Driving Competence in Mild Dementia with Lewy Bodies: In Search of Cognitive Predictors Using Driving Simulation

Q1 Neuroscience

International Journal of Alzheimer's Disease Pub Date : 2015-12-02 DOI:10.1155/2015/806024

Stephanie Yamin, A. Stinchcombe, S. Gagnon

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引用次数: 24

Abstract

Driving is a multifactorial behaviour drawing on multiple cognitive, sensory, and physical systems. Dementia is a progressive and degenerative neurological condition that impacts the cognitive processes necessary for safe driving. While a number of studies have examined driving among individuals with Alzheimer's disease, less is known about the impact of Dementia with Lewy Bodies (DLB) on driving safety. The present study compared simulated driving performance of 15 older drivers with mild DLB with that of 21 neurologically healthy control drivers. DLB drivers showed poorer performance on all indicators of simulated driving including an increased number of collisions in the simulator and poorer composite indicators of overall driving performance. A measure of global cognitive function (i.e., the Mini Mental State Exam) was found to be related to the overall driving performance. In addition, measures of attention (i.e., Useful Field of View, UFOV) and space processing (Visual Object and Space Perception, VOSP, Test) correlated significantly with a rater's assessment of driving performance.

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轻度路易体痴呆患者的驾驶能力:利用驾驶模拟寻找认知预测因子

驾驶是一种多因素行为，涉及多个认知、感觉和身体系统。痴呆症是一种进行性和退行性神经系统疾病，影响安全驾驶所必需的认知过程。虽然有许多研究调查了阿尔茨海默病患者的驾驶情况，但对路易体痴呆(DLB)对驾驶安全的影响知之甚少。相比,本研究模拟驾驶操作15老司机有轻微下文与21个神经健康控制驱动程序。DLB驾驶员在模拟驾驶的所有指标上表现较差，包括模拟器中的碰撞次数增加，整体驾驶性能的综合指标较差。整体认知功能的测量(即迷你精神状态测试)被发现与整体驾驶表现有关。此外，注意力测量(即有用视野，UFOV)和空间处理(视觉对象和空间感知，VOSP，测试)与评分者对驾驶表现的评估显着相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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