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KMID : 0603920140220040049
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Journal of Korean Academy of Occupational Therapy
2014 Volume.22 No. 4 p.49 ~ p.60
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The Factors Influencing the Ability of Driving Performance in Stroke Patients
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Lee Jae-Hong
Lee Jae-Shin
Kim Su-Kyoung
Cha Tae-Hyun
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Abstract
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Objective : This study was conducted to identify the relevance between the functional level and driving skills in stroke patients, and to compare their driving performance according to their functional level.
Methods : To evaluate the functional ability of the participants, an Motor-Free Visual Perception Test-3 (MVPT-3), Manual Function Test (MFT), Rapid Pace Walk Test, The DriveABLE Cognitive Assessment Tool (DCAT), and Korean form of Geriatric Depression Scale (KGDS) were used. In addition, an STISIM Driving simulator (OTRehab-2.evt) was used to investigate their driving capability.
Results : Their brake reaction time had an effect on their visual perception ability (spatial orientation), as well as their cognitive and depression levels. The total length of the run time influenced their gait function and depressive level. Centerline crossings were related to their visual perception (spatial orientation), and road edge excursion was linked with their visual perception (spatial orientation). In addition, off road accidents affected their visual perception (visual closure), gait function, and depressive level, and collisions exerted an influence on their visual perception (visual short-term memory) and cognitive status.
Conclusion : This study will serve as fundamental data for further studies on driving rehabilitation in stroke patients.
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KEYWORD
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Driving rehabilitation, Driving simulator, Stroke
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