在模拟器和在路上评估脑损伤和中风中的驾驶行为:范围审查
Junpei Kubota1, Anjali Tiwari2, Takao Kaneko3
1Department of Occupational Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan.
Brain injury
|January 23, 2026
概括
脑损伤的个体经常表现出战术驾驶错误,例如车道偏差,影响他们安全驾驶的能力. 评估应评估操作,战术和战略驾驶技能.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 人类因素工程 人类因素工程
背景情况:
- 驾驶需要复杂的认知和运动技能,在脑损伤或中风后经常受到损害.
- 米康的等级框架为分析驾驶行为提供了一个结构.
研究的目的:
- 通过模拟器和道路评估,系统地审查和综合脑损伤患者的驾驶行为.
- 根据Michon的操作,战术和战略等级对驾驶行为进行分类.
主要方法:
- 在2024年7月,在五个数据库中进行了系统的文献搜索,遵守PRISMA扩展指南的范围审查.
- 包括的研究涉及通过驾驶模拟器或道路评估评估的大脑损伤的成年人.
- 驾驶行为被分为操作,战术或战略类别.
主要成果:
- 三十八项研究符合纳入标准.
- 经过驾驶评估而失败的脑损伤患者表现出更频繁的战术错误 (例如,车道偏差,视觉扫描差) 与通过的人相比.
- 模拟器评估通常用于将脑损伤患者与对照人进行比较,而在路上评估则普遍用于通过/失败评估.
结论:
- 在脑损伤患者中,包括决策和交通操纵在内的战术错误一直被发现.
- 驾驶评估工具应该加强对作战和战术能力的评估.
- 需要改进对战略层面驾驶表现的评估,目前驾驶表现不足.
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