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Neuropsychological aspects of driving characteristics
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences.
2001 (English)In: Brain Injury, ISSN 0269-9052, Vol. 15, no 11, 981-984 p.Article in journal (Refereed) Published
Abstract [en]

Brain injury often causes impairments of cognitive functions, which may affect driving performance. The question of whether the brain-injured patient can resume car driving or not generally comes up during rehabilitation. The medical clinical examination, covering neurological status, screening of cognitive functions, and affective state, is insufficient in assessing relevant functions required for driving performance. A neuropsychological assessment and a driving test are additional parts of the driving assessment besides the medical examination. In this paper, neuropsychological test results and driving test results from four patients with brain injury are presented. The paper demonstrates the complementary value of neuropsychological assessment and a driving test: the relevance of cognitive factors for interpretation of driving problems, but also the relevance of a driving test to show compensatory capacity in some drivers with brain injury. Thus, collaboration between medical, neuropsychological and driving expertise can promote and deepen the total assessment of driving performance after brain injury.

Place, publisher, year, edition, pages
2001. Vol. 15, no 11, 981-984 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-13621OAI: oai:DiVA.org:liu-13621DiVA: diva2:21066
Available from: 2001-06-30 Created: 2001-06-30
In thesis
1. Cognitive functions in drivers with brain injury: Anticipation and adaption
Open this publication in new window or tab >>Cognitive functions in drivers with brain injury: Anticipation and adaption
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis was to improve the understanding of what cognitive functions are important for driving performance, investigate the impact of impaired cognitive functions on drivers with brain injury, and study adaptation strategies relevant for driving performance after brain injury. Finally, the predictive value of a neuropsychological test battery was evaluated for driving performance.

Main results can be summarized in the following conclusions: (a) Cognitive functions in terms of attentional and dynamic working memory-related functions are relevant for driving performance. (b) Neuropsychological impairments in information processing speed, divided and focused attention, requiring working memory, are associated to limitations in driving performance. In addition, qualitative aspects of driving problems especially impaired anticipatory attention appeared to constrain driving performance. (c) A neuropsychological test battery assessing speed of information processing and attention in terms of working memory predicted driving performance. In addition, cognitive factors are relevant for interpretation of driving problems qualitatively. (d) Driving speed adjustment and anticipatory attention were adaptive strategies for driving after brain injury. Interest in driving, motivation for driving safely, and driving experience appeared also relevant for driving after brain injury. (e) Collaboration between medical, neuropsychological and driving expertise is recommended for a total evaluation of driving performance after brain injury.

Anticipatory attention was considered a working memory based attentional system, directing the processing resources flexibly and appropriately between the different information processing components. Thus, anticipatory attention demonstrated qualitatively that working memory is a prominent function in a real driving context.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2001. 101 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 678Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 2
Keyword
Brain injury, cognitive impairment, anticipatory attention, driving
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-5159 (URN)91-7219-967-9 (ISBN)
Public defence
2001-05-30, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 09:00 (English)
Opponent
Supervisors
Available from: 2001-06-30 Created: 2001-06-30 Last updated: 2012-01-24Bibliographically approved

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Lundqvist, Anna

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Citation style
  • apa
  • harvard1
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  • vancouver
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Output format
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