The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Comparison of the Symmetry of Buttock Pressure during Simulated Driving between Heathy Adults and Patients with Stroke

  • Shin, Hwa-Kyung (Department of Physical Therapy, College of Bio and Medical Science, Catholic University of Daegu) ;
  • Lee, Du-Hwan (Department of Physical Therapy, The Graduate School, Catholic University of Daegu)
  • Received : 2017.07.10
  • Accepted : 2017.08.31
  • Published : 2017.08.31
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Abstract

Purpose: Driving is an important activity that is affected by various motor and cognitive deficits after stroke. On the other hand, there is no standard screening tool to evaluate the sitting asymmetry during driving, which is the stereotyped postural characteristic observed in patients with stroke. Therefore, this study compared the buttock pressure during simulated driving between healthy adults and patients with stroke. Methods: Ten post-stroke patients and ten healthy subjects participated in the experiment. The participants experienced simulated driving of 6.1 km during approximately 5 minutes for adaptation. The driving scenario consisted of 3.5 km urban traffic conditions, 10 km straight highway, and 7 km curved or hilly rural roads. Force sensitive application (FSA) was used to analyze the distribution of the buttock pressure on the driver's seat. The symmetry index (SI) was determined using the average buttock pressure of each side of the buttock. The closer SI is to zero, the higher the symmetry of buttock pressure. Results: These studies showed that the SI of healthy subjects was significantly closer to zero than that of the stroke patients. Conclusion: The buttock pressure of the stroke patients showed more asymmetry than that of the healthy subjects during simulated driving. Therefore, a therapeutic approach is needed for symmetrical sitting to improve the driving performance.

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References

  1. Paranjape RP, Johnson MJ, Ramachandran B. Assessing impaired arm use and learned bias after stroke using unimanual and bimanual steering tasks. Conf Proc IEEE Eng Med Biol Soc. 2006;1:3958-61.
  2. Akinwuntan AE, Feys H, DeWeerdt W et al. Determinants of driving after stroke. Arch Phys Med Rehabil. 2002;83(3):334-41. https://doi.org/10.1053/apmr.2002.29662
  3. Patomella AH, Kottorp A, Tham K. Awareness of driving disability in people with stroke tested in a simulator. Scand J Occup Ther. 2008;15(3):184-92. https://doi.org/10.1080/11038120802087600
  4. Akinwuntan AE, Wachtel J, Rosen PN. Driving simulation for evaluation and rehabilitation of driving after stroke. J Stroke Cerebrovasc Dis. 2012;21(6):478-86. https://doi.org/10.1016/j.jstrokecerebrovasdis.2010.12.001
  5. Schultheis MT, DeLuca J, Chute DL. Handbook for the assessment of driving capacity. Massachusetts, Academic Press, 2008.
  6. Fisher DL, Rizzo M, Caird JK et al. Driving simulation for engineering, medicine, and psychology. Florida, CRC Press, 2011.
  7. Shin HK, Lee HC. Characteristics of driving reaction time of elderly drivers in the brake pedal task. J Phys Ther Sci. 2012;24(7):567-70. https://doi.org/10.1589/jpts.24.567
  8. Kilincsoy U, Wagnera A, Vink P et al. Application of ideal pressure distribution in development process of automobile seats. Work. 2016;54(4):895-904. https://doi.org/10.3233/WOR-162350
  9. Chen C, Lin K, Lu T et al. Immediate effect of lateral-wedged insole on stance and ambulation after stroke. Am J Phys Med Rehabil. 2010;89(1):48-55. https://doi.org/10.1097/PHM.0b013e3181c1ea8a
  10. Shin HK, Lee HC. Analysis of braking response time for driving take based on tri-axial accelerometer. J Kor Soc Phys Ther. 2010;22(6):59-63.
  11. Chua M, McCluskey A, Smead JM. Retrospective analysis of factors that affect driving assessment outcomes after stroke. Aust Occup Ther J. 2012;59(2):121-30. https://doi.org/10.1111/j.1440-1630.2012.01005.x
  12. Shin HK, Lee HC. Characteristics of brake response time during the driving performance in the elderly. J Kor Soc Phys Ther. 2009;21(3):81-6. https://doi.org/10.1589/jpts.21.81
  13. Al-Eisa E, Egan D, Fenety A. Association between lateral pelvic tilt and asymmetry in sitting pressure distribution. J Man Manip Ther. 2004;12(3):133-42. https://doi.org/10.1179/106698104790825239
  14. Au-Yeung SSY. Does weight-shifting exercise improve postural symmetry in sitting in people with hemiplegia? Brain Inj. 2003;17(9):789-97. https://doi.org/10.1080/0269905031000088487
  15. Kim HE, Chang MY. Effects of sitting position and satisfaction on wheelchair sitting education in hemiparesis patients. J Kor Soc Occup Ther. 2013;12(3): 103-14.

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