Contributing Factors Analysis for the Driving Status in Spinal Cord Injury

척수 손상 장애인의 자가운전에 영향을 미치는 요인 분석

Kim, Su-Il;Kim, Deog-Young;Rah, Ueon-Woo;Bae, Ha-Suk
김수일;김덕용;나은우;배하석

  • Published : 20021200

Abstract

Objective: To provide informations on contributing factors analysis for the driving status in spinal cord injured people through basic statistics from an analysis of the survey results. Method: The survey was administered to 121 spinal cord injured persons with no evidence of head injury. Subjects were divided to driver group and non-driver group and compared to their general charateristics, neurologic characteristics, status of activity of daily living (ADL). Logistic regression was used to analyze contributing factors for the driving status. Results: Forty-four (36.4%) of 121 respondents were driving and among them male drivers were 35 (79.6%). The average age and the age at the time of injury were lower in the driver group than non-driver group. Among complete lesions, C7 was the highest level who could drive independently. The mean score of ADL was significantly higher in the driver group than non-driver group. The significant factors that affect the driving of spinal cord injured persons were sex, age, age at the time of injury, Frankel type, motor score, jobs after their injury, compensations for their accidents, means of ambulation, sports activities, and ADL status. Especilly significant factors were age at the time of injury, means of ambulation, ADL status. Conclusion: We suggested that the driver training should be an essential part of the rehabilitaion program for the spinal cord injured people to maximize their quality of life in the community.

Keywords

References

  1. 백승완: 장애인 자가운전과 삶의 질에 관한 연구. 연세대학교 석사학위 논문, 2000
  2. 신오수, 장순자, 김완호, 이범석, 홍병진, 김재형, 김병식: 국립 재활원의 장애인 자동차 운전 훈련프로그램 적용 결과 분석. 대한재활의학회지 2000; 24: 618-623
  3. 전중선, 문재호, 전세일: 척수손상자를 위한 재활운전교육. 대한재활의학회지 1989; 13: 123-127
  4. Ahoned Z, Ghatit EI, Hanson RW: Variables associated with obtaining and sustaining employement among spinal cord injury males; a follow up of 760 (veterans). J Chron Dis 1978; 31: 361-369
  5. American Spinal Injury Association (ASIA): Standards for neurological and functional classification of spinal cord injury, Chicago: American Spinal Injury Association, 1992
  6. Cook CA, Semmler CJ: Ethical dilemmas in driver reeducation. Am J Occup Ther 1991; 45: 517-522 https://doi.org/10.5014/ajot.45.6.517
  7. Devivo MJ, Richards JS: Community reintegration and quality of life following spinal cord injury. Paraplegia 1992; 3: 108-112
  8. French D, Hanson CS: Survey of driver rehabilitation programs. Am J Occup Ther 1999; 53: 394-397 https://doi.org/10.5014/ajot.53.4.394
  9. Gart RG: A comparison of severely handicapped and abledbodied drivers. Unpublished Master's thesis. University of Illinois, Urbana, Illinois, 1959
  10. Hymen ML: Hand-control drivers: Comparison of driving records and insurance rates with those of nonrestricted driver. Arch Phys Med Rehabil 1974; 55: 443-447
  11. Kent H, Sheridan J, Wasko E, June C: A driver training program for the disabled. Arch Phys Med Rehabil 1979; 60: 273-276
  12. Kiyono Y, Hashizume C, Matsui N, Ohtsuka K, Takaoka K: Car-driving abilities of people with tetraplegia. Arch Phys Med Rehabil 2001; 82: 1389-1392 https://doi.org/10.1053/apmr.2001.26089
  13. McFraland RA, Ryan GA, Dinogman R: Etiology of motorvehicle accidents with special reference to mechanisms of injury. N Engl J Med 1968; 278: 1383-1388 https://doi.org/10.1056/NEJM196806202782506
  14. Noreau L, Dion SA, Vachon J, Gervais M, Laramee MT: Productivity outcomes of individuals with spinal cord injury. Spinal Cord 1999; 37: 730-736 https://doi.org/10.1038/sj.sc.3100918
  15. Warren M. Evaluation and treatment of visual deficits. In: Pedritti LW, editor. Occupational therapy, Baltimore: Mosby, 2001, pp198-211
  16. Pidikiti RD, Novack TA: The disabled driver: An unmet challenge. Arch Phys Med Rehabil 1991; 72: 109-111
  17. Richards B: A social and psychological study of 166 spinal cord injured patients from Queensland. Paraplegia 1982; 20: 90-96 https://doi.org/10.1038/sc.1982.16
  18. Shah S, Vanclay F, Cooper B: Improving the sensitivity of the Barthel index for stroke rehabilitation. J Clin Epidemol 1989; 42: 703-709 https://doi.org/10.1016/0895-4356(89)90065-6
  19. Shand J, Sivewright JP: Car driving for the physically disabled: the American experience. Paraplegia 1994; 32: 697-699 https://doi.org/10.1038/sc.1994.113
  20. Siosteen A, Lundqvist C, Blomstrand C, Sullivan L, Sullivan M: The quality of life of three functional spinal cord injury subgroups in a Swedish community. Paraplegia 1990; 28: 476-488 https://doi.org/10.1038/sc.1990.64
  21. Van Zomeren AH, Brouwer WH, Minderhoud JM: Acquired brain damage and driving: A review. Arch Phys Med Rehabil 1987; 68: 607-705
  22. Ysander L: The safety of physically disabled drivers. Br J Ind Med 1966; 23: 173-180