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A Reference Value of Higher Brain Function for Resumption of Driving in Patients with Brain Injury Itaru Takehara 1,5 , Masahito Hitosugi 2 , Shu Watanabe 3,5 , Yasufumi Hayashi 4 , Kyozo Yonemoto 5 , Masahiro Abo 5 1Department of Rehabilitation Medicine, Chemotherapy Research Institute, KAKEN Hospital 2Department of Legal Medicine, Shiga University of Medical Science 3Department of Rehabilitation Medicine, The Jikei University School of Medicine Daisan Hospital 4Harajuku Rehabilitation Hospital 5Department of Rehabilitation Medicine, The Jikei University School of Medicine Keyword: 脳損傷 , brain injury , 運転 , driving , 高次脳機能 , higher brain function , 基準値 , reference value , 交通事故 , traffic accident pp.247-252
Published Date 2016/3/18
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Abstract Objective:An actual-condition survey was conducted to verify the validity of reference values of higher brain function necessary for patients with brain injury to resume automobile driving. Subjects:Of the 74 patients admitted to the Tokyo Metropolitan Rehabilitation Hospital between November 1, 2008 and November 30, 2012, who underwent evaluation using the hospital's automobile driving resumption system at the time of discharge, 71 patients with brain injury who were judged capable of resuming driving were included in this study. Methods:Questionnaires were sent at least 1 year after discharge, to determine whether the subjects had actually resumed automobile driving. Subjects were classified by admission date into two groups:1) A provisional reference group that included patients admitted between November 2008 and November 2011 who had resumed driving;and 2) verification group that included patients who had been admitted between December 2011 and November 2012 and had resumed driving. The relationship between results on the higher brain function test for the verification group and provisional reference values was investigated. Results:The provisional reference value group included 29 patients, and the verification group included 13 patients. In the verification group, the results of 9 patients with brain injury on the higher brain function test were within provisional reference values. Conclusion:The results of the paper-based test are a reliable predictor of whether a patient is capable of resuming driving, but do not represent an absolute standard. Therefore, the safety of resuming driving should be investigated on a case-by-case basis.


Copyright © 2016, The Japanese Association of Rehabilitation Medicine. All rights reserved.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会

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