Driving with hemianopia, I: Detection performance in a driving simulator.

Driving with hemianopia, I: Detection performance in a driving simulator.
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DOI:
10.1167/iovs.09-3799
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发表时间:
2009-11
影响因子:
4.4
通讯作者:
Peli E
Peli E
中科院分区:
医学2区
文献类型:
--
作者:
Bowers AR;Mandel AJ;Goldstein RB;Peli E

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本研究的目的是研究在驾驶模拟器的受控环境中,在多个现实和危险的情况下,同向偏盲(HH)对行人数字检测的影响。12人完成HH和没有视觉忽视或认知能力下降和12个匹配(年龄,性别和驾驶经验年)正常视力(NV)的司机参加。他们驾驶预定的城市和农村公路路线(共120分钟),在此期间,行人的数字出现在随机间隔沿着道路(R-Peds; n = 144)和交叉口(I-Peds; n = 10)。检测率和响应时间来自参与者按喇叭。HH驾驶员在盲侧的R-Ped检测率显著低于NV驾驶员(范围,6%-100%)(P <0.001)。盲侧I-Peds的检测也很差(8%-55%)。年龄和盲侧检出率呈负相关(斯皮尔曼r =-0.71,P = 0.009)。虽然HH驾驶员的盲侧反应时间显著(P <0.001)长于NV驾驶员,但大多数都在常用的2.5秒指南内。大多数HH参与者的盲侧检测率似乎与安全驾驶不相容;然而,我们的模拟器检测性能指标与道路性能的关系尚未建立。在确定健康驾驶HH的人,结果强调了个性化评估的重要性,包括盲侧危险检测的评价。
This study was designed to examine the effect of homonymous hemianopia (HH) on detection of pedestrian figures in multiple realistic and hazardous situations within the controlled environment of a driving simulator. Twelve people with complete HH and without visual neglect or cognitive decline and 12 matched (age, sex, and years of driving experience) normally sighted (NV) drivers participated. They drove predetermined city and rural highway routes (total, 120 minutes) during which pedestrian figures appeared at random intervals along the roadway (R-Peds; n = 144) and at intersections (I-Peds; n = 10). Detection rates and response times were derived from participant horn presses. Drivers with HH exhibited significantly (P < 0.001) lower R-Ped detection rates on the blind side than did NV drivers (range, 6%–100%). Detection of I-Peds on the blind side was also poor (8%–55%). Age and blind-side detection rates correlated negatively (Spearman r = −0.71, P = 0.009). Although blind-side response times of drivers with HH were significantly (P < 0.001) longer than those of NV drivers, most were within a commonly used 2.5-second guideline. Most participants with HH had blind-side detection rates that seem incompatible with safe driving; however, the relationship of our simulator detection performance measures to on-road performance has yet to be established. In determining fitness to drive for people with HH, the results underscore the importance of individualized assessments including evaluations of blind-side hazard detection.
DOI: 10.1016/j.aap.2008.10.007
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发表时间: 2009-05
期刊: Optometry and vision science : official publication of the American Academy of Optometry
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影响因子: 4.8
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