Measurement of brake response time after right anterior cruciate ligament reconstruction

The effect of shoulder immobilization on driving performance

“…Studies examining the impact of immobilization of lower extremities on driving safety are numerous, [6][7][8]11,13,19,24,26,29,31 in part because of the relative ease Figure 3 This graph represents driving performance when facing hazards that are defined by ease of performing an evasive maneuver and radius of the turning angle required to avoid the hazard. Min Lat Pos, minimal lateral position, the smallest distance (feet) from left side of road; Max Lat Pos, maximum lateral position, the largest distance (feet) from left side of road; Max Steering, maximum steering angle, the largest turn (radians); and Closest Object, the smallest distance (feet) from hitting any object, including cars and hazards.…”

“…1 The duty of physicians to educate their patients is further reiterated in the guidelines for assessing and counseling older drivers established by the NHTSA. 34 Whereas guidelines for driving after anterior cruciate ligament reconstruction, 8 total knee replacement, 29 and total hip replacement 19 have been substantiated by scientific studies, many of the NHTSA recommendations are not evidence based and are not reflective of the current literature involving fitness to drive in the context of orthopedic injuries and treatment. 4,6,7,24,26,31 Furthermore, neither the American Academy of Orthopaedic Surgeons nor any other orthopedic society has endorsed recommendations or practice guidelines that address safety to drive in the context of musculoskeletal injury.…”

“…[6][7][8]11,13,19,24,29 Studies examining the effect of ankle fracture fixation, 7 total hip arthroplasty, 19 total knee arthroplasty, 29 and knee arthroscopy 11 on driving performance have helped define guidelines for return to driving after these procedures. Research on the effect of immobilization on driving safety has primarily focused on the lower extremity, 6,7,14,26,31 with brake reaction time as the primary outcome.…”

Effect of Knee Brace Type on Braking Response Time During Automobile Driving

“…[1][2][3] Moreover, knee braces are used as a part of nonsurgical treatment (e.g., medial collateral ligament sprains) or as a treatment in patients who do not want to or cannot undergo a surgical procedure. Such patients usually ask their treating physician whether they are able to drive and whether the knee brace will impair driving performance.…”

“…1,3,[7][8][9][10][11][12][13][14][15] For most orthopaedic procedures, a 1-week abstinence (after knee arthroscopy) 2 to 8-week abstinence (after total hip arthroplasty) 7 has been considered appropriate before resuming driving. [11][12][13][14] Given the lack of evidence in the current literature, it was the objective of the study to assess driving ability (BRT) with commonly used knee braces.…”