雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

The Japanese Journal of Rehabilitation Medicine Volume 49, Issue 12 （December 2012）

The Japanese Journal of Rehabilitation Medicine 49巻12号（2012年12月発行）

Japanese English

《原著》

筋疾患患者の自動車運転に関する調査―自動車運転の継続を希望する筋疾患患者に対する評価項目の検討 A Survey of Patients with Muscle Disease Who Continue Driving Automobiles 井口はるひ ¹ , 山本敏之 ² , 小林庸子 ¹ , 櫻井とし子 ¹ , 大矢寧 ² , 芳賀信彦 ³ Haruhi Inokuchi ¹ , Toshiyuki Yamamoto ² , Yoko Kobayashi ¹ , Toshiko Sakurai ¹ , Yasushi Oya ² , Nobuhiko Haga ³ ¹国立精神・神経医療研究センター病院リハビリテーション科 ²国立精神・神経医療研究センター病院神経内科 ³東京大学医学部附属病院リハビリテーション科 ¹Department of Rehabilitation Medicine, National Center Hospital of Neurology and Psychiatry ²Department of Neurology, National Center Hospital of Neurology and Psychiatry ³Department of Rehabilitation Medicine, The University of Tokyo Hospital キーワード：筋疾患（muscle disease） , 運動機能（motor function） , 自動車運転（automobile driving） , 自動車改造（automobile modification） Keyword: 筋疾患（muscle disease） , 運動機能（motor function） , 自動車運転（automobile driving） , 自動車改造（automobile modification） pp.909-915

発行日 2012年12月18日 Published Date 2012/12/18

PDF(353KB)

販売していません

Abstract 文献概要
1ページ目 Look Inside
参考文献 Reference

要旨　目的：筋疾患患者の身体機能と自動車運転状況を調査し，運転継続を希望する筋疾患患者の評価項目を検討した．対象と方法：2009年12月から2010年4月に当院を受診した運転経験のある筋疾患患者24人を対象とした．医師が運転継続者の身体機能と運転模擬動作を評価し，運転状況を聞き取り調査した．また，運転中止者の中止理由を聞き取り調査した．結果：運転継続者15人は，筋力低下の部位と程度にばらつきがあったが，上肢筋力が維持され，運転模擬操作を実施できた．5人が手動運転装置を使用した．乗降車時に3人，車いす積載時に6人，合計7人が介助を要した．車いす使用者はすべて積載に介助を要した．運転中止者9人は，全員が筋力低下による運転操作困難を中止理由に挙げていた．結論：筋疾患患者は筋力と運転模擬動作の評価が重要と考える．手動運転装置使用は有効であるが，乗降車と車いす積載は改造による対応が困難で介助を要した．

Abstract　Objective : The purpose of this clinical research was to create an assessment for patients with muscle disease who wish to continue driving by investigating their motor function and driving experience. Methods : Twenty-four patients with muscle disease who visited our hospital from December 2009 to April 2010 were enrolled in our research. For patients who were still driving, physiatrists evaluated their motor functions, examined simulated driving motions and recorded their driving capabilities and techniques, their ability to get into and out of the vehicle and their ability to store and remove their wheelchairs. Patients no longer driving were asked why they had given up driving. Results : Fifteen patients who continued driving had enough upper limb strength and could simulate driving motions, though the location and degree of their muscle weakness were variable. Five of fifteen drove with the aid of a hand-operated brake and accelerator. Seven needed personal assistance : three to get into and out of the vehicles, six to store and remove wheelchairs. The nine patients who had stopped driving reported that the primary reason for discontinuing driving was that they recognized their muscles were insufficient to control the vehicle. Conclusions : We propose to evaluate muscle strength and to test simulated driving motions when assessing patients with muscle disease. A hand-operated brake and accelerator is efficient for patients with lower limb muscle weakness. However, since no efficient automobile modifications are available for those patients who cannot get into and get out of their vehicles or store and remove their wheelchairs by themselves, we suggest arranging personal assistance for such patients.