Imhoff Sarah, Lavallière Martin, Germain-Robitaille Mathieu, Teasdale Normand, Fait Philippe
Department of Human Kinetics; Research Group on Neuromusculoskeletal Dysfunctions (GRAN), Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.
Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA; Department of Health Sciences, Program of Kinesiology, Université du Québec à Chicoutimi, Chicoutimi.
Int Med Case Rep J. 2017 Feb 10;10:41-45. doi: 10.2147/IMCRJ.S120918. eCollection 2017.
Traumatic brain injury (TBI) causes functional deficits that may significantly interfere with numerous activities of daily living such as driving. We report the case of a 20-year-old woman having lost her driver's license after sustaining a moderate TBI.
We aimed to evaluate the effectiveness of an in-simulator training program with automated feedback on driving performance in a TBI individual.
The participant underwent an initial and a final in-simulator driving assessment and 11 in-simulator training sessions with driving-specific automated feedbacks. Driving performance (simulation duration, speed regulation and lateral positioning) was measured in the driving simulator.
Speeding duration decreased during training sessions from 1.50 ± 0.80 min (4.16 ± 2.22%) to 0.45 ± 0.15 min (0.44 ± 0.42%) but returned to initial duration after removal of feedbacks for the final assessment. Proper lateral positioning improved with training and was maintained at the final assessment. Time spent in an incorrect lateral position decreased from 18.85 min (53.61%) in the initial assessment to 1.51 min (4.64%) on the final assessment.
Driving simulators represent an interesting therapeutic avenue. Considerable research efforts are needed to confirm the effectiveness of this method for driving rehabilitation of individuals who have sustained a TBI.
创伤性脑损伤（TBI）会导致功能缺陷，可能会严重干扰诸如驾驶等众多日常生活活动。我们报告了一名20岁女性在遭受中度TBI后失去驾照的病例。
我们旨在评估一项针对TBI个体的、具有驾驶性能自动反馈功能的模拟器训练计划的有效性。
参与者接受了一次初始和一次最终的模拟器驾驶评估，以及11次带有特定驾驶自动反馈的模拟器训练课程。在驾驶模拟器中测量驾驶性能（模拟持续时间、速度调节和横向定位）。
在训练课程期间，超速持续时间从1.50±0.80分钟（4.16±2.22%）降至0.45±0.15分钟（0.44±0.42%），但在最终评估去除反馈后又恢复到初始持续时间。通过训练，正确的横向定位得到改善，并在最终评估中得以保持。处于不正确横向位置的时间从初始评估时的18.85分钟（53.61%）降至最终评估时的1.51分钟（4.64%）。
驾驶模拟器是一种有趣的治疗途径。需要进行大量的研究工作来证实这种方法对TBI患者驾驶康复的有效性。
