Article

OBJECTIVE: To examine assessment outcomes and factors associated with passing an
occupational therapy (OT) on-road driver assessment after traumatic brain injury
(TBI). DESIGN: Retrospective analysis of outcomes of on-road driver assessment
completed by persons with TBI over an 8-year period.
SETTING: Inpatient and
outpatient rehabilitation hospital. PARTICIPANTS: A consecutive sample of
individuals (N=207) with mild to severe TBI who completed an on-road driver
assessment and were assessed at least 3 months postinjury. INTERVENTION: Not
applicable. MAIN OUTCOME MEASURE: Outcome of on-road driver assessment. RESULTS:
Of the drivers with TBI, 66% (n=137) passed the initial on-road driver assessment
(pass group), whereas 34% (n=70) required on-road driver rehabilitation and/or
>/=1 on-road assessment (rehabilitation group). After driver rehabilitation, only
3 participants of the group did not resume driving. Participants who were men,
had shorter posttraumatic amnesia (PTA) duration, had no physical and/or visual
impairment, and had faster reaction times were significantly more likely to be in
the pass group. In combination, these variables correctly classified 87.6% of the
pass group and 71.2% of the rehabilitation group.
CONCLUSIONS: PTA duration
proved to be a better predictor of driver assessment outcome than Glasgow Coma
Scale score. In combination with the presence of physical/visual impairment and
slowed reaction times, PTA could assist clinicians to determine referral criteria
for OT driver assessment. On-road driver rehabilitation followed by on-road
reassessment were associated with a high probability of return to driving after
TBI.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS