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Methods: Experiments were conducted on a 6 degrees of freedom driving simulator with 28 participants. A comparison of the speed and acceleration from 300 m before to 100 m after the curve was performed for baseline driving (without distraction) and 3 levels of cognitive distractions using n-back tasks.
Results: The speed was significantly higher at the highest level of cognitive distraction (8%) than in baseline driving from the beginning of the curve to 50 m after it and the ratio of the highest level to the baseline was even greater throughout the range. The average acceleration was significantly higher than the baseline at the highest and the medium levels (80 and 70%, respectively) from 250 m before the curve to the one-quarter curve and from 250 to 150 m before the curve, respectively. It was also found that the point of deceleration was significantly delayed at the highest level of cognitive distraction and occurred only after the middle of the curve, whereas deceleration in baseline driving occurred just before entering the curve.
Conclusions: The impairment due to cognitive distraction was confirmed in this study but was only significant at a high level of cognitive distraction. The highly distracted drivers failed to perceive the curve in advance, resulting in a slower response to changes in the roadway. The findings indicate that acceleration may be an indicator of cognitive distraction while negotiating curves. A driver is prone to cognitive distraction and the driving performance is affected when driving requires excessive attention such as curve negotiation. 相似文献
Methods: The literature on the effects of dementia of various etiologies on driving ability is reviewed. Studies addressing dementia etiologies and driving were identified through PubMed, PsychINFO, and Google Scholar.
Results and Conclusions: Early symptoms and prognoses differ between dementias of different etiology. Therefore, different etiologies may represent different likelihoods with regard to fitness to drive. Moreover, dementia etiologies could indicate the type of driving problems that can be expected to occur. However, there is a great lack of data and knowledge about the effects of almost all etiologies of dementia on driving. One could hypothesize that patients with Alzheimer's disease may well suffer from strategic difficulties such as finding a route, whereas patients with frontotemporal dementia are more inclined to make tactical-level errors because of impaired hazard perception. Patients with other dementia etiologies involving motor symptoms may suffer from problems on the operational level. Still, the effects of various etiologies of dementias on driving have thus far not been studied thoroughly. For the detection of driving difficulties in patients with dementia, structured interviews with patients but also their family members appear crucial. Neuropsychological assessment could support the identification of cognitive impairments. The impact of such impairments on driving could also be investigated in a driving simulator. In a driving simulator, strengths and weaknesses in driving behavior can be observed. With this knowledge, patients can be advised appropriately about their fitness to drive and options for support in driving (e.g., compensation techniques, car adaptations). However, as long as no valid, reliable, and widely accepted test battery is available for the assessment of fitness to drive, costly on-road test rides are inevitable. The development of a fitness-to-drive test battery for patients with dementia could provide an alternative for these on-road test rides, on condition that differences between dementia etiologies are taken into consideration. 相似文献