{"title":"老年人工膝关节和髋关节置换术后制动-加速反应时间的研究。","authors":"Shohei Kagino, Hiroyuki Tanaka, Nobuyuki Miyazaki, Yasuo Naito","doi":"10.1080/15389588.2025.2468272","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study clarified the time required to return to preoperative levels after total knee arthroplasty (TKA) and total hip arthroplasty (THA) using the time to release the accelerator pedal and switch to the brake.</p><p><strong>Methods: </strong>Drivers' license holders who underwent right-sided TKA or THA were included. A driving simulator featuring a three-screen monitor employing HONDA Safety Navi<sup>®</sup> was used. Simple and selective reaction tests were conducted. One-way repeated-measures ANOVA was based on the results of the simple and selective response tasks for each period. Bonferroni's multiple comparison test served as a post-hoc analysis for items with significant differences in the one-way ANOVA.</p><p><strong>Results: </strong>A total of 110 patients (32 males, 78 females; mean age 69.8 ± 7.6 years) completed the study (TKA = 64, THA = 46). In the simple reaction test, patients who underwent THA exhibited a significantly quicker reaction time 3 weeks postoperatively compared with the preoperative and 1-week postoperative periods. The speed of reaction behavior in the selective response test was significantly faster 3 weeks postoperatively than preoperatively and 1-week postoperatively.</p><p><strong>Conclusions: </strong>Patients who undergo TKA and THA may potentially resume driving as early as 1 week after surgery.</p>","PeriodicalId":54422,"journal":{"name":"Traffic Injury Prevention","volume":" ","pages":"1-8"},"PeriodicalIF":1.6000,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A study on brake-accelerator reaction times in elderly patients after artificial knee joint and hip joint replacement surgery.\",\"authors\":\"Shohei Kagino, Hiroyuki Tanaka, Nobuyuki Miyazaki, Yasuo Naito\",\"doi\":\"10.1080/15389588.2025.2468272\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study clarified the time required to return to preoperative levels after total knee arthroplasty (TKA) and total hip arthroplasty (THA) using the time to release the accelerator pedal and switch to the brake.</p><p><strong>Methods: </strong>Drivers' license holders who underwent right-sided TKA or THA were included. A driving simulator featuring a three-screen monitor employing HONDA Safety Navi<sup>®</sup> was used. Simple and selective reaction tests were conducted. One-way repeated-measures ANOVA was based on the results of the simple and selective response tasks for each period. Bonferroni's multiple comparison test served as a post-hoc analysis for items with significant differences in the one-way ANOVA.</p><p><strong>Results: </strong>A total of 110 patients (32 males, 78 females; mean age 69.8 ± 7.6 years) completed the study (TKA = 64, THA = 46). In the simple reaction test, patients who underwent THA exhibited a significantly quicker reaction time 3 weeks postoperatively compared with the preoperative and 1-week postoperative periods. The speed of reaction behavior in the selective response test was significantly faster 3 weeks postoperatively than preoperatively and 1-week postoperatively.</p><p><strong>Conclusions: </strong>Patients who undergo TKA and THA may potentially resume driving as early as 1 week after surgery.</p>\",\"PeriodicalId\":54422,\"journal\":{\"name\":\"Traffic Injury Prevention\",\"volume\":\" \",\"pages\":\"1-8\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-03-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Traffic Injury Prevention\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/15389588.2025.2468272\",\"RegionNum\":3,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Traffic Injury Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15389588.2025.2468272","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
A study on brake-accelerator reaction times in elderly patients after artificial knee joint and hip joint replacement surgery.
Objectives: This study clarified the time required to return to preoperative levels after total knee arthroplasty (TKA) and total hip arthroplasty (THA) using the time to release the accelerator pedal and switch to the brake.
Methods: Drivers' license holders who underwent right-sided TKA or THA were included. A driving simulator featuring a three-screen monitor employing HONDA Safety Navi® was used. Simple and selective reaction tests were conducted. One-way repeated-measures ANOVA was based on the results of the simple and selective response tasks for each period. Bonferroni's multiple comparison test served as a post-hoc analysis for items with significant differences in the one-way ANOVA.
Results: A total of 110 patients (32 males, 78 females; mean age 69.8 ± 7.6 years) completed the study (TKA = 64, THA = 46). In the simple reaction test, patients who underwent THA exhibited a significantly quicker reaction time 3 weeks postoperatively compared with the preoperative and 1-week postoperative periods. The speed of reaction behavior in the selective response test was significantly faster 3 weeks postoperatively than preoperatively and 1-week postoperatively.
Conclusions: Patients who undergo TKA and THA may potentially resume driving as early as 1 week after surgery.
期刊介绍：
The purpose of Traffic Injury Prevention is to bridge the disciplines of medicine, engineering, public health and traffic safety in order to foster the science of traffic injury prevention. The archival journal focuses on research, interventions and evaluations within the areas of traffic safety, crash causation, injury prevention and treatment.
General topics within the journal''s scope are driver behavior, road infrastructure, emerging crash avoidance technologies, crash and injury epidemiology, alcohol and drugs, impact injury biomechanics, vehicle crashworthiness, occupant restraints, pedestrian safety, evaluation of interventions, economic consequences and emergency and clinical care with specific application to traffic injury prevention. The journal includes full length papers, review articles, case studies, brief technical notes and commentaries.
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