Research Reports - Driving assessment and rehabilitation using a driving simulator in individuals with traumatic brain injury

NeuroRehabilitation. 2016 Jun 30. [Epub ahead of print]

Imhoff S(1,)(2), Lavallière M(3,)(4,)(5), Teasdale N(5,)(6,)(7), Fait

BACKGROUND: Due to the heterogeneity of the lesion following a traumatic brain
injury (TBI) and the complexity of the driving task, driving assessment and
rehabilitation in TBI individuals is challenging. Conventional driving assessment
(on-road and in-clinic evaluations) has failed demonstrating effectiveness to
assess fitness to drive in TBI individuals.
OBJECTIVE: We aimed to determine if driving simulators represent an interesting
opportunity in assessing and rehabilitating driving skills in TBI individuals.
METHODS: We searched PubMed, CINAHL and Cochrane library databases between
27-02-2014 and 08-04-2014 for articles published since 2000 with the contents of
simulator driving assessment and rehabilitation.
RESULTS: Out of 488, eight articles with the subject of simulator driving
assessment and two with the subject of simulator driving rehabilitation in
individuals with TBI were reviewed.
CONCLUSIONS: Driving simulators represent a promising avenue for the assessment
and rehabilitation of driving skills in TBI individuals as it allows control of
stimuli in a safe, challenging and ecologically valid environment and offer the
opportunity to measure and record driving performance. Additional studies,
however, are needed to document strengths and limitations of this method.

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