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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095

 

Europa Medicophysica 2001 December;37(4):227-33

RETURN TO DRIVING AFTER TRAUMATIC BRAIN INJURY - Part I
Guest Editors: Bruno Gradenigo, Anna Mazzucchi 

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.

language: English


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