提出多模态方法提升分心驾驶检测的鲁棒性，突破纯视觉模型局限。

Distracted driving continues to be a significant cause of road traffic injuries and fatalities worldwide, even with advancements in driver monitoring technologies. Recent developments in machine learning (ML) and deep learning (DL) have primarily focused on visual data to detect distraction, often neglecting the complex, multimodal nature of driver behavior. This systematic review assesses 74 peer-reviewed studies from 2019 to 2024 that utilize ML/DL techniques for distracted driving detection across visual, sensor-based, multimodal, and emerging modalities. The review highlights a significant prevalence of visual-only models, particularly convolutional neural networks (CNNs) and temporal architectures, which achieve high accuracy but show limited generalizability in real-world scenarios. Sensor-based and physiological models provide complementary strengths by capturing internal states and vehicle dynamics, while emerging techniques, such as auditory sensing and radio frequency (RF) methods, offer privacy-aware alternatives. Multimodal architecture consistently surpasses unimodal baselines, demonstrating enhanced robustness, context awareness, and scalability by integrating diverse data streams. These findings emphasize the need to move beyond visual-only approaches and adopt multimodal systems that combine visual, physiological, and vehicular cues while keeping in checking the need to balance computational requirements. Future research should focus on developing lightweight, deployable multimodal frameworks, incorporating personalized baselines, and establishing cross-modality benchmarks to ensure real-world reliability in advanced driver assistance systems (ADAS) and road safety interventions.