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

Accident; Analysis and Prevention
Anne BakerNatasha A Lannin

Abstract

Little is known about the trajectory of recovery in fitness-to-drive after mild traumatic brain injury (mTBI). This means that health-care professionals have limited evidence on which to base recommendations to this cohort about driving. To determine fitness-to-drive status of patients with a mTBI at 24h and two weeks post injury, and to summarise issues reported by this cohort about return to driving. Quasi-experimental case-control design. Two groups of participants were recruited: patients with a mTBI (n=60) and a control group with orthopaedic injuries (n=60). Both groups were assessed at 24h post injury on assessments of fitness-to-drive. Follow-up occurred at two weeks post injury to establish driver status. Mini mental state examination, occupational therapy-drive home maze test (OT-DHMT), Road Law Road Craft Test, University of Queensland-Hazard Perception Test, and demographic/interview form collected at 24h and at two weeks. At the 24h assessment, only the OT-DHMT showed a difference in scores between the two groups, with mTBI participants being significantly slower to complete the test (p=0.01). At the two week follow-up, only 26 of the 60 mTBI participants had returned to driving. Injury severity combined with score...Continue Reading

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Citations

Mar 3, 2018·Australian Occupational Therapy Journal·Rebecca CooksleyJulia Schmidt
Jan 10, 2019·Current Sports Medicine Reports·Jacob Christensen, Christopher A McGrew
Mar 23, 2019·Frontiers in Neurology·Michelle McKerralIsabelle Gélinas
Dec 11, 2020·Brain Injury : [BI]·L D'SilvaM A Rippee
Jan 17, 2021·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Kelly SarmientoDavid Wright
Dec 20, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Catherine C McDonaldKristy B Arbogast
Sep 23, 2020·Journal of Sport and Health Science·Landon B LempkeJulianne D Schmidt
Mar 27, 2021·Accident; Analysis and Prevention·Milad HaghaniHamish MacDougall

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