Role of vehicle assistive devices for safe return to driving after severe acquired brain injury
| Autor: | Raffaella Benoldi, Francesco Baldari, Gerardo Malangone, Antonio De Tanti, Giuseppe Pedrazzi, Paola Abbati, Donatella Saviola, Claudio Martini, Maria Grazia Inzaghi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Automobile Driving medicine.medical_specialty Adolescent medicine.medical_treatment Visual impairment Population Poison control Physical Therapy Sports Therapy and Rehabilitation Occupational safety and health Young Adult Physical medicine and rehabilitation Injury prevention medicine Humans Disabled Persons education Self-Help Devices Acquired brain injury Aged Retrospective Studies education.field_of_study Rehabilitation business.industry Recovery of Function Middle Aged medicine.disease Brain Injuries Female medicine.symptom business |
| Zdroj: | European Journal of Physical and Rehabilitation Medicine. 56 |
| ISSN: | 1973-9095 1973-9087 |
| Popis: | Background Driving is a complex activity that requires a wide range of cognitive, behavioral, sensory and motor competences that are often impaired in cases of severe acquired brain injury (sABI). A safe return to driving is an objective significantly correlated with recovery of personal independence and social-occupational role. Aim The study investigated elements predictive of the possibility of a safe return to driving after sABI, concentrating on motor disability and the need to prescribe vehicle assistive devices. Design Retrospective study. Setting Out-patients of a rehabilitation center for sABI. Population A series of 217 patients with stable sABI, well reintegrated at family and social level, were enrolled between January 2006 and June 2019. Methods The subjects were assessed for residual competences. Those who passed assessment of cognitive-behavioral and visual impairment were assessed for motor disability and the need for vehicle assistive devices to enable a safe return to driving. Results About 79% of the population were judged suitable for a return to driving. More than 50% of the latter were only able to return to driving with the aid of vehicle assistive devices. Etiological and demographic variables were not predictive of assessment outcome, whereas the various Griffith motor disability categories were correlated with need for vehicle assistive devices, which are most needed in non-traumatic subjects. Conclusions Although the literature on return to driving after brain injury focuses mainly on cognitive-behavioral impairment, in a significant percentage of cases it is also necessary to carefully analyse and manage motor disabilities that may result from sABI. Clinical rehabilitation impact Evaluation of the competences necessary for a return to driving after sABI requires a multiprofessional team that must also assess motor disability and know the possible vehicle assistive devices that can enable most candidates to overcome the limits imposed by their disability. |
| Databáze: | OpenAIRE |
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