KMID : 1143320160050020035
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Therapeutic Science for Neurorehabilitation 2016 Volume.5 No. 2 p.35 ~ p.47
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Systematic Review of Driving Rehabilitation for Improving On-Road Driving
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Park Jin-Hyuck
Heo Seo-Yoon Seo Jun Park Ji-Hyuk
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Abstract
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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 I, III, and V. 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.
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KEYWORD
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Driving rehabilitation , On-road , Systematic review
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