摘要:

Background:Diffuse and focal traumatic brain injury (TBI) can result in perceptual, cognitive, and motor dysfunction possibly leading to activity limitations in driving. Characteristic dysfunctions for severe diffuse TBI are confronted with function requirements derived from the hierarchical task analysis of driving skill.Objective:Specifically, we focus on slow information processing, divided attention, and the development of procedural knowledge. Also the effects of a combination of diffuse and focal dysfunctions, specifically homonymous hemianopia and the dysexecutive syndrome, are discussed. Finally, we turn to problems and challenges with regard to assessment and rehabilitation methods in the areas of driving and fitness to drive.

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Background:Traumatic brain injury (TBI) survivors often have sensory and cognitive impairments that may interfere with driving ability. The Useful Field of View (UFOV) is a measure of visual information processing that is a good predictor of vehicle crash risk in older adults.Objective:The objective of this study was to explore the possibility that UFOV is compromised after TBI.Design:UFOV performance of 23 TBI survivors and 18 young adults without neurological impairment were compared.Conclusion:TBI survivors had higher UFOV scores than young adults, which indicated a greater functional loss of peripheral vision. The results suggest that the UFOV may be a valuable instrument for assessing driving readiness in TBI survivors.

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Background:Virtual reality (VR) was used to investigate the influence of divided attention (simple versus complex) on driving performance (speed control).Design:Three individuals with traumatic brain injury (TBI) and three healthy controls (HC), matched for age, education, and gender, were examined.Results:Preliminary results revealed no differences on driving speed between TBI and HC. In contrast, TBI subjects demonstrated a greater number of errors on a secondary task performed while driving.Conclusion:The findings suggest that VR may provide an innovative medium for direct evaluation of basic cognitive functions (ie, divided attention) and its impact on everyday tasks (ie, driving) not previously available through traditional neuropsychological measures.

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Background:This study examined both objective and subjective measures of driving behaviors occurring in the past 5 years for 47 individuals with traumatic brain injury (TBI) and 22 healthy controls (HC), matched for age, gender, education, and years of driving experience.Results:Overall, subtle descriptive differences in driving characteristics were observed between the two groups. However, comparison of self-reported and documented reports of aberrant driving behaviors did not reveal a significantly greater number of accidents or violations among TBI participants compared with HC drivers. The results suggest that individuals with TBI, who successfully complete a driving evaluation program, are able to reintegrate into the driving community with minimal difficulty.

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Background:Practical issues facing rehabilitation clinicians working with survivors of brain injuries who wish to return to motor vehicle operations are considerable, and this challenge will likely only increase in the future. Although unpleasant, clinicians cannot avoid the legal and ethical issues associated with this aspect of rehabilitation. Clinicians also face numerous problems in terms of a variety of assessment and treatment strategies, most with limited demonstrated ecological validity, and few, if any, clear guidelines for rehabilitation of the driver. Clinicians may not have access to “driving tests,” simulators and computer programs, specialized personnel, or adaptive driving programs.Conclusion:Practical clinical issues such as these are reviewed, along with suggestions for a number of effective clinical approaches.

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0885-9701    

出版商:OVID    

年代:2002

数据来源: OVID