• Clinics · Jan 2024

    Multifactorial assessment of braking time predictors in a driving simulator among older adults according to gender.

    • Maria Eugenia Mayr De Biase, Angelica Castilho Alonso, Reinaldo Nonato da Silva, Sara Moutinho Soares, Alexandra Carolina Canonica, Alessandra Pricila Dos Reis Belini, Jose Maria Soares-Junior, Edmund Chada Baracat, Alexandre Leopold Busse, Wilson Jacob-Filho, Guilherme Carlos Brech, and GreveJúlia Maria D'AndreaJMDLaboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil..
    • Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
    • Clinics (Sao Paulo). 2024 Jan 1; 79: 100405100405.

    ContextVehicle driving depends on the integration of motor, visual, and cognitive skills to respond appropriately to different situations that occur in traffic.ObjectivesTo analyze a model of performance predictor for braking time in the driving simulator, using a battery of tests divided by gender.MethodsSelected were 100 male drivers with a mean age of 72.6 ± 5.7 years. Sociodemographic variables, braking time in the driving simulator, and motor, visual, and cognitive skills were evaluated.ResultsComparing genders, men were older than women (p = 0.002) and had longer driving times (p = 0.001). Men had more strength in hand grip (p ≤ 0.001). In the linear regression analysis, the model explained 68 % of the braking time in men and 50.8 % in women. In the stepwise multiple linear regression analysis, the variable that remained in the model was the strength of the right plantar flexors, which explained 13 % of the braking time in women and men, and the cognitive variables explained 38.9 %.ConclusionSociodemographic, motor, visual, and cognitive variables, explained a substantial portion of the variability in braking time for both older women and men, the specific variables driving this performance differed between the sexes. For older women, factors such as muscle strength emerged as critical determinants of braking ability, highlighting the importance of physical health in maintaining driving skills. On the other hand, cognitive conditions emerged as the primary predictor of braking performance in older men, underscoring the role of mental acuity and decision-making processes in safe driving.Copyright © 2024 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

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