A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely
•Diabetic peripheral neuropathy affects multiple aspects of driving performance.•Drivers withneuropathy use the mid-range of the accelerator pedalmuch less.•Use of the steering wheel, and eye-steering coordination are alsoboth affected.•Drivers with neuropathy occasionally experience difficulty cont...
Gespeichert in:
| Veröffentlicht in: | Transportation research. Part F, Traffic psychology and behaviour Traffic psychology and behaviour, 2020-02, Vol.69, p.324-334 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 334 |
|---|---|
| container_issue | |
| container_start_page | 324 |
| container_title | Transportation research. Part F, Traffic psychology and behaviour |
| container_volume | 69 |
| creator | Perazzolo, M. Reeves, N.D. Bowling, F.L. Boulton, A.J.M. Raffi, M. Marple-Horvat, D.E. |
| description | •Diabetic peripheral neuropathy affects multiple aspects of driving performance.•Drivers withneuropathy use the mid-range of the accelerator pedalmuch less.•Use of the steering wheel, and eye-steering coordination are alsoboth affected.•Drivers with neuropathy occasionally experience difficulty controllingthe vehicle.•Drivingwith neuropathy improves when driving the same route a second time.
The purpose of this study was to estimate the potential for impaired driving performance in current drivers with diabetic peripheral neuropathy compared to healthy controls. We analysed, using a driving simulator, three important aspects of driving - use of the accelerator pedal, steering wheel and eye-steering coordination - to test for any differences, and then to integrate these findings to identify a unique pattern of changes in people driving with diabetic peripheral neuropathy. Patients with diabetic peripheral neuropathy displayed differences in use of the accelerator pedal compared to healthy control drivers (p |
| doi_str_mv | 10.1016/j.trf.2020.01.015 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2440680086</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1369847819302384</els_id><sourcerecordid>2440680086</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-e56461e44840f5dcda371d91b8bbe1cbdbbfc0f91223eba6fc2f02c5d3bd9edd3</originalsourceid><addsrcrecordid>eNp9kMtLxDAQxosouD7-AG8Bz62T9I2nZfEFC170HPKY2JTa1iS70v_erOtZGJg5fN83M78kuaGQUaDVXZ8FZzIGDDKgscqTZEWbOk_Lktancc6rNm2KujlPLrzvAaBgtF4ldk1G_CZint0kVEfCRKzGMViz2PGDhA4JGoMqkMkQbYXEYBWZ0dm5QyeG6N65aRahW8g0_uqFtIMNyyFKO7tH4oXBYblKzowYPF7_9cvk_fHhbfOcbl-fXjbrbarytgopllVRUSyKpgBTaqVFXlPdUtlIiVRJLaVRYFrKWI5SVEYxA0yVOpe6Ra3zy-T2mBs_-tqhD7yfdm6MKzkrCqgagKaKKnpUKTd579Dw2dlP4RZOgR-I8p5HovxAlAONVUbP_dGD8fy9Rce9sjgq1NZFQlxP9h_3Dx6bgMk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2440680086</pqid></control><display><type>article</type><title>A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely</title><source>ScienceDirect Journals (5 years ago - present)</source><creator>Perazzolo, M. ; Reeves, N.D. ; Bowling, F.L. ; Boulton, A.J.M. ; Raffi, M. ; Marple-Horvat, D.E.</creator><creatorcontrib>Perazzolo, M. ; Reeves, N.D. ; Bowling, F.L. ; Boulton, A.J.M. ; Raffi, M. ; Marple-Horvat, D.E.</creatorcontrib><description>•Diabetic peripheral neuropathy affects multiple aspects of driving performance.•Drivers withneuropathy use the mid-range of the accelerator pedalmuch less.•Use of the steering wheel, and eye-steering coordination are alsoboth affected.•Drivers with neuropathy occasionally experience difficulty controllingthe vehicle.•Drivingwith neuropathy improves when driving the same route a second time.
The purpose of this study was to estimate the potential for impaired driving performance in current drivers with diabetic peripheral neuropathy compared to healthy controls. We analysed, using a driving simulator, three important aspects of driving - use of the accelerator pedal, steering wheel and eye-steering coordination - to test for any differences, and then to integrate these findings to identify a unique pattern of changes in people driving with diabetic peripheral neuropathy. Patients with diabetic peripheral neuropathy displayed differences in use of the accelerator pedal compared to healthy control drivers (p < 0.05) which could be a direct consequence of their sensorimotor impairment due to diabetic peripheral neuropathy. Drivers with DPN used the more extreme high and low positions of the pedal to a greater extent than the Control group who exhibited a more graded use of the accelerator pedal over the mid-range. Eye-steering coordination was also different in drivers with diabetic peripheral neuropathy (p < 0.05) and, as it improved during the second drive, becoming closer to healthy drivers’ values, the occasional loss of control experienced during driving reduced. These insights demonstrate that diabetic peripheral neuropathy affects multiple aspects of driving performance suggesting the need for an integrated approach to evaluate the potential for driving safely in this population.</description><identifier>ISSN: 1369-8478</identifier><identifier>EISSN: 1873-5517</identifier><identifier>DOI: 10.1016/j.trf.2020.01.015</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Accelerator pedal ; Automobile driving ; Coordination ; Diabetic neuropathy ; Diabetic peripheral neuropathy ; Driving simulator ; Eye-steering coordination ; Peripheral neuropathy ; Traffic accidents & safety</subject><ispartof>Transportation research. Part F, Traffic psychology and behaviour, 2020-02, Vol.69, p.324-334</ispartof><rights>2020 The Authors</rights><rights>Copyright Elsevier Science Ltd. Feb 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-e56461e44840f5dcda371d91b8bbe1cbdbbfc0f91223eba6fc2f02c5d3bd9edd3</citedby><cites>FETCH-LOGICAL-c396t-e56461e44840f5dcda371d91b8bbe1cbdbbfc0f91223eba6fc2f02c5d3bd9edd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.trf.2020.01.015$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids></links><search><creatorcontrib>Perazzolo, M.</creatorcontrib><creatorcontrib>Reeves, N.D.</creatorcontrib><creatorcontrib>Bowling, F.L.</creatorcontrib><creatorcontrib>Boulton, A.J.M.</creatorcontrib><creatorcontrib>Raffi, M.</creatorcontrib><creatorcontrib>Marple-Horvat, D.E.</creatorcontrib><title>A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely</title><title>Transportation research. Part F, Traffic psychology and behaviour</title><description>•Diabetic peripheral neuropathy affects multiple aspects of driving performance.•Drivers withneuropathy use the mid-range of the accelerator pedalmuch less.•Use of the steering wheel, and eye-steering coordination are alsoboth affected.•Drivers with neuropathy occasionally experience difficulty controllingthe vehicle.•Drivingwith neuropathy improves when driving the same route a second time.
The purpose of this study was to estimate the potential for impaired driving performance in current drivers with diabetic peripheral neuropathy compared to healthy controls. We analysed, using a driving simulator, three important aspects of driving - use of the accelerator pedal, steering wheel and eye-steering coordination - to test for any differences, and then to integrate these findings to identify a unique pattern of changes in people driving with diabetic peripheral neuropathy. Patients with diabetic peripheral neuropathy displayed differences in use of the accelerator pedal compared to healthy control drivers (p < 0.05) which could be a direct consequence of their sensorimotor impairment due to diabetic peripheral neuropathy. Drivers with DPN used the more extreme high and low positions of the pedal to a greater extent than the Control group who exhibited a more graded use of the accelerator pedal over the mid-range. Eye-steering coordination was also different in drivers with diabetic peripheral neuropathy (p < 0.05) and, as it improved during the second drive, becoming closer to healthy drivers’ values, the occasional loss of control experienced during driving reduced. These insights demonstrate that diabetic peripheral neuropathy affects multiple aspects of driving performance suggesting the need for an integrated approach to evaluate the potential for driving safely in this population.</description><subject>Accelerator pedal</subject><subject>Automobile driving</subject><subject>Coordination</subject><subject>Diabetic neuropathy</subject><subject>Diabetic peripheral neuropathy</subject><subject>Driving simulator</subject><subject>Eye-steering coordination</subject><subject>Peripheral neuropathy</subject><subject>Traffic accidents & safety</subject><issn>1369-8478</issn><issn>1873-5517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kMtLxDAQxosouD7-AG8Bz62T9I2nZfEFC170HPKY2JTa1iS70v_erOtZGJg5fN83M78kuaGQUaDVXZ8FZzIGDDKgscqTZEWbOk_Lktancc6rNm2KujlPLrzvAaBgtF4ldk1G_CZint0kVEfCRKzGMViz2PGDhA4JGoMqkMkQbYXEYBWZ0dm5QyeG6N65aRahW8g0_uqFtIMNyyFKO7tH4oXBYblKzowYPF7_9cvk_fHhbfOcbl-fXjbrbarytgopllVRUSyKpgBTaqVFXlPdUtlIiVRJLaVRYFrKWI5SVEYxA0yVOpe6Ra3zy-T2mBs_-tqhD7yfdm6MKzkrCqgagKaKKnpUKTd579Dw2dlP4RZOgR-I8p5HovxAlAONVUbP_dGD8fy9Rce9sjgq1NZFQlxP9h_3Dx6bgMk</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Perazzolo, M.</creator><creator>Reeves, N.D.</creator><creator>Bowling, F.L.</creator><creator>Boulton, A.J.M.</creator><creator>Raffi, M.</creator><creator>Marple-Horvat, D.E.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>20200201</creationdate><title>A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely</title><author>Perazzolo, M. ; Reeves, N.D. ; Bowling, F.L. ; Boulton, A.J.M. ; Raffi, M. ; Marple-Horvat, D.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-e56461e44840f5dcda371d91b8bbe1cbdbbfc0f91223eba6fc2f02c5d3bd9edd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accelerator pedal</topic><topic>Automobile driving</topic><topic>Coordination</topic><topic>Diabetic neuropathy</topic><topic>Diabetic peripheral neuropathy</topic><topic>Driving simulator</topic><topic>Eye-steering coordination</topic><topic>Peripheral neuropathy</topic><topic>Traffic accidents & safety</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perazzolo, M.</creatorcontrib><creatorcontrib>Reeves, N.D.</creatorcontrib><creatorcontrib>Bowling, F.L.</creatorcontrib><creatorcontrib>Boulton, A.J.M.</creatorcontrib><creatorcontrib>Raffi, M.</creatorcontrib><creatorcontrib>Marple-Horvat, D.E.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Transportation research. Part F, Traffic psychology and behaviour</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perazzolo, M.</au><au>Reeves, N.D.</au><au>Bowling, F.L.</au><au>Boulton, A.J.M.</au><au>Raffi, M.</au><au>Marple-Horvat, D.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely</atitle><jtitle>Transportation research. Part F, Traffic psychology and behaviour</jtitle><date>2020-02-01</date><risdate>2020</risdate><volume>69</volume><spage>324</spage><epage>334</epage><pages>324-334</pages><issn>1369-8478</issn><eissn>1873-5517</eissn><abstract>•Diabetic peripheral neuropathy affects multiple aspects of driving performance.•Drivers withneuropathy use the mid-range of the accelerator pedalmuch less.•Use of the steering wheel, and eye-steering coordination are alsoboth affected.•Drivers with neuropathy occasionally experience difficulty controllingthe vehicle.•Drivingwith neuropathy improves when driving the same route a second time.
The purpose of this study was to estimate the potential for impaired driving performance in current drivers with diabetic peripheral neuropathy compared to healthy controls. We analysed, using a driving simulator, three important aspects of driving - use of the accelerator pedal, steering wheel and eye-steering coordination - to test for any differences, and then to integrate these findings to identify a unique pattern of changes in people driving with diabetic peripheral neuropathy. Patients with diabetic peripheral neuropathy displayed differences in use of the accelerator pedal compared to healthy control drivers (p < 0.05) which could be a direct consequence of their sensorimotor impairment due to diabetic peripheral neuropathy. Drivers with DPN used the more extreme high and low positions of the pedal to a greater extent than the Control group who exhibited a more graded use of the accelerator pedal over the mid-range. Eye-steering coordination was also different in drivers with diabetic peripheral neuropathy (p < 0.05) and, as it improved during the second drive, becoming closer to healthy drivers’ values, the occasional loss of control experienced during driving reduced. These insights demonstrate that diabetic peripheral neuropathy affects multiple aspects of driving performance suggesting the need for an integrated approach to evaluate the potential for driving safely in this population.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.trf.2020.01.015</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1369-8478 |
| ispartof | Transportation research. Part F, Traffic psychology and behaviour, 2020-02, Vol.69, p.324-334 |
| issn | 1369-8478 1873-5517 |
| language | eng |
| recordid | cdi_proquest_journals_2440680086 |
| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Accelerator pedal Automobile driving Coordination Diabetic neuropathy Diabetic peripheral neuropathy Driving simulator Eye-steering coordination Peripheral neuropathy Traffic accidents & safety |
| title | A new approach to identifying the effect of diabetic peripheral neuropathy on the ability to drive safely |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T16%3A29%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20new%20approach%20to%20identifying%20the%20effect%20of%20diabetic%20peripheral%20neuropathy%20on%20the%20ability%20to%20drive%20safely&rft.jtitle=Transportation%20research.%20Part%20F,%20Traffic%20psychology%20and%20behaviour&rft.au=Perazzolo,%20M.&rft.date=2020-02-01&rft.volume=69&rft.spage=324&rft.epage=334&rft.pages=324-334&rft.issn=1369-8478&rft.eissn=1873-5517&rft_id=info:doi/10.1016/j.trf.2020.01.015&rft_dat=%3Cproquest_cross%3E2440680086%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2440680086&rft_id=info:pmid/&rft_els_id=S1369847819302384&rfr_iscdi=true |