The relationship of cognitive retraining to neurological patients’ driving status: The role of process variables and compensation training

Klonoff, Pamela S.; Olson, Karen C.; Talley, Melanie C.; Husk, Kristi L.; Myles, Stephen M.; Gehrels, J; Dawson, Lauren

doi:10.3109/02699050903512863

Cited by 25 publications

(24 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An earlier study from our center (3) reported that individuals who returned to driving differed significantly on treatment variables, performance on cognitive retraining tasks, as well as process variables such as working alliance and compensation use. With a better understanding of baseline assessment and recovery patterns, it may be possible to predict the ability to drive much earlier in the treatment process.…”

Section: Discussionmentioning

confidence: 93%

“…The role of these functions in driving has been well documented in the literature (6, 9). Previous studies have reported the efficacy of cognitive measures, particularly those related to speed of information processing, visual scanning, and motor speed in predicting driving status (3, 26). DSC was one of the neuropsychological variables that contributed to discriminate 94.4% of competent drivers from non-competent drivers (26).…”

Section: Discussionmentioning

confidence: 99%

“…Their study predicted that more than 70% of survivors of severe traumatic brain injury (TBI) could return to driving. Earlier studies from our center (3, 7), emphasized the role of neurorehabilitation programs in preparing individuals after brain injury to enhance their cognitive skills as well as emotional functioning; these are essential for driving. Klonoff et al (3) explored the relationship between performance on cognitive retraining tasks and driving outcome.…”

Section: Introductionmentioning

confidence: 99%

“…Earlier studies from our center (3, 7), emphasized the role of neurorehabilitation programs in preparing individuals after brain injury to enhance their cognitive skills as well as emotional functioning; these are essential for driving. Klonoff et al (3) explored the relationship between performance on cognitive retraining tasks and driving outcome. Driving ability was associated with better performance on cognitive retraining tasks that addressed cognitive functions of processing speed, focused attention, visual scanning, and memory (3).…”

Section: Introductionmentioning

confidence: 99%

“…Klonoff et al (3) explored the relationship between performance on cognitive retraining tasks and driving outcome. Driving ability was associated with better performance on cognitive retraining tasks that addressed cognitive functions of processing speed, focused attention, visual scanning, and memory (3). A significant association between meta-cognitive skills (e.g., use of compensatory strategies, organizational, and procedural skills) and emotional functioning in the form of maintaining therapeutic relationships, with clearance to drive was also reported.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Relationship of Neuropsychological Variables to Driving Status Following Holistic Neurorehabilitation

et al. 2014

Self Cite

View full text Add to dashboard Cite

Objective: The main objectives of the present study were to evaluate the cognitive and driving outcomes of a holistic neurorehabilitation program and to examine the relationship between the neuropsychological variables of attention, speed of information processing, and visuospatial functioning and driving outcomes.Methods: One hundred and twenty-eight individuals with heterogeneous neurological etiologies who participated in a holistic neurorehabilitation program. Holistic neurorehabilitation consisted of therapies focusing on physical, cognitive, language, emotional, and interpersonal functioning, including training in compensatory strategies. Neuropsychological testing was administered at admission and prior to starting driving or program discharge. Subtests of processing speed, working memory, and perceptual reasoning from the Wechsler Adult Intelligence Scale-III and Trail Making Test were included.Results: At the time of discharge, 54% of the individuals returned to driving. Statistical analyses revealed that at the time of discharge: the sample as a group made significant improvements on cognitive measures included in the study; the driving and non-driving groups differed significantly on aspects of processing speed, attention, abstract reasoning, working memory, and visuospatial functions. Further, at the time of admission, the driving group performed significantly better than the non-driving group on several neuropsychological measures.Conclusion: Cognitive functions of attention, working memory, visual-motor coordination, motor and mental speed, and visual scanning significantly contribute to predicting driving status of individuals after neurorehabilitation. Holistic neurorehabilitation facilitates recovery and helps individuals to gain functional independence after brain injury.

show abstract

Section: Discussionmentioning

confidence: 93%