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Driving resumption for a second opinion post-stroke patient through traffic psychological coaching Tasuku Sotokawa 1,2 , Takuya Murayama 2 , Naoyuki Iwaki 3 , Kayo Yamazaki 4 , Yoko Sakimura 2 1Yamagata Prefectural University of Health Sciences 2Niigata Rehabilitation Hospital 3Suibara Driving School 4Toyoura Ichibankan Keyword: 脳卒中 , 自動車運転 , 気づき , 交通心理学 , メタ認知 , Stroke , Car driving , Self-awareness , Traffic psychology , Metacognition pp.372-379
Published Date 2022/6/15
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 Supporting the resumption of driving requires a comprehensive assessment of the client's driving ability. In this study, we conducted the occupational intervention through the traffic psychology approach in the case of a man in his seventies who had been deemed unable to resume driving due to generalized attention deficits and dangerous driving behavior at three previous driving evaluations. We observed delays in SiDS timing tests and reaction times in the initial in-hospital evaluation, as well as delays in braking before stopping temporarily, entering a curve, and inadequate monitoring of his own driving during the in-course evaluation. We conducted repeated training in braking based on a traffic psychology approach and actual driving on public roads by a driving instructor. We observed an improvement in braking, driving performance, and metacognition of his own driving, which eventually lead to a resumption of driving.


Copyright © 2022, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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