DRIVING WITH COGNITIVE DEFICITS: NEUROREHABILITATION AND LEGAL MEASURES ARE NEEDED FOR DRIVING AGAIN AFTER SEVERE TRAUMATIC BRAIN INJURY

This article presents a retrospective study on a group of survivors of severe traumatic brain injury (TBI) with the purpose of discerning whether post-traumatic cognitive deficits prevent them from safely resuming driving and to see if holistic neurorehabilitation improves the rate of patients fit for returning to driving. The study included 17 patients who had suffered severe TBI as measured by Glasgow Coma Scale scores. All subjects underwent a holistic, intensive and multidisciplinary neurorehabilitation program during a mean period of 10.53 months in the Centro de Rehabilitation de Dano Cerebral (CRECER)--Center for Brain Injury Rehabilitation--in Seville, Spain. Patients were divided into two different groups: drivers (patients who drove despite strong and repeated recommendations from the Center to desist from doing so when they began the rehabilitation program) and non-drivers (patients not driving at the time they began the rehabilitation program although they had a pre-injury driver's license). The FIM+FAM-Revised Scale was administered both before commencing treatment and upon termination. Results and conclusions are as follows: (1) Patients showing physical functionality above 80% returned to driving, regardless of their cognitive and/or emotional deficits, and against doctor recommendations. (2) Severe TBI survivors that have not been certified as fit to drive are at increased risk for driving incidents other than collisions and traffic accidents. This is illustrated by significant incidents involving some of the subjects in our study that were due to disorientation, confusion and confrontations with people or situations. (3) Neurorehabilitation is worthwhile; after integral and multidisciplinary neurorehabilitation more than 70% of survivors of severe TBI can return to driving with regular safety. (4) It is suggested that laws be introduced to keep not-clinically-apt patients from driving.

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    Taylor & Francis

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  • Authors:
    • Leon-Carrion, J
    • Dominguez-Morales, M R
    • Barroso Y Martin, J M
  • Publication Date: 2005-3

Language

  • English

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Filing Info

  • Accession Number: 00989206
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Apr 13 2005 12:00AM