Research Paper パーキンソン病の自動車運転能力を正しく評価し療養者と社会の安全を守る研究

成田, 有吾  ,  NARITA, Yugo

2015-05-24 , 三重大学
パーキンソン病(PD)患者は統一パーキンソン病評価尺度スコアでは十分に運転能力評価できない.運転適性を判断する指標を得るため,運転を継続しているPD患者を対象とし,患者の配偶者を健常対照として,高次脳機能:Benton視覚記銘試験,trail making test parts A & B等,また,運転能力:CRT運転適性検査機器,およびシミュレーション装置で比較検討した.シミュレーション画面を実際の運転場面と見なして,Agnelli A提示の評価も加えた.運転継続中のPD患者に,Benton視覚記銘試験での異常があれば,シミュレーションと撮影記録により自動車運転適性を判断できる可能性がある.
To assess the driving ability of patients with Parkinson’s disease (PD), we evaluated clinical profile by Unified Parkinson’s Disease Rating Scale (UPDRS), Mini Mental State Examination(MMSE),Frontal Assessment Battery (FAB), Benton visual retention test (Benton), trail making test parts A & B(TMT-A & TMT-B)at the university hospital, and driving data by the CRT (cathode ray tube) examiner and driving simulator at the Driving License Centre, on 10 PD patients and 4 their healthy spouses as controls. There is no difference on MMSE, FAB, TMT-A, TMT-B, or TMT-A/TMT-B. But the number of mistakes of Benton was higher in PD groups than controls (p=0.036). There was significant difference on pedaling time of the CRT examiner between patients and spouses. The direct scoring of videotaped records of each simulation scene according to the criteria (Agnelli A, 2009) showed some correlation with TMT-B, TMT-A/TMT-B or variables of the CRT examiner.

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