척수손상 장애인의 자가운전 특성에 관한 연구

The Study of the Driving Characteristics in Persons With Spinal Cord Injury

  • 김수일 (아주대학교 병원 재활의학과) ;
  • 나은우 (아주대학교 병원 재활의학과) ;
  • 김덕용 (연세대학교 의과대학 재활의학교실 및 재활의학 연구소) ;
  • 배하석 (연세대학교 의과대학 재활의학교실 및 재활의학 연구소)
  • Kim, Su-Il (Dept. of Physical Medicine and Rehabilitation, Ajou University Medical Center) ;
  • Rah, Ueon-Woo (Dept. of Physical Medicine and Rehabilitation, Ajou University Medical Center) ;
  • Kim, Deog-Young (Dept. of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine) ;
  • Bae, Ha-Suk (Dept. of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine)
  • 발행 : 2003.05.21

초록

The purpose of this study was to provide information on driving characteristics in persons with spinal cord injury through basic statistic analysis of the survey results. The survey was administered to 44 drivers with spinal cord injury. The subjects' general, neurologic and driving characteristics were analyzed, as well as the degree of difficulty in using their vehicles between tetraplegia and paraplegia. The results were as follows: thirty-five (79.6%) of forty-four respondents was men. The average age was 35.0 years old and the age at the time of injury was 29.0 years old. Their neurologic characteristics were tetraplegics 12 (27.3%) and paraplegics 32 (72.2%). Among complete lesions, the highest level those who could drive independently was C7. All the vehicles were equipped with special devices, including "power steering", "automatic transmission" and "hand controls". The vehicles for cervical cord injury were equipped with "grip bars" as well as for the degree of difficulty in using their vehicles, all the subjects felt that "moving the wheelchair in and out of their vehicles" was too difficult for them to do. We suggest that the driver training should be an essential part of the rehabilitation program for patients with spinal cord injuries to maximize their mobility in the community. This training seems to be essential in order to modify the standards of the Handicapped Drivers Ability Test and to aid the driver rehabilitation program in the health insurance payment system. Also, the driver rehabilitation training program should include instruction in that moving wheelchairs in and out of vehicles.

키워드