Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas, USA.
Department of Biostatistics and Data Science, University of Kansas Medical Center, Kansas, USA.
Brain Inj. 2021 Jan 5;35(1):59-64. doi: 10.1080/02699052.2020.1857839. Epub 2020 Dec 10.
: To examine the symptoms experienced and the change in driving habits in individuals with concussion.: A survey was created by a team of rehabilitation professionals who see persons with concussion in their clinics. The survey captured demographics, mechanism of injury, date of injury, symptoms experienced during driving, if drivers felt safe when driving, and changes in driving habits since the concussion. Non-parametric tests were used to compare symptoms experienced and driving habits across three groups which were created based on time since injury.: Of the 140 participants, 74% (104/140) had resumed driving after concussion; of these 27% (28/104) reported that they felt unsafe while driving. Forty-four per cent (46/104) experienced symptoms while driving, of which headache, and difficulty concentrating were the most common symptoms experienced throughout the concussion spectrum (acute to chronic phase). Most drivers (78/104, 75%) with concussion had changed their driving habits by driving less often and shorter distances, and by avoiding nighttime driving and heavy traffic areas.: Headache and concentration problems were experienced by drivers regardless of the time since injury. Most drivers had made changes to their driving habits. Clinicians should consider the symptom burden patients experience and discuss driving restrictions to ensure driving safety.
: 目的:调查脑震荡患者的症状和驾驶习惯变化。方法:研究团队由在诊所中治疗脑震荡患者的康复专业人员创建了一项调查。该调查包括人口统计学信息、损伤机制、受伤日期、驾驶时经历的症状、驾驶时的安全感以及脑震荡后驾驶习惯的变化。非参数检验用于比较三组之间的症状和驾驶习惯,三组基于受伤后的时间创建。结果:140 名参与者中,74%(104/140)在脑震荡后恢复驾驶;其中 27%(28/104)报告在驾驶时感到不安全。44%(46/104)在驾驶时出现症状,头痛和注意力集中困难是脑震荡患者在整个脑震荡谱(从急性期到慢性期)中最常见的症状。大多数脑震荡患者(78/104,75%)改变了驾驶习惯,减少了驾驶次数和距离,避免夜间驾驶和交通繁忙区域。结论:无论受伤时间如何,驾驶员都会经历头痛和注意力集中问题。大多数驾驶员已经改变了他们的驾驶习惯。临床医生应考虑患者的症状负担,并讨论驾驶限制以确保驾驶安全。