We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Back on the Road: Comparing Cognitive Assessments to Driving Simulators in Moderate to Severe Traumatic Brain Injuries.
- Authors
Ouellette, Debra S.; Kaplan, Stephanie; Rosario, Emily R.
- Abstract
Objective: To compare established clinical outcome assessments for predicting behind the wheel driving readiness and driving simulator results across age groups and in traumatic brain injury. Methods: Participants included adults who had a traumatic brain injury ranging in age from 31 to 57 years and a non-impaired adult population ranging in age from 18 to 80 years. Physical and cognitive outcomes measures were collected included range of motion and coordination, a "Rules of the Road Test" a "Sign Identification Test," Trails A and B, and the clock drawing test. Visual measures included the Dynavision D2 system and motor-free visual perceptual test-3 (MVPT-3). Finally, the driving simulators (STIÒ version M300) metro drive assessment was used, which consisted of negotiating several obstacles in a metropolitan area including vehicles abruptly changing lanes, pedestrians crossing streets, and negotiating construction zones. Results: Our findings suggest that the standard paper-pencil cognitive assessments and sign identification test significantly differentiate TBI from a non-impaired population (Trails A, B and Clock drawing test p < 0.001). While the driving simulator did not show as many robust differences with age, the TBI population did have a significantly greater number of road collisions (F3, 78 = 3.5, p = 0.02). We also observed a significant correlation between the cognitive assessments and the simulator variables. Conclusions: Paper-pencil cognitive assessments and the sign identification test highlight greater differences than the STI Driving Simulator between non-impaired and TBI populations. However, the driving simulator may be useful in assessing cognitive ability and training for on the road driving.
- Subjects
AUTOMOBILE driving simulators; BRAIN injuries; TRAIL Making Test; HEALTH outcome assessment; PEDESTRIAN crosswalks; AGE differences
- Publication
Brain Sciences (2076-3425), 2023, Vol 13, Issue 1, p54
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci13010054