Assessing the Longer‐Term Effects of Mild Traumatic Brain Injury on Self‐Reported Driving Ability

Bernstein, John P K; Calamia, Matthew

doi:10.1016/j.pmrj.2018.05.008

Cited by 11 publications

(6 citation statements)

References 59 publications

(80 reference statements)

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“…performance on processing speed, visual memory, and motor speed measures (Schmidt et al, 2017). Patients with a history of mild TBI also self-report more traffic violations and vehicle collisions (Bernstein & Calamia, 2018) and using more strategies to compensate for driving difficulties (Bottari, Lamothe, Gosselin, Gélinas, & Ptito, 2012) relative to those with no history of concussion. An avenue of future research should focus exclusively on concussed patients to elucidate this relationship between neuropsychological assessment and driving ability, especially in the acute phase of recovery given the evidence of a typical rapid recovery from concussion.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis on the Association Between Driving Ability and Neuropsychological Test Performances after Moderate to Severe Traumatic Brain Injury

Egeto

Badovinac

Hutchison

et al. 2019

J Int Neuropsychol Soc

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Objectives: Guidelines on return-to-driving after traumatic brain injury (TBI) are scarce. Since driving requires the coordination of multiple cognitive, perceptual, and psychomotor functions, neuropsychological testing may offer an estimate of driving ability. To examine this, a meta-analysis of the relationship between neuropsychological testing and driving ability after TBI was performed. Methods: Hedge’s g and 95% confidence intervals were calculated using a random effects model. Analyses were performed on cognitive domains and individual tests. Meta-regressions examined the influence of study design, demographic, and clinical factors on effect sizes. Results: Eleven studies were included in the meta-analysis. Executive functions had the largest effect size (g = 0.60 [0.39–0.80]), followed by verbal memory (g = 0.49 [0.27–0.71]), processing speed/attention (g = 0.48 [0.29–0.67]), and visual memory (g = 0.43 [0.14–0.71]). Of the individual tests, Useful Field of Vision (UFOV) divided attention (g = 1.12 [0.52–1.72]), Trail Making Test B (g = 0.75 [0.42–1.08]), and UFOV selective attention (g = 0.67 [0.22–1.12]) had the largest effects. The effect sizes for Choice Reaction Time test and Trail Making Test A were g = 0.63 (0.09–1.16) and g = 0.58 (0.10–1.06), respectively. Years post injury (β = 0.11 [0.02–0.21] and age (β = 0.05 [0.009–0.09]) emerged as significant predictors of effect sizes (both p < .05). Conclusions: These results provide preliminary evidence of associations between neuropsychological test performance and driving ability after moderate to severe TBI and highlight moderating effects of demographic and clinical factors.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis on the Association Between Driving Ability and Neuropsychological Test Performances after Moderate to Severe Traumatic Brain Injury

Egeto

Badovinac

Hutchison

et al. 2019

J Int Neuropsychol Soc

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show abstract

“…Our findings provide evidence of impairment in the ability to maintain visual attention in tasks that required attentive tracking, such as driving and scanning the environment. This impairment might be a factor in the increased risk of accidents among drivers in patients with mild TBI as the ability to maintain visual attention plays an important role in driving and is frequently required to continually track moving objects in the visual scene 69 , 70 . Additionally, our results show that patients with mild TBI do not only have impaired ability to maintain visual attention but also demonstrated increased difficulty when attending more visual objects and when there is a large number of distractors.…”

Section: Discussionmentioning

confidence: 99%

Deficits in multiple object-tracking and visual attention following mild traumatic brain injury

Alnawmasi

Khuu

2022

Sci Rep

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Difficulty in the ability to allocate and maintain visual attention is frequently reported by patients with traumatic brain injury (TBI). In the present study, we used a multiple object tracking (MOT) task to investigate the degree to which TBI affects the allocation and maintenance of visual attention to multiple moving targets. Fifteen adults with mild TBI and 20 control participants took part in this study. All participants were matched for age, gender, and IQ. The sensitivity and time taken to perform the MOT task were measured for different conditions in which the duration of the tracking, number of target, and distractor dots were systematically varied. When the number of target dots required to be tracked increased, sensitivity in correctly detecting them decreased for both groups but was significantly greater for patients with mild TBI. Similarly, increasing the number of distractor dots had a greater effect on reducing task sensitivity for patients with mild TBI than control participants. Finally, across all conditions, poorer detection performance was observed for patients with mild TBI when the tracking duration was longer compared to control participants. The present study showed that patients with mild TBI have greater deficits (compared to control participants) in their ability to maintain visual attention on tracking multiple moving objects, which was particularly hindered by increased tracking load and distraction.

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“…These improvements also indicate increased driving safety, as increased distance and decreased brake effort indicate improved decision-making and ultimately improved executive function [49]. These safety improvements are particularly important for the PPCS population as their risk of collision may be higher when compared to the normal population [51].…”

Section: Discussionmentioning

confidence: 99%

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

Bonn¹,

Alvarez²,

Thompson³

et al. 2021

Therapy Approaches in Neurological Disorders

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Low resolution electromagnetic tomography (LoRETA) neurofeedback and heart rate variability (HRV) biofeedback may improve driving ability by enhancing attention, impulse control, and peripheral vision, and reducing stress. However, it is unclear whether combined LoRETA neurofeedback and HRV biofeedback can improve driving performance for individuals experiencing persistent post-concussive symptoms (PPCS). In this study, seven individuals with PPCS completed an eight-week LoRETA neurofeedback and HRV biofeedback intervention. Changes in participants’ simulated driving performance and self-reported symptoms were measured and compared to two control groups: individuals with PPCS (n = 9), and healthy control participants (n = 8). Individuals in the intervention and PPCS control groups reported reduced PPCS severity (p < .05) compared to healthy control participants. Interestingly, individuals in the intervention group responded variably. These results indicate that more research is necessary to identify the subgroup of individuals that respond to LoRETA neurofeedback and HRV biofeedback and confirm these preliminary results.

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Assessing the Longer‐Term Effects of Mild Traumatic Brain Injury on Self‐Reported Driving Ability

Abstract: III.

Cited by 11 publications

References 59 publications

A Systematic Review and Meta-Analysis on the Association Between Driving Ability and Neuropsychological Test Performances after Moderate to Severe Traumatic Brain Injury

A Systematic Review and Meta-Analysis on the Association Between Driving Ability and Neuropsychological Test Performances after Moderate to Severe Traumatic Brain Injury

Deficits in multiple object-tracking and visual attention following mild traumatic brain injury

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

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