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


Europa Medicophysica 2002 March;38(1):25-8

language: English

Driving after acquired brain injury from research to reality

Brooks N.

From the Rehab Without Walls Crownhill, Milton Keynes, (UK)


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Pre­dicting fit­ness to ­drive ­after ABI is not ­easy. The ref­er­ences in med­ical lit­er­a­ture con­tain inter­esting ­pointers, but ­there is no one “­gold stan­dard” ­test. The pro­fes­sionals ­involved, ­including ­myself, ­those in my own prac­tice, as ­well as ­those else­where, do not ­always “get it ­right”, and ­both ­false pos­i­tive and ­false neg­a­tive judg­ments are ­made ­about fit­ness to ­drive ­after ABI. In my own prac­tice, we con­tin­u­ally ­remind our­selves ­that ­every ­injured ­person is dif­ferent, and ­that ­retained ­insight and judg­ment may ­well com­pen­sate for ­reduced reac­tion ­time, if ­that ­retained ­insight is trans­lated ­into a ­change in ­actual ­driving ­habit. We rec­og­nise ­that ­return to ­drive ­poses sig­nif­i­cant ­legal and eth­ical ­dilemmas for pro­fes­sionals, and we con­sider ­that we ­have a ­very sig­nif­i­cant ­problem of ­risk assess­ment in ­which we ­must con­sider all dif­ferent ­sources of evi­dence.

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