Examination of naturalistic driving practices in drivers with Parkinson's disease compared to age and gender-matched controls
Examination of naturalistic driving practices in drivers with Parkinson's disease compared to age and gender-matched controls
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DOI：
10.1016/j.aap.2012.06.025
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发表时间：
2013-01-01
影响因子：
5.9
通讯作者：
Myers, Anita M.
中科院分区：
文献类型：
--
作者：
Crizzle, Alexander M.;Myers, Anita M.
一些研究表明，患有帕金森病 (PD) 的驾驶员比没有神经系统疾病的驾驶员更能自我调节或改变自己的驾驶行为；然而调查结果仅限于自我报告。本研究的目的是客观地检查患有帕金森病的驾驶员是否表现出更严格的驾驶行为（暴露和模式）。在 27 名 PD 驾驶员（71.6 +/- 6.6；78% 男性）和 20 名匹配对照驾驶员（70.6 +/- 7.9；80% 男性）的车辆中安装了电子设备两周，并将驾驶数据与航空地图、天气和日光档案以及行程日志进行匹配，以检查驾驶情况。与对照组相比，PD 组的总体驾驶次数（出行次数、公里数、持续时间）显着减少，并且在夜间和恶劣天气的日子也相应减少，这表明驾驶行为受到更多限制，这与驾驶舒适度和能力的评分较低相一致。然而，他们不一定会更加谨慎或安全地驾驶，因为他们在高速公路上行驶速度明显更快（并且超过了速度限制），并且 19% 的人报告了两周内的驾驶问题。这些初步研究结果需要得到重复，并且需要使用客观指标进行纵向研究，以检查随着疾病严重程度的进展，驾驶习惯以及碰撞结果的变化。 (C) 2012 Elsevier Ltd. 保留所有权利。
A few studies suggest that drivers with Parkinson's disease (PD) may self-regulate or modify their driving behavior more than drivers without neurological disorders; however findings are limited to self-report. The purpose of this study was to objectively examine whether drivers with PD show more restrictive driving practices (exposure and patterns). Electronic devices were installed in the vehicles of 27 drivers with PD (71.6 +/- 6.6; 78% men) and 20 matched controls (70.6 +/- 7.9; 80% men) for two weeks and driving data were matched with aerial maps, weather and daylight archives and trip logs to examine driving context. Compared to controls, the PD group drove significantly less overall (number of trips, kilometres, duration), and proportionately less at night and on days with bad weather suggesting more restricted driving practices, congruent with lower ratings of driving comfort and abilities. However, they may not necessarily drive more cautiously or safely as they drove significantly faster (and over the speed limit) on highways and freeways and 19% reported driving problems over the two weeks. These preliminary findings need to be replicated and longitudinal studies using objective indicators are needed to examine changes in driving practices, as well as crash outcomes, as disease severity progresses. (C) 2012 Elsevier Ltd. All rights reserved.