Cullen Nora, Krakowski Aneta, Taggart Christina
Toronto Rehabilitation Institute, University Health Network , Toronto, ON , Canada .
Brain Inj. 2014;28(1):38-43. doi: 10.3109/02699052.2013.849005.
To assess the ability of neuropsychometric tests administered during inpatient rehabilitation to predict return to driving after traumatic brain injury (TBI).
Retrospective, matched case-controlled study.
Sixty-seven participants with TBI, drawn from an existing database, completed a questionnaire that assessed return to driving post-TBI, as measured by reinstatement of the driver's license. Drivers were individually case-matched to non-drivers on age, Glasgow Coma Scale (GCS), Disability Rating Scale (DRS) and the rehabilitation admission interval (RAI). Scores on four neuropsychological tests (Trail-Making A, Trail Making B, Digit Span-forward and Digit Span-backward), administered during the rehabilitation stay, were compared between case-matched drivers and non-drivers.
Return to driving, as defined by reinstatement of the driver's license.
Participants who had returned to driving were comparable to those who had not returned to driving with respect to demographic variables, initial injury severity and baseline functioning. Scores on two neuropsychological assessments were significantly better in participants who had returned to driving than in those who had not: Trail-making A (p < 0.01) and Trail-making B (p < 0.01).
The results suggest that neuropsychological measures of processing speed and cognitive flexibility may predict return to driving after TBI.
评估住院康复期间进行的神经心理测试预测创伤性脑损伤（TBI）后恢复驾驶能力的情况。
回顾性、配对病例对照研究。
从现有数据库中选取67名TBI患者，完成一份问卷，该问卷通过恢复驾照来评估TBI后恢复驾驶的情况。根据年龄、格拉斯哥昏迷量表（GCS）、残疾评定量表（DRS）和康复入院间隔时间（RAI），将驾驶者与非驾驶者进行个体病例匹配。比较康复期间进行的四项神经心理学测试（连线测验A、连线测验B、顺背数字广度和倒背数字广度）在病例匹配的驾驶者和非驾驶者之间的得分。
以恢复驾照定义的恢复驾驶情况。
在人口统计学变量、初始损伤严重程度和基线功能方面，恢复驾驶的参与者与未恢复驾驶的参与者相当。在两项神经心理学评估中，恢复驾驶的参与者得分显著高于未恢复驾驶的参与者：连线测验A（p < 0.01）和连线测验B（p < 0.01）。
结果表明，处理速度和认知灵活性的神经心理学测量可能预测TBI后恢复驾驶的情况。
