Car-driving abilities of people with tetraplegia

Kiyono, Yoshifumi; Hashizume, C; Matsui, Nobuyuki; Ohtsuka, Kuniyoshi; Takaoka, Kunio

doi:10.1053/apmr.2001.26089

Cited by 27 publications

(23 citation statements)

References 12 publications

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“…As emerged in other studies, car driving ability appeared to be a very important indicator for SCI individuals having work access and being engaged in social activities. 18 Injured people feel the loss of their independence and freedom and depend on others for the activities of daily life. Being able to drive a car makes it possible for them to gain a sense of autonomy and independence, which are factors deeply linked to a better vocational/study area of perceived QoL, as also showed in literature.…”

Section: Multivariate Analysismentioning

confidence: 99%

Sport, free time and hobbies in people with spinal cord injury

et al. 2012

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Study design: Prospective, multicenter follow-up (F-U) observational study. Objectives: To investigate the changes in participation and sports practice of people after spinal cord injury (SCI) and their impact on perceived quality of life (QoL). Methods: The questionnaire investigated the health status and management of clinical conditions and attendance of social integration, occupation, autonomy, car driving, sentimental relationships and perceived QoL in a SCI population 4 years after the first rehabilitation hospitalization. Results: Respondents were 403, 83.4% male; 39% was tetraplegic. At F-U, 42.1% worked and studied, 42.2% still held their jobs or studies, and 69% drove the car. In all, 77.2% had bowel continence and 40.4% urinary continence. The results showed that for the 68.2% of respondents, the attendance of friends, relatives and colleagues during their free time was the same or increased compared with the time before the injury, whereas 31.8% showed a decrease. The amount of time the 52.1% of respondents left home was the same or increased compared with before the trauma, whereas 50.6% of the respondents said that the time they were engaged in hobbies was either the same or increased. Conclusion: SCI people who perceived their QoL as being higher, and whose attendance, autonomy and time was increased in respect to hobbies, were mainly men with an age range between 36 and 40 years, unmarried, paraplegic and with A-B Asia Score. Regarding the amount of time dedicated to practicing sports, the only difference was the most of that respondents, who indicated a decrease, were women.

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Section: Multivariate Analysismentioning

confidence: 99%

Sport, free time and hobbies in people with spinal cord injury

et al. 2012

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“…On the other hand, only a minority of the study participants who could not drive were employed. The same study revealed that the participants who could not drive also did not participate in sporting activities; while half of those who could drive independently participated in some sporting activities 9 . They concluded that the ability to drive can enable engagement in social activities which may in turn enhance quality of life 9 .…”

Section: Driving As An Instrumental Activity Of Daily Livingmentioning

confidence: 89%

“…The same study revealed that the participants who could not drive also did not participate in sporting activities; while half of those who could drive independently participated in some sporting activities 9 . They concluded that the ability to drive can enable engagement in social activities which may in turn enhance quality of life 9 . Dias de Faria 10 conducted a study in Brazil and noted that the quest for independence and autonomy, the desire to engage in out of home activities, to work, to study as well as to access recreational places of choice, were the reasons for desiring to own an adapted car.…”

Section: Driving As An Instrumental Activity Of Daily Livingmentioning

confidence: 89%

“…The ability to drive one's own vehicle is associated with satisfaction, independence, engagement in daily activities 5 , autonomy 6 , role fulfilment 7 , ability to pursue leisure activities 8 , and being employed 9 . In their study, Kiyono et al, 9 discovered that 84% of their participants with traumatic complete tetraplegia who had jobs were able to drive independently, and that 70% of those who were able to drive independently had a job.…”

Section: Driving As An Instrumental Activity Of Daily Livingmentioning

confidence: 99%

“…In their study, Kiyono et al, 9 discovered that 84% of their participants with traumatic complete tetraplegia who had jobs were able to drive independently, and that 70% of those who were able to drive independently had a job. On the other hand, only a minority of the study participants who could not drive were employed.…”

Section: Driving As An Instrumental Activity Of Daily Livingmentioning

confidence: 99%

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The lived experience of drivers with a spinal cord injury: A qualitative inquiry

Mtetwa

Classen

Niekerk

2016

S. Afr. j. occup. ther

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INTRODUCTION: Driving is an instrumental activity of daily living and a facilitator of meaningful participation in society for the majority of the population, including persons with spinal cord injuries. Persons with spinal cord injury may have impaired fitness to drive capabilities. Little is known about perceptions of drivers with spinal cord injury on driving, driver rehabilitation, or return to driving. This study examined the post spinal cord injury driving experiences of drivers and illuminates their rehabilitation and return-to-driving needs within the South African context. METHOD: This phenomenological study explored personal experiences of fourteen drivers with spinal cord injury, recruited through purposive sampling. Face-to-face, semi-structured interviews were audio recorded and transcribed verbatim. The data analysis was an inductive and iterative process. RESULTS/FINDINGS: Six themes represent the study findings: adjusting to physical limitations, safety perceptions and influencing factors, the positive role of driving, contextual features and supports, environmental barriers, and inconsistent provision of rehabilitation services. CONCLUSIONS: The findings indicated that occupational therapists ought to consider incorporating driver rehabilitation services and adopt mediation approaches to advocate for persons with spinal cord injury, who want to drive. Plausible practice and research opportunities are discussed for occupational therapists who are interested in driving and spinal cord injury. Keywords: Driving, spinal cord injury, individual perspective, driver rehabilitation

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Tétraplégie: solutions technologiques de compensation des incapacités découlant de l’atteinte des membres supérieurs

Laffont

Biard

Bouteille

et al. 2008

Lett Med Phys Readapt

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La chirurgie de transferts musculaires des membres supérieurs, éventuellement complétée par la pose d'un dispositif de stimulation électrique fonctionnelle implanté, a fait la preuve de son intérêt pour améliorer les capacités fonctionnelles des patients tétraplégiques. Les solutions technologiques de compensation constituent à la fois une alternative et un complément à cette chirurgie. Les dispositifs existants sont de plus en plus nombreux et performants. Ils se développent très rapidement à la faveur des avancées technologiques dans le domaine de l'informatique, de l'automatique, de l'électronique et de la robotique. Les principaux obstacles à leur diffusion sont leur coût et les difficultés d'accès à l'information pour les utilisateurs potentiels. L'accès à un poste informatique et son utilisation doivent pouvoir être proposés à tous les tétraplégiques, quel que soit leur niveau neurologique. De même, toutes ces personnes devraient pouvoir bénéficier d'un contrôle d'environnement pour piloter au minimum leur matériel audiovisuel et éventuellement une domotisation d'intérieur. Les systèmes de stimulation électrique fonctionnelle externe, bien qu'existants, sont peu diffusés parce que peu fonctionnels. La robotique de compensation devrait se développer dans les années qui viennent, grâce aux progrès des interfaces homme-machine (IHM) et de la robotique industrielle ou grand public. Les fauteuils roulants ont considérablement évolué depuis une dizaine d'années, mais des progrès restent à faire sur leur poids, leur encombrement et leur prix. La conduite d'un véhicule automobile est devenue possible pour certains tétraplégi-ques et c'est probablement des progrès du domaine « grand public » que viendront les améliorations qui permettront à un plus grand nombre de patients de reprendre la conduite. Le dénominateur commun à toutes ces technologies est la nécessité de mettre au point des IHM performantes. La multiplication des capteurs utilisables ainsi que le caractère de plus en plus interactif des dispositifs innovants laissent entrevoir des perspectives prometteuses. Les interfaces cérébrales ne sont plus un rêve, et leur diffusion, dans le domaine du jeu vidéo par exemple, ne saurait tarder.L'avenir pour les personnes tétraplégiques est probablement à des interfaces hybrides combinant plusieurs modes de commande, discrètes, d'apprentissage facile et intelligentes parce qu'auto-adaptables et évolutives.

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Car-driving abilities of people with tetraplegia

Cited by 27 publications

References 12 publications

Sport, free time and hobbies in people with spinal cord injury

Sport, free time and hobbies in people with spinal cord injury

The lived experience of drivers with a spinal cord injury: A qualitative inquiry

Tétraplégie: solutions technologiques de compensation des incapacités découlant de l’atteinte des membres supérieurs

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