Lew Henry L, Rosen Peter N, Thomander Darryl, Poole John H
Veterans Affairs Boston Health Care System, 150 South Huntington Ave, Boston, MA 02130, USA.
J Head Trauma Rehabil. 2009 Jan-Feb;24(1):51-6. doi: 10.1097/HTR.0b013e3181956fe3.
A large number of Operation Enduring Freedom/Operation Iraqi Freedom returnees are seeking DOD and VA rehabilitative care for war-related traumatic brain injury (TBI). This article reviews evidence on the utility of driving simulators as tools for assessment and training in TBI rehabilitation. Traditionally, cognitive rehabilitation has been shown to improve specific cognitive skills. However, there are few studies and only weak evidence to show that these gains transfer to everyday activities. Theoretically, modern driving simulators may be useful in cognitive rehabilitation because they can systematically present realistic and interesting tasks that approximate driving activities, while automatically monitoring performance. The use of simulation technology for patients with TBI provides cognitive stimulation in an ecologically compatible setting, without the risks associated with a corresponding real-world experience. The utility, limitations, and future directions for the use of driving simulator in the rehabilitation of patients with war-related TBI are discussed.
大量“持久自由行动”/“伊拉克自由行动”的归国人员正在寻求国防部和退伍军人事务部提供与战争相关的创伤性脑损伤（TBI）康复护理。本文综述了关于驾驶模拟器作为TBI康复评估和训练工具的效用的证据。传统上，认知康复已被证明可改善特定的认知技能。然而，很少有研究且仅有微弱证据表明这些收获能转化为日常活动能力。从理论上讲，现代驾驶模拟器可能对认知康复有用，因为它们可以系统地呈现近似驾驶活动的现实且有趣的任务，同时自动监测表现。将模拟技术用于TBI患者可在生态兼容的环境中提供认知刺激，而没有与相应现实世界体验相关的风险。本文讨论了驾驶模拟器在与战争相关的TBI患者康复中的效用、局限性及未来发展方向。
