Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss
Purpose On-road testing is considered the standard for assessment of driving performance; however, it lacks standardization. In contrast, driving simulators provide controlled experimental settings in a virtual reality environment. This study compares both testing conditions in patients with binocul...
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| Veröffentlicht in: | Graefe's archive for clinical and experimental ophthalmology 2018-12, Vol.256 (12), p.2429-2435 |
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| creator | Ungewiss, Judith Kübler, Thomas Sippel, Katrin Aehling, Kathrin Heister, Martin Rosenstiel, Wolfgang Kasneci, Enkelejda Papageorgiou, Eleni |
| description | Purpose
On-road testing
is considered the standard for assessment of driving performance; however, it lacks standardization. In contrast,
driving simulators
provide controlled experimental settings in a virtual reality environment. This study compares both testing conditions in patients with binocular visual field defects due to bilateral glaucomatous optic neuropathy or due to retro-chiasmal visual pathway lesions.
Methods
Ten glaucoma patients (PG), ten patients with homonymous visual field defects (PH), and 20 age- and gender-matched ophthalmologically normal control subjects (CG and CH, respectively) participated in a 40-min on-road driving task using a dual brake vehicle. A subset of this sample (8 PG, 8 PH, 8 CG, and 7 CH) underwent a subsequent driving simulator test of similar duration. For both settings, pass/fail rates were assessed by a masked driving instructor.
Results
For
on-road driving
, hemianopia patients (PH) and glaucoma patients (PG) showed worse performance than their controls (CH and CG groups): PH 40%, CH 30%, PG 60%, CG 0%, failure rate. Similar results were obtained for the
driving simulator
test: PH 50%, CH 29%, PG 38%, CG 0%, failure rate. Twenty-four out of 31 participants (77%) showed concordant results with regard to pass/fail under both test conditions (
p
> 0.05; McNemar test).
Conclusions
Driving simulator testing leads to results comparable to on-road driving, in terms of pass/fail rates in subjects with binocular (glaucomatous or retro-chiasmal lesion-induced) visual field defects. Driving simulator testing seems to be a well-standardized method, appropriate for assessment of driving performance in individuals with binocular visual field loss. |
| doi_str_mv | 10.1007/s00417-018-4148-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2112189904</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2112189904</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-c1b29508bf60272b76f612caa774970161243df34a9a7c8bf0c58e47efdb99153</originalsourceid><addsrcrecordid>eNp1kU9rGzEQxUVoiB0nH6CXIuglFzUaaddaHUPIPzDkkoBvQquVHLm7kivtpvTbR8ZJCoWeBjG_92Y0D6GvQH8ApeIyU1qBIBQaUkHVEHmE5lDxmgjK1l_QnAoGpOFsPUOnOW9pwXkNJ2jGKasBZDNHP682ydrBhhFHh7vkX33Y4OyHqddjTFiHDsdAUtTdZ3dnk4tp0MFY7APe6dEXfca__fiCWx-iKeKEX32edI-dt32H-5jzGTp2us_2_L0u0PPtzdP1PVk93j1cX62I4YKNxEDLZE2b1i0pE6wVS7cEZrQWopKCQnlUvHO80lILUzBq6sZWwrqulRJqvkAXB99dir8mm0c1-Gxs3-tg45QVA2DQSFmusUDf_0G3cUqhbLengDecLvcUHCiTyjeSdWqX_KDTHwVU7ZNQhyRUSULtk1CyaL69O0_tYLtPxcfpC8AOQC6tsLHp7-j_u74BLeyT-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2111383064</pqid></control><display><type>article</type><title>Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss</title><source>MEDLINE</source><source>SpringerLink</source><creator>Ungewiss, Judith ; Kübler, Thomas ; Sippel, Katrin ; Aehling, Kathrin ; Heister, Martin ; Rosenstiel, Wolfgang ; Kasneci, Enkelejda ; Papageorgiou, Eleni</creator><creatorcontrib>Ungewiss, Judith ; Kübler, Thomas ; Sippel, Katrin ; Aehling, Kathrin ; Heister, Martin ; Rosenstiel, Wolfgang ; Kasneci, Enkelejda ; Papageorgiou, Eleni ; Simulator/On-road Study Group ; The Simulator/On-road Study Group</creatorcontrib><description>Purpose
On-road testing
is considered the standard for assessment of driving performance; however, it lacks standardization. In contrast,
driving simulators
provide controlled experimental settings in a virtual reality environment. This study compares both testing conditions in patients with binocular visual field defects due to bilateral glaucomatous optic neuropathy or due to retro-chiasmal visual pathway lesions.
Methods
Ten glaucoma patients (PG), ten patients with homonymous visual field defects (PH), and 20 age- and gender-matched ophthalmologically normal control subjects (CG and CH, respectively) participated in a 40-min on-road driving task using a dual brake vehicle. A subset of this sample (8 PG, 8 PH, 8 CG, and 7 CH) underwent a subsequent driving simulator test of similar duration. For both settings, pass/fail rates were assessed by a masked driving instructor.
Results
For
on-road driving
, hemianopia patients (PH) and glaucoma patients (PG) showed worse performance than their controls (CH and CG groups): PH 40%, CH 30%, PG 60%, CG 0%, failure rate. Similar results were obtained for the
driving simulator
test: PH 50%, CH 29%, PG 38%, CG 0%, failure rate. Twenty-four out of 31 participants (77%) showed concordant results with regard to pass/fail under both test conditions (
p
> 0.05; McNemar test).
Conclusions
Driving simulator testing leads to results comparable to on-road driving, in terms of pass/fail rates in subjects with binocular (glaucomatous or retro-chiasmal lesion-induced) visual field defects. Driving simulator testing seems to be a well-standardized method, appropriate for assessment of driving performance in individuals with binocular visual field loss.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-018-4148-9</identifier><identifier>PMID: 30251198</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Automobile Driving ; Binocular vision ; Computer applications ; Computer Simulation ; Defects ; Female ; Glaucoma ; Hemianopsia - diagnosis ; Hemianopsia - physiopathology ; Hemianopsia - rehabilitation ; Humans ; Low Vision ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Optic neuropathy ; ROC Curve ; Standardization ; Traffic accidents & safety ; Vision, Ocular ; Visual field ; Visual Field Tests ; Visual Fields - physiology</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2018-12, Vol.256 (12), p.2429-2435</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-c1b29508bf60272b76f612caa774970161243df34a9a7c8bf0c58e47efdb99153</citedby><cites>FETCH-LOGICAL-c372t-c1b29508bf60272b76f612caa774970161243df34a9a7c8bf0c58e47efdb99153</cites><orcidid>0000-0003-1931-4168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-018-4148-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-018-4148-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30251198$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ungewiss, Judith</creatorcontrib><creatorcontrib>Kübler, Thomas</creatorcontrib><creatorcontrib>Sippel, Katrin</creatorcontrib><creatorcontrib>Aehling, Kathrin</creatorcontrib><creatorcontrib>Heister, Martin</creatorcontrib><creatorcontrib>Rosenstiel, Wolfgang</creatorcontrib><creatorcontrib>Kasneci, Enkelejda</creatorcontrib><creatorcontrib>Papageorgiou, Eleni</creatorcontrib><creatorcontrib>Simulator/On-road Study Group</creatorcontrib><creatorcontrib>The Simulator/On-road Study Group</creatorcontrib><title>Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
On-road testing
is considered the standard for assessment of driving performance; however, it lacks standardization. In contrast,
driving simulators
provide controlled experimental settings in a virtual reality environment. This study compares both testing conditions in patients with binocular visual field defects due to bilateral glaucomatous optic neuropathy or due to retro-chiasmal visual pathway lesions.
Methods
Ten glaucoma patients (PG), ten patients with homonymous visual field defects (PH), and 20 age- and gender-matched ophthalmologically normal control subjects (CG and CH, respectively) participated in a 40-min on-road driving task using a dual brake vehicle. A subset of this sample (8 PG, 8 PH, 8 CG, and 7 CH) underwent a subsequent driving simulator test of similar duration. For both settings, pass/fail rates were assessed by a masked driving instructor.
Results
For
on-road driving
, hemianopia patients (PH) and glaucoma patients (PG) showed worse performance than their controls (CH and CG groups): PH 40%, CH 30%, PG 60%, CG 0%, failure rate. Similar results were obtained for the
driving simulator
test: PH 50%, CH 29%, PG 38%, CG 0%, failure rate. Twenty-four out of 31 participants (77%) showed concordant results with regard to pass/fail under both test conditions (
p
> 0.05; McNemar test).
Conclusions
Driving simulator testing leads to results comparable to on-road driving, in terms of pass/fail rates in subjects with binocular (glaucomatous or retro-chiasmal lesion-induced) visual field defects. Driving simulator testing seems to be a well-standardized method, appropriate for assessment of driving performance in individuals with binocular visual field loss.</description><subject>Adult</subject><subject>Aged</subject><subject>Automobile Driving</subject><subject>Binocular vision</subject><subject>Computer applications</subject><subject>Computer Simulation</subject><subject>Defects</subject><subject>Female</subject><subject>Glaucoma</subject><subject>Hemianopsia - diagnosis</subject><subject>Hemianopsia - physiopathology</subject><subject>Hemianopsia - rehabilitation</subject><subject>Humans</subject><subject>Low Vision</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Optic neuropathy</subject><subject>ROC Curve</subject><subject>Standardization</subject><subject>Traffic accidents & safety</subject><subject>Vision, Ocular</subject><subject>Visual field</subject><subject>Visual Field Tests</subject><subject>Visual Fields - physiology</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9rGzEQxUVoiB0nH6CXIuglFzUaaddaHUPIPzDkkoBvQquVHLm7kivtpvTbR8ZJCoWeBjG_92Y0D6GvQH8ApeIyU1qBIBQaUkHVEHmE5lDxmgjK1l_QnAoGpOFsPUOnOW9pwXkNJ2jGKasBZDNHP682ydrBhhFHh7vkX33Y4OyHqddjTFiHDsdAUtTdZ3dnk4tp0MFY7APe6dEXfca__fiCWx-iKeKEX32edI-dt32H-5jzGTp2us_2_L0u0PPtzdP1PVk93j1cX62I4YKNxEDLZE2b1i0pE6wVS7cEZrQWopKCQnlUvHO80lILUzBq6sZWwrqulRJqvkAXB99dir8mm0c1-Gxs3-tg45QVA2DQSFmusUDf_0G3cUqhbLengDecLvcUHCiTyjeSdWqX_KDTHwVU7ZNQhyRUSULtk1CyaL69O0_tYLtPxcfpC8AOQC6tsLHp7-j_u74BLeyT-w</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Ungewiss, Judith</creator><creator>Kübler, Thomas</creator><creator>Sippel, Katrin</creator><creator>Aehling, Kathrin</creator><creator>Heister, Martin</creator><creator>Rosenstiel, Wolfgang</creator><creator>Kasneci, Enkelejda</creator><creator>Papageorgiou, Eleni</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1931-4168</orcidid></search><sort><creationdate>20181201</creationdate><title>Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss</title><author>Ungewiss, Judith ; Kübler, Thomas ; Sippel, Katrin ; Aehling, Kathrin ; Heister, Martin ; Rosenstiel, Wolfgang ; Kasneci, Enkelejda ; Papageorgiou, Eleni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-c1b29508bf60272b76f612caa774970161243df34a9a7c8bf0c58e47efdb99153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Automobile Driving</topic><topic>Binocular vision</topic><topic>Computer applications</topic><topic>Computer Simulation</topic><topic>Defects</topic><topic>Female</topic><topic>Glaucoma</topic><topic>Hemianopsia - diagnosis</topic><topic>Hemianopsia - physiopathology</topic><topic>Hemianopsia - rehabilitation</topic><topic>Humans</topic><topic>Low Vision</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Optic neuropathy</topic><topic>ROC Curve</topic><topic>Standardization</topic><topic>Traffic accidents & safety</topic><topic>Vision, Ocular</topic><topic>Visual field</topic><topic>Visual Field Tests</topic><topic>Visual Fields - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ungewiss, Judith</creatorcontrib><creatorcontrib>Kübler, Thomas</creatorcontrib><creatorcontrib>Sippel, Katrin</creatorcontrib><creatorcontrib>Aehling, Kathrin</creatorcontrib><creatorcontrib>Heister, Martin</creatorcontrib><creatorcontrib>Rosenstiel, Wolfgang</creatorcontrib><creatorcontrib>Kasneci, Enkelejda</creatorcontrib><creatorcontrib>Papageorgiou, Eleni</creatorcontrib><creatorcontrib>Simulator/On-road Study Group</creatorcontrib><creatorcontrib>The Simulator/On-road Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ungewiss, Judith</au><au>Kübler, Thomas</au><au>Sippel, Katrin</au><au>Aehling, Kathrin</au><au>Heister, Martin</au><au>Rosenstiel, Wolfgang</au><au>Kasneci, Enkelejda</au><au>Papageorgiou, Eleni</au><aucorp>Simulator/On-road Study Group</aucorp><aucorp>The Simulator/On-road Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>256</volume><issue>12</issue><spage>2429</spage><epage>2435</epage><pages>2429-2435</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
On-road testing
is considered the standard for assessment of driving performance; however, it lacks standardization. In contrast,
driving simulators
provide controlled experimental settings in a virtual reality environment. This study compares both testing conditions in patients with binocular visual field defects due to bilateral glaucomatous optic neuropathy or due to retro-chiasmal visual pathway lesions.
Methods
Ten glaucoma patients (PG), ten patients with homonymous visual field defects (PH), and 20 age- and gender-matched ophthalmologically normal control subjects (CG and CH, respectively) participated in a 40-min on-road driving task using a dual brake vehicle. A subset of this sample (8 PG, 8 PH, 8 CG, and 7 CH) underwent a subsequent driving simulator test of similar duration. For both settings, pass/fail rates were assessed by a masked driving instructor.
Results
For
on-road driving
, hemianopia patients (PH) and glaucoma patients (PG) showed worse performance than their controls (CH and CG groups): PH 40%, CH 30%, PG 60%, CG 0%, failure rate. Similar results were obtained for the
driving simulator
test: PH 50%, CH 29%, PG 38%, CG 0%, failure rate. Twenty-four out of 31 participants (77%) showed concordant results with regard to pass/fail under both test conditions (
p
> 0.05; McNemar test).
Conclusions
Driving simulator testing leads to results comparable to on-road driving, in terms of pass/fail rates in subjects with binocular (glaucomatous or retro-chiasmal lesion-induced) visual field defects. Driving simulator testing seems to be a well-standardized method, appropriate for assessment of driving performance in individuals with binocular visual field loss.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30251198</pmid><doi>10.1007/s00417-018-4148-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1931-4168</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0721-832X |
| ispartof | Graefe's archive for clinical and experimental ophthalmology, 2018-12, Vol.256 (12), p.2429-2435 |
| issn | 0721-832X 1435-702X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2112189904 |
| source | MEDLINE; SpringerLink |
| subjects | Adult Aged Automobile Driving Binocular vision Computer applications Computer Simulation Defects Female Glaucoma Hemianopsia - diagnosis Hemianopsia - physiopathology Hemianopsia - rehabilitation Humans Low Vision Male Medicine Medicine & Public Health Middle Aged Ophthalmology Optic neuropathy ROC Curve Standardization Traffic accidents & safety Vision, Ocular Visual field Visual Field Tests Visual Fields - physiology |
| title | Agreement of driving simulator and on-road driving performance in patients with binocular visual field loss |
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