Slower adaptation to driving simulator and simulator sickness in older adults

Background and aims: Methods of assessing driving abilities in the elderly are urgently needed. Although the driving simulator (DS) appears to be a safe and cost-effective method of objectively evaluating driving performance, it may pose adaptation problems for elderly adults. In this study, we examined age-related adaptation deficits on the DS. Methods: Healthy young adults (n=15) and healthy elderly persons (n=17) completed some neuropsychological tests, and then performed a road-tracking task with the DS, which was repeated four times (Trials 1–4). Results: After simulated driving in DS, simulator sickness (SS) was observed in 18.8% of participants. The frequency of SS was 29.4% in elderly adults and 6.7% in young adults, and 17.6% of the elderly participants dropped out of the experiment. Performance on the Necker cube copying task was significantly correlated with the onset of SS. Driving performance also showed a significant interaction between group and trial, for both driving accuracy and vehicle speed. In addition, the performance of elderly adults significantly improved between trials 1 and 4, reaching a plateau in trial 4, whereas that of young adults did not change across trials. Conclusion: This study provides preliminary evidence of slower adaptation to a DS-based driving task by older adults, which was associated with cognitive aging. Age affected driving accuracy and velocity when a road-tracking task was simply repeated. It is concluded that the capacity of elderly people to adapt to DS environments should be taken into consideration when evaluating their performance on DS tasks.

[1]  Kaarin J Anstey,et al.  A Multidomain Approach for Predicting Older Driver Safety Under In‐Traffic Road Conditions , 2008, Journal of the American Geriatrics Society.

[2]  Janine G. Walker,et al.  Cognitive, sensory and physical factors enabling driving safety in older adults. , 2005, Clinical psychology review.

[3]  D. Willingham,et al.  Deficit in learning of a motor skill requiring strategy, but not of perceptuomotor recalibration, with aging. , 1998, Learning & memory.

[4]  D. Landers,et al.  Motor performance and motor learning as a function of age and fitness. , 1998, Research quarterly for exercise and sport.

[5]  J. Stroop.  Studies of interference in serial verbal reactions. , 1992 .

[6]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[7]  C Hall,et al.  Prism adaptation in normal aging: slower adaptation rate and larger aftereffect. , 2000, Brain research. Cognitive brain research.

[8]  N. Sadato,et al.  The neural substrates of driving at a safe distance: a functional MRI study , 2003, Neuroscience Letters.

[9]  P A Desmond,et al.  Implications of task-induced fatigue effects for in-vehicle countermeasures to driver fatigue. , 1997, Accident; analysis and prevention.

[10]  C. Marsden,et al.  Prism adaptation and other tasks involving spatial abilities in patients with Parkinson's disease, patients with frontal lobe lesions and patients with unilateral temporal lobectomies , 1990, Neuropsychologia.

[11]  Malcolm Man-Son-Hing,et al.  Clinical Utility of Office‐Based Cognitive Predictors of Fitness to Drive in Persons with Dementia: A Systematic Review , 2006, Journal of the American Geriatrics Society.

[12]  B Hesketh,et al.  Learning from errors in a driving simulation: effects on driving skill and self-confidence , 2000, Ergonomics.

[13]  Nadia W. Mullen,et al.  Driving performance and susceptibility to simulator sickness: are they related? , 2010, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  M L Cook,et al.  Simulator Sickness Scores According to Symptom Susceptibility, Age, and Gender for an Older Driver Assessment Study , 2006 .

[15]  L. Hakamies‐Blomqvist,et al.  Medical Screening of Older Drivers as a Traffic Safety Measure—A Comparative Finnish‐Swedish Evaluation Study , 1996, Journal of the American Geriatrics Society.

[16]  K. Meguro,et al.  Necker cube copying ability in normal elderly and Alzheimer's disease. A community‐based study: The Tajiri project , 2006 .

[17]  Andy H. Lee,et al.  Using a driving simulator to identify older drivers at inflated risk of motor vehicle crashes. , 2003, Journal of safety research.

[18]  Kazutoshi Ebe,et al.  The effects of acute treatment with paroxetine, amitriptyline, and placebo on driving performance and cognitive function in healthy Japanese subjects: A double‐blind crossover trial , 2008, Human psychopharmacology.

[19]  David B Carr,et al.  Physician's guide to assessing and counseling older drivers. , 2004, Annals of emergency medicine.

[20]  J. Bloomberg,et al.  Effects of normal aging on visuo-motor plasticity , 2002, Neurobiology of Aging.

[21]  K. Shulman,et al.  Sharing the responsibility for assessing the risk of the driver with dementia , 2007, Canadian Medical Association Journal.

[22]  Johnell O Brooks,et al.  Simulator sickness during driving simulation studies. , 2010, Accident; analysis and prevention.