Fitness-to-drive after mild traumatic brain injury: Mapping the time trajectory of recovery in the acute stages post injury

Baker, Anne; Unsworth, Carolyn A.; Lannin, Natasha A.

doi:10.1016/j.aap.2015.03.014

Cited by 26 publications

(23 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such research would enhance the efficacy of return to activity guidelines and improve prognosis. In addition, previous research with the same population suggested that persistent symptoms indicate that people post mTBI are also slow to resume driving despite medical clearance to do so (Baker, Unsworth & Lannin, ). Since return‐to‐work following mTBI is often directly related to resumption of driving, future research should also specifically investigate patient driving status.…”

Section: Discussionmentioning

confidence: 99%

Persistent symptoms and activity changes three months after mild traumatic brain injury

Cooksley

Maguire

Lannin

et al. 2018

Aus Occup Therapy J

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Persistent symptoms and activity changes three months after mild traumatic brain injury

Cooksley

Maguire

Lannin

et al. 2018

Aus Occup Therapy J

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have demonstrated deficits in the reaction time to and judgment of road hazards in adults with concussion attempting a driving simulator in the first 24 hours after injury. 173,174 Similar deficits likely exist in adolescent athletes after an SRC, so it is worthwhile to avoid driving for the first few days after an SRC.…”

Section: Acute Managementmentioning

confidence: 98%

Sport-Related Concussion in Children and Adolescents

et al. 2018

View full text Add to dashboard Cite

Sport-related concussion is an important topic in nearly all sports and at all levels of sport for children and adolescents. Concussion knowledge and approaches to management have progressed since the American Academy of Pediatrics published its first clinical report on the subject in 2010. Concussion's definition, signs, and symptoms must be understood to diagnose it and rule out more severe intracranial injury. Pediatric health care providers should have a good understanding of diagnostic evaluation and initial management strategies. Effective management can aid recovery and potentially reduce the risk of long-term symptoms and complications. Because concussion symptoms often interfere with school, social life, family relationships, and athletics, a concussion may affect the emotional well-being of the injured athlete. Because every concussion has its own unique spectrum and severity of symptoms, individualized management is appropriate. The reduction, not necessarily elimination, of physical and cognitive activity is the mainstay of treatment. A full return to activity and/ or sport is accomplished by using a stepwise program while evaluating for a return of symptoms. An understanding of prolonged symptoms and complications will help the pediatric health care provider know when to refer to a specialist. Additional research is needed in nearly all aspects of concussion in the young athlete. This report provides education on the current state of sport-related concussion knowledge, diagnosis, and management in children and adolescents.

show abstract

“…Twenty-four studies were included that examined fitness-to-drive [7,8,9,11,20,21,22,23,24,25,26,27,28,29,30], return-to-driving [12,30,31,32,33,34] or both [35,36,37,38] in persons with TBI. The studies included either an on-road driving assessment [8,11,21,22,23,24,29], simulated driving assessment [20,30], off-road screening test [7,25] or self (or other) report measures [9,12,26,27,28,31,32,33,34,35,36,37,38]. The 24 studies that met the inclusion criteria were published before June 2016.…”

Section: Resultsmentioning

confidence: 99%

“…The 24 studies that met the inclusion criteria were published before June 2016. Funding status was reported in 14 studies [9,11,12,20,23,24,28,32,33,34,35,36,37,38]. Included studies were conducted in Australia [7,11,12,25,26,29], Canada [9,20,30,34], Europe [8,21,31,36,38] or United States [22,23,24,27,28,32,33,35,37].…”

Section: Resultsmentioning

confidence: 99%

“…Post-traumatic amnesia (PTA) duration, along with the presence of visual and physical impairment classified 88% of the pass group and 71% of those needing rehabilitation [11]. Due to the impairments associated with TBI, patients are advised against resuming driving for at least 3 months post-injury to allow for appropriate recovery of motor and cognitive abilities [12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evidence Based Review of Fitness-to-Drive and Return-to-Driving Following Traumatic Brain Injury

Palubiski

Crizzle

2016

Geriatrics

View full text Add to dashboard Cite

The purpose of this study was to conduct an evidence-based review to determine predictors of fitness to drive and return to driving in persons with traumatic brain injury (TBI). Relevant databases (MEDLINE/PubMed, CINAHL, Cochrane Library, and SCOPUS) were searched for primary articles published before June 2016 using MeSH search terms. Using the American Academy of Neurology’s classification criteria, 24 articles were included after reviewing 1998 articles. Studies were rated by class (I–IV), with I being the highest level of evidence. Articles were classified according to TBI severity, as well as types of assessments (on-road, simulator and surveys). There were no Class I studies. Based on Class II studies, only Post-traumatic amnesia (PTA) duration was found to be probably predictive of on-road driving performance. There is limited evidence concerning predictors of return to driving. The findings suggest further evidence is needed to identify predictors of on-road driving performance in persons with TBI. Class I studies reporting Level A recommendations for definitive predictors of driving performance in drivers with TBI are needed by policy makers and clinicians to develop evidence-based guidelines.

show abstract

Fitness-to-drive after mild traumatic brain injury: Mapping the time trajectory of recovery in the acute stages post injury

Cited by 26 publications

References 21 publications

Persistent symptoms and activity changes three months after mild traumatic brain injury

Persistent symptoms and activity changes three months after mild traumatic brain injury

Sport-Related Concussion in Children and Adolescents

Evidence Based Review of Fitness-to-Drive and Return-to-Driving Following Traumatic Brain Injury

Contact Info

Product

Resources

About