• Title/Summary/Keyword: Driving rehabilitation

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The Study of the Driving Characteristics in Persons With Spinal Cord Injury (척수손상 장애인의 자가운전 특성에 관한 연구)

  • Kim, Su-Il;Rah, Ueon-Woo;Kim, Deog-Young;Bae, Ha-Suk
    • Physical Therapy Korea
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    • v.10 no.2
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    • pp.71-84
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    • 2003
  • 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.

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A Systematic Review on Driving Rehabilitation of After Stroke (뇌졸중 환자의 운전재활에 관한 체계적 고찰)

  • Park, Bo-Ra
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.37-46
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    • 2018
  • Objective : The aims of this study is to investigate the research trends of driver rehabilitation in stroke patients through systematic consideration and suggests future research directions. Method : This study was conducted on a total of 6 subjects selected from 2008 to 2017. The analysis criteria were classified into qualitative level, published journal, evaluation tool, and keyword. Result : The study on the driving rehabilitation of stroke patients was the highest in IV and V levels at 33.32% each, and the most studies were published in 2014. The keywords of the study were 33.32% each related to driving and stroke. Conclusion : This study investigated the driving rehabilitation of stroke patients. Based on the results, it is necessary to continuously study the effects of various programs for driving rehabilitation in the future.

Effects of Visual Perception Skills on Driving Performance of Patients With Stroke (뇌졸중 환자의 시지각 능력이 운전수행에 미치는 영향)

  • Kwak, Ho-Soung
    • Therapeutic Science for Rehabilitation
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    • v.9 no.1
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    • pp.45-55
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    • 2020
  • Objective : The purpose of this study was to investigate the effects of visual perception on driving performance and the importance of visual training for improving driving performance in patients with stroke. Methods : The evaluations, using MVPT(Motor-free Visual Perception Test), TMT A&B(Trail Making Test A & B), UFOV(Useful Field Of View test), and a driving simulator, were carried out with patients in department of physical medicine and rehabilitation in a rehabilitation hospital from October 2014 to November 2014. Results : Driving performance was related to the ability of various visual perceptions of patients with stroke, and the highest correlation was found in the UFOV subtest 2, TMT B, and MVPT. The results of discriminant analysis indicated a sensitivity of 100.0%, specificity of 80.0%, and predicted the results of the driving simulator with 89.5% accuracy. Conclusion : This study found that visual-perception skills influence driving performance and suggested the importance of visual-perception skill training for driving.

A Novel Nonmechanical Finger Rehabilitation System Based on Magnetic Force Control

  • Baek, In-Chul;Kim, Min Su;Kim, Sung Hoon
    • Journal of Magnetics
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    • v.22 no.1
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    • pp.155-161
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    • 2017
  • This paper presents a new nonmechanical rehabilitation system driven by magnetic force. Typically, finger rehabilitation mechanisms are complex mechanical systems. The proposed method allows wireless operation, a simple configuration, and easy installation on the hand for active actuation by magnetic force. The system consists of a driving coil, driving magnets (M1), and auxiliary magnets (M2 and M3), respectively, at the finger, palm, and the center of coil. The magnets and the driving coil produce three magnetic forces for an active motions of the finger. During active actuations, magnetic attractive forces between M1 and M2 or between M1 and M3 enhance the flexion/extension motions. The proposed system simply improves the extension motion of the finger using a magnetic system. In this system, the maximum force and angular variation of the extension motion were 0.438 N and $49^{\circ}$, respectively. We analyzed the magnetic interaction in the system and verified finger's active actuation.

Driving State of the stroke patients after Cognitive Perceptual Assessment for Driving evaluation at the National Rehabilitation Center (국립재활원에서 운전인지평가를 받은 뇌졸중 환자의 운전 실태조사)

  • Lee, J.A.;Choi, H.;Lee, S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.117-124
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    • 2013
  • Objective : To investigate the actual driving state of the stroke patients who had assessed CPAD. Methods : We conducted a follow-up survey with 48 stroke patients who had assessed CPAD. First, we reviewed the medical chart and then carried out the telephone survey. Results : Of the 48 subjects, 12 were driving and 36 were not driving. Current drivers' CPAD score, it was 54.13, was higher than non-drivers' CPAD score(p<0.05). Those who passed the CPAD were driving more than who failed(OR=8.3, 95%CI=1.931-35.558). Conclusion : The pass group of CPAD have higher chance of driving than fail group and have lower chance of car accidence than fail group. Thus we can apply the CPAD for driving cognitive evaluation tests.

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Development of Intelligent Powered Gait Orthosis for Paraplegic

  • Kang, Sung-Jae;Ryu, Jei-Cheong;Moon, In-Hyuk;Kim, Kyung-Hoon;Mun, Mu-Seung
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.1272-1277
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    • 2005
  • In this study, we wolud be developed the fuzzy controlled PGO that controlled the flexion and the extension of each PGO's joint using the bio-signal and FSR sensor. The PGO driving system is to couple the right and left sides of the orthosis by specially designed hip joints and pelvic section. This driving system consists of the orthosis, sensor, control system. An air supply system of muscle is composed of an air compressor, 2-way solenoid valve(MAC, USA), accumulator, pressure sensor. Role of this system provide air muscle with the compressed air at hip joint constantly. According to output signal of EMG sensor and foot sensor, air muscles and assists the flexion of hip joint during PGO gait.

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Driving Performance Evaluation Using Bio-signals from the Prefrontal Lobe in the Driving Simulator

  • Kim, Young-Hyun;Kim, Yong-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.2
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    • pp.319-325
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    • 2012
  • Objective: The aim of this study was to develop the assistive device for accelerator and brake pedals using bio-signals from the prefrontal lobe in the driving simulator and evaluate its performance. Background: There is lack of assistive devices for the driving in peoples with disabilities in Korea. However, if bio-signals and/or brain waves are used at driving a car, the people with serious physical limitations can improve their community mobility. Method: 15 subjects with driver's license participated in this study for experiment of driving performance evaluation in the simulator. Each subject drove the simulator the same course 10 times in three separated groups which use different interface controllers to accelerate and brake: (1) conventional pedal group, (2) joystick group and (3) bio-signal group(horizontal quick glance of the eyes and clench teeth). All experiments were recorded and the driving performances were evaluated by three inspectors. Results: Average score of bio-signal group for the driving in the simulator was increased 3% compared with the pedal group and was increased 9% compared with the joystick group(p<0.01). The subjects using bio-signals was decreased 44% in number of deduction compared with others because the device had the built-in modified cruise control. Conclusion: The assistive device for accelerator and brake pedals using bio-signals showed significantly better performance than using general pedal and a joystick interface(p<0.01). Application: This study can be used to design adaptive vehicle for driving in people with disabilities.

Comparison of driving cognition on paretic side in drivers following stroke

  • Gang, Na Ri;Shin, Hwa-Kyung
    • Physical Therapy Rehabilitation Science
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    • v.7 no.3
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    • pp.114-118
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    • 2018
  • Objective: The left and right sides of the brain has different roles. This study investigated the differences in cognitive driving ability between stroke survivors with damage to the left brain and right brain. Therefore, the purpose of this study was to compare the driving cognitive ability of left and right hemispheric drivers following stroke. Design: Cross-sectional study. Methods: The Stroke Drivers' Screening Assessment (SDSA) from the UK was translated to the Korean Stroke Drivers' Screening Assessment (K-SDSA) to meet the specific traffic environments of Korea. The SDSA is composed of 4 tasks :1) a dot cancellation task that measures concentration and visuospatial abilities necessary for driving, 2) a directional matrix task to measure spatio-temporal executive function required for driving, 3) a compass matrix task to measure accurate direction determination ability required for driving, and 4) recognition of traffic signs and reasoning ability to understanding traffic situation. The SDSA assessment time is about 30 minutes. The K-SDSA was used to compare the cognitive driving abilities between 15 stroke survivors with left and 15 stroke survivors with right brain damage. Results: There were significant differences between the persons with stroke patients with left brain lesions (right hemiplegia) compared to the persons with stroke with right brain lesions (left hemiplegia) (p<0.05). It was found that the cognitive driving ability of those with right brain damage was lower than that of the group of left brain damage. Conclusions: This research investigated the driving cognitive ability of persons with stroke. The therapists can use this information as basis for the driving test and training purposes. It could also be used as a basis to understanding if the cognitive ability of not only stroke survivors but also those with brain damage is adequate to actually drive.