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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):33-7

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

Assessing and rehabilitation of car driving ability: a holistic approach

Gradenigo B.

From the Centro Cardinal Ferrari, Fontanellato, Parma


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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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