Munkhbayasgalan Byambadorj

Age- and cognitive-related changes in visual search behavior may affect driving performance, particularly during complex road maneuvers requiring continuous steering adjustments. The aim of this study was to clarify the characteristics of visual search behavior in elderly drivers during S-curve driving. Seven elderly drivers with a high prevalence of mild cognitive impairment (MCI) and ten expert drivers working as professional driving instructors performed crank and S-curve driving tasks. Their visual search behavior toward reference points and surrounding reference areas was monitored using an eye tracker (Tobii Pro Glasses 2). Linear mixed-effects model analysis revealed a significant Group × Area of Interest interaction: elderly drivers allocated significantly longer gaze dwell percentages to inner reference areas (specifically, Reference Areas 11 and 13) during the second half of the S-curve compared to expert drivers (p < 0.001). These findings imply that expanded gaze allocation toward reference areas may serve as a potential compensatory mechanism in elderly drivers with MCI features to construct spatial awareness under dynamic driving demands, representing one of several plausible interpretations alongside cognitive and task-related factors. These preliminary insights could contribute to understanding visual search mechanisms in elderly clinical populations.

Background: Visual search supports action planning and target selection in daily life. Despite toileting being frequent yet high-risk in rehabilitation, gaze analyses specific to toileting remain limited. This study quantified visual search behavior during the approach phase of toileting. Methods: Twenty inpatients aged 65 years or older in a convalescent rehabilitation ward participated in the study. At the time of hospital admission, their gaze behavior from toilet room entry to arrival at the bowl was recorded using an eye tracker (Tobii Pro Glasses 2). Moreover, we evaluated a toilet-functional independence measure (toilet-FIM), comprising toileting, toilet transfer, and locomotion at discharge. Results: In multiple regression, a longer total gaze time directed towards the toilet seat was associated with a greater toilet-FIM independence (β = 0.446), whereas prolonged gaze to the toilet rim (β = −0.839) and to the right handrail (β = −0.621) were related to lower independence (adjusted R² = 0.715). Conclusions: A toilet seat-oriented gaze implies effective action planning for safe sit-down, whereas toilet rim- or handrail-oriented gazes may reflect responses to visual salience or compensatory visual strategies related to reduced independence. These observations could improve our understanding of older patients’ motor planning and spatial perception in toileting.