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

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

Copyright © 2002 EDIZIONI MINERVA MEDICA

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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