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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
RETURN TO DRIVING AFTER TRAUMATIC BRAIN INJURY - Part I
Guest Editors: Bruno Gradenigo, Anna Mazzucchi
Europa Medicophysica 2001 December;37(4):227-33
Ability to drive after traumatic brain injury: neuropsychological aspects. The CARA experience
Strypstein E., Arno P., Eeckhout G., Baten G.
From the Belgian Road Safety Institute, Department CARA, Brussels, Belgium
Background. The authors describe the activity of the CARA, Centre for the evaluation of the fitness to drive and for the vehicle adaptation, a department of the Belgian Road Safety Institute, the official authority for assessing the fitness to drive of persons suffering from impairments affecting their driving abilities.
Methods. The evaluation procedure is multidisciplinary and entails a medical examination, a neuropsychological examination and practical on-road and off-road tests. The neuropsychological examination is to delimit the behavioural consequences that brain injuries can have on driving. Especially visual, perceptive and attentional processes are examined through written and computerized tests.
Results. A logistic regression analysis shows that the fitness to drive advice can be predicted at best by means of 2 subtests of the TEA battery: “Visual field” and “Scanning”, but the accuracy remains relative.
Conclusions. The on-road test allows to observe the functioning of the compensatory strategies in a real-life situation, particularly with regard to the tactical aspects of driving.