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Influence of the rehabilitation outcome on returning to drive after neurological impairment

Čižman, Urša Š.a; Vidmar, Gaja,b,c; Drnovšek, Petraa

International Journal of Rehabilitation Research: June 2017 - Volume 40 - Issue 2 - p 107–111
doi: 10.1097/MRR.0000000000000213
Original articles

In traumatic brain injury (TBI) and stroke rehabilitation, the question of reintegration of the driver into traffic is faced very often. Driving is an important domain and for some patients, return to driving represents a crucial event for community inclusion. The aim of our study was to examine the utility of Glasgow Coma Scale within the first 24 h of injury and the Functional Independence Measure (FIM) at rehabilitation admission for predicting the return to driving. We included 72 patients after TBI or stroke. Driving outcome was assessed in terms of being allowed to drive without restrictions as opposed to failing the test or being allowed to drive with restrictions. We examined two samples: the TBI patients only and the entire sample including patients after stroke. The results indicate that for TBI patients, Glasgow Coma Scale and motor FIM could be predictors of driving outcome; in the entire sample, the unrestricted driving outcome was also associated with a high score on the FIM motor scale. Early prediction of return to driving after TBI and stroke is important for the patients, their families and the rehabilitation teams to set realistic goals that enable the best possible reintegration after rehabilitation.

aUniversity Rehabilitation Institute, Republic of Slovenia

bFaculty of Medicine, University of Ljubljana, Ljubljana

cFaculty of Mathematics, Natural Sciences and Information Technologies, University of Primorska, Koper, Slovenia

Correspondence to Urša Š. Čižman, PhD, University Rehabilitation Institute, Republic of Slovenia, Linhartova cesta 51, 1000 Ljubljana, Slovenia Tel: +386 1 475 8196; fax: +386 1 437 2070; e-mail: ursa.cizman@ir-rs.si

Received October 25, 2016

Accepted December 15, 2016

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