Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, USA.
Am J Occup Ther. 2013 May-Jun;67(3):e24-9. doi: 10.5014/ajot.2013.006569.
Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded.
职业治疗师和认证驾驶康复专家具有独特的技能，可以评估驾驶表现背后的功能能力。然而，关于临床评估在确定癫痫患者驾驶表现方面的效用的信息很少。本案例研究展示了如何使用职业治疗评估电池来检查视觉和认知能力以及模拟驾驶表现在癫痫手术前后的差异。具体来说，一名 43 岁的白人男性，患有右侧前叶癫痫，接受了颞叶切除术，并在术前和术后评估了与驾驶相关的能力和模拟驾驶表现。职业治疗评估表明，术后执行力、注意力和信息处理速度有所提高。手术后视空间能力恶化，可能导致驾驶模拟器上车辆位置误差略有增加。然而，颞叶切除术后模拟驾驶表现有所改善。记录到视觉扫描、车道保持和速度调节错误的数量减少。
