Article

Individuals with brain injury often present with cognitive, physical and
emotional impairments which impact their ability to resume independence in
activities of daily living. Of those activities, the resumption of driving
privileges is cited as one of the greatest concerns by survivors of brain injury.
The integration of driving fundamentals within the hierarchical model proposed by
Keskinen represents the complexity of skills and behaviors necessary for driving.
This paper provides a brief review of specific considerations concerning the
driver with TBI and highlights current vehicle technology which has been
developed by the automotive industry and by manufacturers of adaptive driving
equipment that may facilitate the driving task. Adaptive equipment technology
allows for compensation of a variety of operational deficits, whereas
technological advances within the automotive industry provide drivers with
improved safety and information systems. However, research has not yet supported
the use of such intelligent transportation systems or advanced driving systems
for drivers with brain injury. Although technologies are intended to improve the
safety of drivers within the general population, the potential of negative
consequences for drivers with brain injury must be considered. Ultimately,
a comprehensive driving evaluation and training by a driving rehabilitation
specialist is recommended for individuals with brain injury. An understanding of
the potential impact of TBI on driving-related skills and knowledge of current
adaptive equipment and technology is imperative to determine whether
return-to-driving is a realistic and achievable goal for the individual with TBI.

Langue : ANGLAIS