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Two brief measures of executive function in the prediction of driving ability after acquired brain injury

HARGRAVE DD; NUPP JM; ERICKSON RJ
NEUROPSYCHOL REHABIL , 2012, vol. 22, n° 4, p. 489-500
Doc n°: 158901
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1080/09602011.2012.662333
Descripteurs : AF3 - TRAUMATISME CRANIEN, JL32 - CONDUITE AUTOMOBILE

The question of fitness to drive following acquired brain injury is commonly
encountered in rehabilitation settings. Pre-driving assessments are usually
performed prior to on-road assessments, but there is no uniformity as to the
instruments employed. Neuropsychological tests are often employed to assess
different functional domains. One domain that has been suggested to be critical
to driving is executive functioning. The present study examined the utility of
the Frontal Assessment Battery (FAB) and the Trail Making Test Part B (TMTB) in
predicting on-road driving performance after stroke or traumatic brain injury.
While the TMTB has previously been demonstrated to be useful in this regard, the
FAB has never been examined for this purpose.
Participants were 76 patients
referred for driving assessment after diagnosis of stroke or traumatic brain
injury. Results indicated that scores on the TMTB, but not the FAB, were
significantly predictive of on-road driving performance (p < .05).
A cutoff score
of 90 seconds or greater on the TMTB correctly identified 77% of those failing
on-road evaluation. Implications and limitations are discussed.

Langue : ANGLAIS

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