Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder.

In a 3-year period, 94 patients with driving difficulties due to a variety of musculoskeletal disorders were assessed by the occupational therapy department of a rheumatology unit. The individual's ability to carry out each part of the driving process was recorded and the patients were classified into six broad categories. While some parts of the driving process often proved difficult, patterns of disability were found with different musculoskeletal disorders. Almost all of these difficulties could be overcome by simple modifications to vehicle or driving technique. Only one severely disabled individual required referral to a specialized mobility unit, while two individuals were found to be unsafe. Thus, almost all arthritic individuals are able to continue driving with the help of simple modifications. By providing an unsophisticated driving assessment service, a rheumatology unit can enable patients to continue driving and so maintain independence.

Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder.

Findings support psychological theories suggesting that emotional distress is a response to the stressor of a brain injury and denial of difficulty, manifesting as impaired awareness, may play a protective role. They highlight the importance of understanding a patient's level of awareness so as to provide support aimed at minimizing the impact of distress on the rehabilitation outcome.

Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder.