Review of the Impact of Cognitive Problems in the Elderly People on Safe-Driving and Mobility Maintenance

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  • Kawano Naoko
    Institutes of Innovation for Future Society, Nagoya University Department of Psychiatry, Nagoya University Graduate School of Medicine
  • Aoki Hirofumi
    Institutes of Innovation for Future Society, Nagoya University
  • Ozaki Norio
    Department of Psychiatry, Nagoya University Graduate School of Medicine

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Other Title
  • 高齢期の認知機能低下と安全運転：支援立案に向けた研究課題の整理
  • コウレイキ ノ ニンチ キノウ テイカ ト アンゼン ウンテン : シエン リツアン ニ ムケタ ケンキュウ カダイ ノ セイリ

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Abstract

 This article reviewed the association between safe driving and cognitive impairment in elderly individuals, and discussed leaving problems about assessing elderly drivers for fitness to drive and facilitating their mobility. This review placed particular emphasis on the concept of mild cognitive impairment (MCI), which has been used in clinical practice and research over the last two decades. The technical term “MCI” has been based on various criteria, contributing to the difficulty in achieving a consistent explanation of the results from previous studies. Each diagnosis was therefore summarized at first, then previous studies were reviewed to gain an understanding of the impact of cognitive decline on driving safety in drivers with MCI and dementia. Findings of previous studies were also classified into each cognitive disorder due to specific disease (e.g. Alzheimer’s disease; Perkinson’s disease; Lewy body disease; frontotemporal lobar degeneration). Finally, the needs of future studies regarding safe-driving and mobility maintenance for elderly individuals are discussed.

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