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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):33-7

language: English

Assessing and rehabilitation of car driving ability: a holistic approach

Gradenigo B.

From ­the Centro Cardinal Ferrari, Fontanellato, Parma


FULL TEXT  


Driving is an activ­ity of dai­ly liv­ing. It is a com­plex activ­ity ­that, ­after a ­time ­spent learn­ing, is exe­cut­ed in an auto­mat­ic ­way. An accept­ed mod­el in ­terms of neu­ro­psy­cho­log­i­cal ­and neu­ro­mo­tric­ity func­tion­ing ­was ­not ­yet ­been estab­lished. Pending an accept­ed mod­el we exam­ine ­the com­po­nents expect­ed to be ­part of ­the ­system ­and ­their inter­re­la­tions, ­based on ­what we ­already ­know ­about oth­er ­kinds of ­motor ­tasks. As ­for oth­er com­plex ­systems we ­can ­divide it ­into mechan­i­cal, cyber­net­ic ­and syn­er­get­ic ­aspects. Mechanical ­aspects: adress­es in sep­ar­ate ­way ­the sin­gle ­parts of ­the ­system, ­both ­for effec­tors ­and ­for affer­ents. From a cyber­net­ic ­point of ­view we ­have to ­assess ­the cor­re­la­tion ­between ­the mechan­i­cal ­aspects of ­the ­system, ­the inter­fer­ence ­between ­the affect­ed com­po­nents ­and oth­er com­po­nents. From a syn­er­get­ic ­point of ­view we ­have to ­look to ­the syn­er­gy build­ing inter­ac­tions ­between ­the ­parts of ­the ­system. This is ­thought to be ­the ­base ­for learn­ing ­and auto­ma­tion. The reha­bil­i­ta­tion pro­cess of driv­ing ­deals ­with seg­men­tal ­and inter­seg­men­tal activ­ities, sim­u­la­tion activ­ities, prac­ti­cal activ­ity.

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