Resumption of Driving in Patients with Higher Dysfunction

Abstract

Abstract ： Driving motor vehicles is an important aspect of returning to society for patients with higher brain dysfunction （HBD） ． Many studies have reported predictors of driving ability for pa－ tions， resuming or cessation of driving and accident rates were used to evaluate the actual driving tients with traumatic brain injury （TBI） and cerebrovascular accidents （CVA） ． Road test evalua－ tive ability． The predictors for TBI and CVA patients were focused on divided attention， selective ability in many studies． The most usefu1 screening tests were assessments of the patients’ cogni－ Simulation has also been employed in our hospita1． Matsunaga developed this simulator and re－ ity （acuity， kinetic vision， usefu1 field of view） and perceptual motor ski11， etc． A Simple Driving attention， processing speed， reaction time， visuospatial and visuoconstructive function， visual abil－ ported that the simulator was able to discriminate the tendency to have accidents among healthy subjects and was used for driving assessment． ln addition， a study confirmed that the simulator subjects． The standard range of the simulation was defined based on the results of 202 healthy included elements of divided attention and selective attention． The combination of neuropsyche tients with HBD that wi11 tend to cause an accident． Patients with HBD who wish to resume driv－ logical testing （especially an attention test） and the simulation may be able to identify those pa－ ing motor vehicles must meet the criteria of neuropsychological testing and driving simulations