Reliability of simulator driving tool for evaluation of sleepiness, fatigue and driving performance.

STUDY OBJECTIVE: To compare the impact of extended wakefulness (i.e., sleepiness) and prolonged driving (i.e., fatigue) at the wheel in simulated versus real-life driving conditions. DESIGN: Participants drove on an INRETS-MSIS SIM2 simulator in a research laboratory or an open French highway during 3 nocturnal driving sessions. A dose-response design of duration of nocturnal driving was used: a 2 h short driving session (3-5 AM), a 4 h intermediate driving session (1-5 AM) and an 8 h long driving session (9 PM-5 AM). PARTICIPANTS: Two groups of healthy male drivers (20 for simulated driving and 14 drivers for real driving; mean age±SD=22.3±1.6 years), free of sleep disorders. MEASUREMENTS: Number of inappropriate line crossings, self-rated fatigue and sleepiness were recorded in the last hour of driving sessions to control the effects of prior waking time and time of day. RESULTS: Compared to the daytime reference session, both simulated and real driving performance were affected by a short nocturnal driving session (P<.05 and P<.001, respectively). Extension of nocturnal driving duration affected simulated performance nonlinearly and more severely than that of real driving (P<.001). Compared to the daytime reference session, short nocturnal simulated and real driving sessions increased self-perceived fatigue and sleepiness. Real and simulated driving conditions had an identical impact on fatigue and sleepiness during extended periods of nocturnal driving. CONCLUSIONS: In healthy subjects, the INRETS-MSIS SIM2 simulator appropriately measures driving impairment in terms of inappropriate line crossings related to extended wakefulness but has limitations to measure the impact of extended driving on drivers' performance.

Diurnal evolution of cycling biomechanical parameters during a 60-s Wingate test.

The purpose of this study was to assess the evolution of pedaling kinetics and kinematics during a short-term fatigue cycling exercise at two times of day. Twenty active male subjects were asked to perform a 60-s Wingate test against a constant braking resistance during two experimental sessions at 06:00 and 18:00 hours, i.e., very close to the hours of core temperature values, which are, respectively, the lowest and the highest. The results showed that the fatigue index was higher (P<0.05) at 18:00 hours (71.4%) than at 06:00 hours (69.2%) and power output was higher (P<0.05) in the evening than in the morning during the first 20 s of the test, after which no difference was observed. Taken together, these results showed a greater progression of fatigue in the evening than in the morning. The diurnal variations in performance and fatigue were associated (P<0.001) with diurnal changes in cycling kinematic parameters, characterized by a reduction in the range of motion of the ankle angle in the evening. These findings show that a time-of-day effect on movement patterns occurs during an anaerobic cycling exercise and that this phenomenon has a direct influence on performance and fatigue.