중추신경계 손상환자의 운전자 재활에 대한 인식과 필요성 연구

The Study of Perception and Necessity of Driver Rehabilitation in Patients with CNS Injury

  • 이병주 (포항대학교 작업치료과) ;
  • 신화경 (대구가톨릭대학교 의료과학대학 물리치료학과) ;
  • 이관섭 (대구가톨릭대학교 의료과학대학 물리치료학과)
  • Lee, Byung-Joo (Department of Occupational Therapy, Pohang College) ;
  • Shin, Hwa-Kyung (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu) ;
  • Lee, Kwan-Sub (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu)
  • 투고 : 2013.09.09
  • 심사 : 2013.10.16
  • 발행 : 2013.10.25

초록

Purpose: For patients with CNS injury who are restricted in the use of public transportation, car driving means more than simple movements and is essential for their independent lives, such as participation in society and returning to jobs. Therefore, in order to enhance the quality of life of disabled persons, their high perception and necessity of driving rehabilitation are required. The purpose of this study is to determine the perception and necessity of driver rehabilitation in patients with CNS injury. Methods: In order to survey the perception of patients with CNS injury and necessity of driving rehabilitation, questionnaires were distributed to patients with CNS injury. Questionnaires were composed of demographic characteristics, disability related characteristics, and driver's license related characteristics. Results: Our results showed that the number of driving participants with a driver's license for the disabled was significantly higher than that for non- driving participants with a previous general driver's license in the perception of driving rehabilitation. Conclusion: We suggest that driving rehabilitation for patients with CNS injury should be supported in terms of evaluation and treatment.

키워드

참고문헌

  1. Shin OS, Jang SJ, Kim UH et al. A study on driver training program for the handicapped at the national rehabilitation center. J Korean Acad Rehab Med. 2000;24:618-23.
  2. Classen, S., Levy, C., McCarthy, D., Mann, W. C., Lanford, D.& Waid-Ebbs, J. k. Traumatic brain injury and driving assessment: An evidence-based literature review. Am J Occup Ther. 2009;63,580-591. https://doi.org/10.5014/ajot.63.5.580
  3. Richard TK, Robert SG. Driving safety after brain damage: follow-up of twenty-two patient with matched controls. Arch Phys Med Rehabil. 1990;71:133-7.
  4. Nam SH, Kang KW, Kwon JW et al. The Effects of Handrails during Treadmill Gait Training in Stroke Patients. J Korean Soc Phys Ther. 2013;25(1):25-28.
  5. Park SK, Yang DJ, Kang JI. Biomechanical Analysis of Sitting Up from a Lying Posture in Stroke Patients. J Korean Soc Phys Ther. 2013;25(2):103-109.
  6. Mosberg A, Osten PE, Schanke AK. Automobile driving after a brain injury. Tidsskr Nor Laegeforen. 2000;120:3392-5.
  7. Woo HS, Gu IS, Jo DY et al. The Recognition and the Necessity of Occupational Therapists in Korea on the Driving Rehabilitation. J Korean Society Assi Tech. 2011;3:43-52.
  8. Fenton S, Kraft W, Marks E. Therapeutic driving and community mobility. Willard and Spackman's Occupational Therapy. 10th ed. Philadelphia: JB Lippincott Co. 2003.
  9. Oh KS. Necessity for the Establishment of Driving Assistance Center for the People with Disability and the Change on the Self-Driving System Based upon a Related General Awareness Survey. J Spec Edu & Rehabil Sci.2010;49:29-58.
  10. Lee BS, Lee ES, Park SU et al. Evaluating Driving Ability of Brain Damaged Subjects with MMSE and MVPT. Ann Rehabil Med. 2002;26:268-72.
  11. David BC. Assessing older drivers for physical and cognitive impairment. Geriatics. 1993;48:46-7.
  12. Perrier, M. J. & Korner-Bitensky, M. J. Patient factors associated with return to driving poststroke: Findings from a multicenter cohort study. Arch Phys Med Rehabil.2010;91:868-73. https://doi.org/10.1016/j.apmr.2010.03.009
  13. Kim MG, Kim JH, Park JW. The Effect of Turning Training on Figure of 8 Tract on Stoke Patients' Balance and Walking. J Kor Soc Phys Ther. 2012;24(2):143-50. https://doi.org/10.1589/jpts.24.143
  14. Galski T, Bruno LR, Williams JB. Off road driving evaluations for persons with cerebral injury: a factor analytic study of predriver and simulator testing. Am J Occup Ther. 1997;51:352-9. https://doi.org/10.5014/ajot.51.5.352
  15. Lundqvist A, Alinder J, Alm H et al. Neuropsychological aspects of driving after brain lesion: simulator study and on-road driving. Appl Neuropsychol. 1997;4:220-30. https://doi.org/10.1207/s15324826an0404_3
  16. Shin HK, Lee HC. Characteristics of brake response time during the driving performance in the elderly. J Kor Skc Phys Ther. 2009;21(3):81-6.