Article

Return to drive after brain damage is a crucial question either for patients than
health professionals. The Societe francaise de medicine physique et de
readaptation (SOFMER) and Comete France association developed recommandations for
patient's identification, evaluation and accompaniment as part of their project
to resume to drive. The place of rehabilitation process and patient's focus has
been also discussed.
AIMS: Using a literature review, the aim was to define
clinical pathways to determine people who need a fitness to drive evaluation
after a non-evolutive brain damage as well as the assessment process. METHOD:
Following the method for Clinical practice guidelines, 1388 abstracts were
identified, among which 379 were analysed and confronted with the working group's
experience. The draft propositions were submitted to a review group before being
validated by the High French Health Autority. RESULT: No article enabled the
development of recommendations above the "expert opinion". The detection of
sensory (visual), sensitive, motor and/or cognitive sequelaes is needed before
return to drive. It is not recommended to return to drive in case of unilateral
spatial neglect. Different assessment strategies, function of sequeale's gravity,
are proposed after stroke or brain injury. In case of sequeale, the assessment
process (clinical, cognitive, on road evaluation) has to be pluriprofessional.
The results are the subject of a pluriprofessional synthesis, shared with the
patient and, if possible, in the presence of a close. An accompaniment to
maintain the best mobility of the person is needed, whatever the assessment
result.
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Langue : ANGLAIS