Feasibility of force platform based roadside drowsiness screening - a pilot study.

Previous research on driver drowsiness detection has focused on developing in-car systems that continuously monitor the driver while driving and warn him/her when drowsiness compromises safety. In occupational settings a simple test of postural control has showed sensitivity to work shift induced fatigue in drivers. Whether the test is feasible for surveillance purposes in roadside settings is unknown. The present research sought to evaluate the feasibility of using a force platform test of postural control as a breathalyzer-like drowsiness-test at the roadside. Seventy-one commercial drivers stopped by at our measurement sites and volunteered to participate in the study. We tested postural control with a computerized force platform, on which the drivers stood eyes open while it sampled body center-of-pressure excursions at 33Hz for 30s and scored postural control as the area of the 95% confidence ellipse enclosing the excursions. The drivers also completed the Karolinska Sleepiness Scale (KSS) and we recorded each driver's wake up time, time on task, and time of testing. Five of the seventy-one drivers exhibited significantly poorer postural control than their peers (P=0.03). The wake up times and times on task for these five drivers indicated that they were on a night shift schedule or had a long time on task. Furthermore, their postural control and KSS scores correlated (r=-0.88, P=0.04), whereas the scores did not correlate for their peers (r=0.10, P=0.48). These results indicate that the force platform test identified drivers, whose impairment in postural control was drowsiness-related. Specifically, the test identified the few drivers in this roadside sample whose wake- and work histories resembled a night shift schedule. In this kind of roadside setting, with a demographically heterogeneous group and interindividual differences in people's responses to drowsiness, it suggests that the method, further developed, may provide a drowsiness test for roadside surveillance.

[1]  D. Dawson,et al.  Can a Shorter Psychomotor Vigilance Task Be Usedas a Reasonable Substitute for the Ten‐Minute Psychomotor Vigilance Task? , 2006, Chronobiology international.

[2]  Hans P A Van Dongen,et al.  Efficient driver drowsiness detection at moderate levels of drowsiness. , 2013, Accident; analysis and prevention.

[3]  R. Kohen-Raz,et al.  An Initial Evaluation of Work Fatigue and Circadian Changes as Assessed by Multiplate Posturography , 1996, Perceptual and motor skills.

[4]  Esko Toppila,et al.  Effect of Styrene on Postural Stability Among Reinforced Plastic Boat Plant Workers in Finland , 2006, Journal of occupational and environmental medicine.

[5]  Vanessa K. Bowden,et al.  Accident Analysis and Prevention , 2010 .

[6]  Damien Davenne,et al.  The influences of time-of-day and sleep deprivation on postural control , 2011, Experimental Brain Research.

[7]  Gregory Belenky,et al.  The efficacy of a restart break for recycling with optimal performance depends critically on circadian timing. , 2011, Sleep.

[8]  Julie Carrier,et al.  Aging Worsens the Effects of Sleep Deprivation on Postural Control , 2011, PloS one.

[9]  Narelle L. Haworth,et al.  The relationship between driving performance and the Johns Drowsiness Scale as measured by the Optalert system , 2006 .

[10]  Maria L. Thomas,et al.  Comparative utility of instruments for monitoring sleepiness‐related performance decrements in the operational environment , 2004, Journal of sleep research.

[11]  T. Åkerstedt,et al.  Subjective and objective sleepiness in the active individual. , 1990, The International journal of neuroscience.

[12]  E. Hæggström,et al.  Posturographic sleepiness monitoring , 2007, Journal of sleep research.

[13]  C. Sargent,et al.  Mismatch between subjective alertness and objective performance under sleep restriction is greatest during the biological night , 2012, Journal of sleep research.

[14]  A Namiki,et al.  [Fatigue and stress of anesthesiologists at work--third report: investigation with a flicker photometer and a stabilo-meter]. , 1995, Masui. The Japanese journal of anesthesiology.

[15]  A T McCartt,et al.  Factors associated with falling asleep at the wheel among long-distance truck drivers. , 2000, Accident; analysis and prevention.

[16]  E. Hæggström,et al.  Reducing trial length in force platform posturographic sleep deprivation measurements , 2007 .

[17]  David Zadok,et al.  Brief posturographic test as an indicator of fatigue , 2006, Psychiatry and clinical neurosciences.

[18]  Kjell Torén [Occupational and environmental medicine in focus]. , 2007, Lakartidningen.

[19]  Katja Kircher,et al.  Advantages and disadvantages of different methods to evaluate sleepiness warning systems , 2009 .

[20]  G. Kerr,et al.  The effect of extended wake on postural control in young adults , 2012, Experimental Brain Research.

[21]  A. A. Knecht EVALUATION OF A , 1972 .

[22]  Andrew Tucker,et al.  Monitoring eye and eyelid movements by infrared reflectance oculography to measure drowsiness in drivers , 2007 .

[23]  T. Åkerstedt,et al.  Sleepiness and prediction of driver impairment in simulator studies using a Cox proportional hazard approach. , 2010, Accident; analysis and prevention.

[24]  D. Dinges,et al.  Systematic interindividual differences in neurobehavioral impairment from sleep loss: evidence of trait-like differential vulnerability. , 2004, Sleep.

[25]  T.E. Prieto,et al.  Measures of postural steadiness: differences between healthy young and elderly adults , 1996, IEEE Transactions on Biomedical Engineering.

[26]  S D Ross,et al.  Systematic review and meta-analysis of the literature regarding the diagnosis of sleep apnea. , 2000, Sleep.

[27]  A. Wallin,et al.  Daytime Changes in Postural Stability and Repeatability of Posturographic Measurements , 2007, Journal of occupational and environmental medicine.

[28]  André Luiz Felix Rodacki,et al.  Can postural control performance be an indicator of truck drivers’ sleep deprivation? , 2012 .

[29]  U. Laessoe,et al.  Time-of-day influences postural balance in older adults. , 2012, Gait & posture.

[30]  P. A. Fransson,et al.  Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation , 2008, Experimental Brain Research.

[31]  Miguel Ángel Sotelo,et al.  Real-time system for monitoring driver vigilance , 2004, Proceedings of the IEEE International Symposium on Industrial Electronics, 2005. ISIE 2005..

[32]  E. Hæggström,et al.  Circadian amplitude and homeostatic buildup rate in postural control. , 2013, Gait & posture.

[33]  A. Buchner,et al.  Drivers' misjudgement of vigilance state during prolonged monotonous daytime driving. , 2009, Accident; analysis and prevention.

[34]  T. Åkerstedt,et al.  Reaction of sleepiness indicators to partial sleep deprivation, time of day and time on task in a driving simulator – the DROWSI project , 2009, Journal of sleep research.

[35]  P. Haavisto,et al.  Postural Balance in a Random Sample of 7,979 Subjects Aged 30 Years and Over , 2006, Gerontology.

[36]  A. R. Elliott,et al.  Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights. , 2001, American journal of physiology. Regulatory, integrative and comparative physiology.

[37]  Igor Radun,et al.  Fatigued driving : prevalence, risk factors and groups, and the law , 2009 .

[38]  C. Sargent,et al.  Can a simple balance task be used to assess fitness for duty? , 2012, Accident; analysis and prevention.

[39]  D. Dinges,et al.  The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. , 2003, Sleep.

[40]  H. Summala,et al.  Sleepiness at work among commercial truck drivers. , 2000, Sleep.

[41]  T. Åkerstedt,et al.  Transport and industrial safety, how are they affected by sleepiness and sleep restriction? , 2006, Sleep medicine reviews.

[42]  Carina Fors,et al.  Sleepy driving on the real road and in the simulator--A comparison. , 2013, Accident; analysis and prevention.

[43]  T. Åkerstedt,et al.  Validation of the Karolinska sleepiness scale against performance and EEG variables , 2006, Clinical Neurophysiology.

[44]  D. Dinges,et al.  Validity and Sensitivity of a Brief Psychomotor Vigilance Test (PVT-B) to Total and Partial Sleep Deprivation. , 2011, Acta astronautica.