전재활은 다양한 방법으로 적용되고 있었다. 특히 시뮬레이터를 이용한 중재는 많은 연구를 통해 효과가 입증되고 있었다. 추후 다양한 연구 대상자와 중재 방법을통해 도로 주행 능력 향상을 위한 운전재활 연구가 지속적으로 이루어져야 할 것이다.

Abstract

Objective: The aim of this study was to identify the driving rehabilitation for on-road driving through a systematic review. Methods: We systematically examined papers published in journals from December 2014 to January 2015, using CINAH, Embase, Pubmed, PsycINFO, and The Cochrane Library. Eventually, 15 studies were included in the analyses. Results: The evidence of 15 studies was from levels , , and . The subjects included in the analyses were patients with stroke(40.0%), older driver(20.0%), traumatic brain injury(20.0%), acquired brain injury(13.3%) and spinal cord injury(6.7%). The intervention types were driving simulator training(53.3%), cognitive skills training(26.6%), off-road educational training(6.7%), adaptation of assistive device(6.7%), and behind-the-wheel training(6.7%). The effects of driving rehabilitation were different depending on the types of intervention. However, driving simulator training showed significant improvement of on-road assessments in all studies included this study. Conclusions: Driving rehabilitation for on-road driving has been used in various types. Specially, the effect of the driving simulator training has been proved by many studies. Future studies are to be required with client from a range of diagnostic groups to establish evidence-based interventions and determine their effectiveness in improving on-road driving.

참고문헌 (50)

  1. Geri Adler, "Older adults' perspectives on driving cessation", Journal of Aging Studies, 20(3), pp.227~235 (2006), Elsevier BV[DOI]
  2. Agnelli, A., "Handbook for the assessment of driving capacity", pp.5~20 (2009), Academic Press
  3. Abiodun E. Akinwuntan, "Retraining Moderately Impaired Stroke Survivors in Driving-Related Visual Attention Skills", Topics in Stroke Rehabilitation, 17(5), pp.328~336 (2015), Informa UK Limited[DOI]
  4. A. E. Akinwuntan, "Effect of simulator training on driving after stroke: A randomized controlled trial", Neurology, 65(6), pp.843~850 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  5. John R. Anschutz, "A Verbal Cuing Device for Persons With Brain Injury: Development and Proof-of-Concept Case Study", Topics in Stroke Rehabilitation, 17(5), pp.337~344 (2015), Informa UK Limited[DOI]
  6. American Occupational Therapy Association, "Occupational Therapy Practice Framework: Domain & Process 2nd Edition", American Journal of Occupational Therapy, 62(6), pp.625~683 (2008), AOTA Press[DOI]
  7. Arbesman, M., "Using AOTA’s Critically Appraised Topic(CAT)and Critically Appraised Paper(CAP)series to link evidence to practice", Occupational Therapy Practice, 13(5), pp.18~22 (2008)
  8. Shan Bao, "Age-related differences in visual scanning at median-divided highway intersections in rural areas", Accident Analysis & Prevention, 41(1), pp.146~152 (2009), Elsevier BV[DOI]
  9. Bedard, M., "Evaluation of a re-training program for older drivers", Canadian Journal of Public Health, 95(4), pp.295~298 (2004)
  10. Nives Cimolino, "The Contribution of a Driving Simulator in the Driving Evaluation of Stroke and Disabled Adolescent Clients", Canadian Journal of Occupational Therapy, 55(3), pp.119~125 (2016), SAGE Publications[DOI]
  11. Daniel J. Cox, "Driving Rehabilitation for Military Personnel Recovering From Traumatic Brain Injury Using Virtual Reality Driving Simulation: A Feasibility Study", Military Medicine, 175(6), pp.411~416 (2010), Oxford University Press (OUP)[DOI]
  12. Dinah Croft, "The Value of off-Road Tests in the Assessment of Driving Potential of Unlicensed Disabled People", British Journal of Occupational Therapy, 50(10), pp.357~361 (2016), SAGE Publications[DOI]
  13. Maria Crotty, "Retraining Visual Processing Skills To Improve Driving Ability After Stroke", Archives of Physical Medicine and Rehabilitation, 90(12), pp.2096~2102 (2009), Elsevier BV[DOI]
  14. David, B. C., "Assessing older drivers for physical cognitive impairment", Geriatrics, 48(1), pp.46~48 (1993)
  15. Hannes Devos, "Effect of Simulator Training on Fitness-to-Drive After Stroke: A 5-Year Follow-up of a Randomized Controlled Trial", Neurorehabilitation and Neural Repair, 24(9), pp.843~850 (2010), SAGE Publications[DOI]
  16. M. Di Stefano, "Australian Occupational Therapy Driver Assessors' Opinions on Improving On-Road Driver Assessment Procedures", American Journal of Occupational Therapy, 64(2), pp.325~335 (2010), AOTA Press[DOI]
  17. T. Galski, "Off-Road Driving Evaluations for Persons With Cerebral Injury: A Factor Analytic Study of Predriver and Simulator Testing", American Journal of Occupational Therapy, 51(5), pp.352~359 (1997), AOTA Press[DOI]
  18. Pierre-Luc Gamache, "In-simulator training of driving abilities in a person with a traumatic brain injury", Brain Injury, 25(4), pp.416~425 (2011), Informa UK Limited[DOI]
  19. Hitosugi, "Support for stroke patients in resumption of driving: patient survey and driving simulator trial", International Journal of General Medicine, pp.191~ (2011), Dove Medical Press Ltd.[DOI]
  20. Huchler, S., "Evaluation of driving simulation", European Journal of Physical and Rehabilitation Medicine, 37(4), pp.283~289 (2001)
  21. L. A. Hunt, "Evidence-Based and Occupational Perspective of Effective Interventions for Older Clients That Remediate or Support Improved Driving Performance", American Journal of Occupational Therapy, 62(2), pp.136~148 (2008), AOTA Press[DOI]
  22. Carrie R. H. Innes, "Performance in normal subjects on a novel battery of driving-related sensory-motor and cognitive tests", Behavior Research Methods, 41(2), pp.284~294 (2009), Springer Nature[DOI]
  23. Jacobs, K., "The use of participation-oriented education in the rehabilitation of driving skills in older adults", Work, 8(3), pp.281~291 (1997)[DOI]
  24. P. Klavora, "The Effects of Dynavision Rehabilitation on Behind-the-Wheel Driving Ability and Selected Psychomotor Abilities of Persons After Stroke", American Journal of Occupational Therapy, 49(6), pp.534~542 (1995), AOTA Press[DOI]
  25. Pamela S. Klonoff, "The relationship of cognitive retraining to neurological patients’ driving status: The role of process variables and compensation training", Brain Injury, 24(2), pp.63~73 (2010), Informa UK Limited[DOI]
  26. Korner-Bitensky, N., "Driving evaluation practices of clinicians working in the United States and Canada", American Journal of Occupational Therapy, 60(4), pp.428~434 (2006)
  27. Korner-Bitensky, N., "Driving and older adults : A focus on assessment by occupational therapists", Occupational Therapy Now, 9(5), pp.10~12 (2007)
  28. Ladavas, E., "A rehabilitation study of hemispatial neglect", Cognitive Neuropsychology, 11, pp.75~95 (1994)
  29. Jacki Liddle, "Improving outcomes for older retired drivers: The UQDRIVE program", Australian Occupational Therapy Journal, 0(0), pp.061113012540007~??? (2006), Wiley[DOI]
  30. 임문희, "뇌손상 장애인의 운전능력 평가 -Cognitive Perceptual Assessment for Driving(CPAD)을 이용하여-", 대한작업치료학회지, 19(4), pp.41~50 (2011), 대한작업치료학회
  31. Lundqvist, A., "Neuropsychological aspects of driving after a stroke-in the simulator and on the road", Applied Cognitive Psychology, 14, pp.135~150 (2000)[DOI]
  32. Barbara L. Mazer, "Effectiveness of a visual attention retraining program on the driving performance of clients with stroke", Archives of Physical Medicine and Rehabilitation, 84(4), pp.541~550 (2003), Elsevier BV[DOI]
  33. Mezuk, B., "Social integration and social support among older adults following driving cessation", Journal of Gerotology Series B: Psychological Sciences and Social Sciences, 63, pp.S298~S303 (2008)[DOI]
  34. Michon, J. A., "Human Behaviour and Traffic Safety", pp.485~520 (1985), Plenum Press
  35. Odenheimer, G. L., "Driving safety in older adults. The physician’s role in assessing driving skills of older patients", Geriatrics, 61(10), pp.14~21 (2006)
  36. 오영주, "운전시뮬레이터 훈련이 뇌졸중 환자의 시각 및 신체 반응 속도에 미치는 영향: 단일 사례 연구", 대한작업치료학회지, 23(4), pp.75~86 (2015), 대한작업치료학회[DOI]
  37. Persson, D., "The elderly driver: Deciding when to stop", Journals of Gerentology Psychological Science, 33(1), pp.88~91 (1993)[DOI]
  38. Regland, D. R., "Reasons given by older people for limitations or avoidance of driving", Gerontologist, 44, pp.237~244 (2004)[DOI]
  39. Daniel L. Roenker, "Speed-of-Processing and Driving Simulator Training Result in Improved Driving Performance", Human Factors: The Journal of the Human Factors and Ergonomics Society, 45(2), pp.218~233 (2016), SAGE Publications[DOI]
  40. Schultheis, M. T., "Examining the usabiliity of a virtual reality driving simulator", Assistive Technology, 19(1), pp.1~8 (2007)
  41. Sivak, M., "Improved driving performance following perceptual training in persons with brain damage", Archives of Physical Medicine and Rehabilitation, 62, pp.476~483 (1984)
  42. STAFFAN T. SÖDERSTRÖM, "Prediction of driving ability after stroke and the effect of behind-the-wheel training", Scandinavian Journal of Psychology, 47(5), pp.419~429 (2006), Wiley[DOI]
  43. Wen-Hsu Sung, "The effect of virtual reality-enhanced driving protocol in patients following spinal cord injury", Journal of the Chinese Medical Association, 75(11), pp.600~605 (2012), Elsevier BV[DOI]
  44. Carolyn A. Unsworth, "Development and current status of occupational therapy driver assessment and rehabilitation in Victoria, Australia", Australian Occupational Therapy Journal, 54(2), pp.153~156 (2007), Wiley[DOI]
  45. Carolyn A. Unsworth, "Driver rehabilitation: A systematic review of the types and effectiveness of interventions used by occupational therapists to improve on-road fitness-to-drive", Accident Analysis & Prevention, 71, pp.106~114 (2014), Elsevier BV[DOI]
  46. van Zomeren, A. H., "Clinical neuropsychology of attention" (1994), Oxford University Press
  47. Wang, C. C., "Physician’s guide to assessing and counselling older drivers" (2003), National Highway Traffic Safety Administration
  48. M. Warren, "A Hierarchical Model for Evaluation and Treatment of Visual Perceptual Dysfunction in Adult Acquired Brain Injury, Part 1", American Journal of Occupational Therapy, 47(1), pp.42~54 (1993), AOTA Press[DOI]
  49. Woo, H. S., "The recognition and the necessity of occupational therapists in Korea on the driving rehabilitation", The Journal of Korean Society of Assistive Technology, 3(1), pp.43~52 (2011)
  50. 양호철, "뇌손상 장애인에서 가상운전 프로그램을 이용한 운전 재활", Annals of Rehabilitation Medicine, 33(3), pp.271~275 (2009), 대한재활의학회

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