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Updated: Jun 20, 2026
Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Traumatic brain injury and driving assessment: an evidence-based literature review
Sherrilene Classen1, Charles Levy, Dennis McCarthy
1Institute for Mobility, Activity and Participation Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, PO Box 100164, Gainesville, FL 32611-0164, USA. sclassen@phhp.ufl.edu
Objective:
We conducted a literature review of assessment tools predicting driving performance for people with traumatic brain injury (TBI).
Method:
Data sources were Web of Science, EBSCOhost, PubMed, and recently published literature from experts and team members not yet catalogued in the databases. We used the American Academy of Neurology's classification criteria to extract data from 13 studies, and we assigned a class (I-IV, with I being the highest level of evidence) to each study. We grouped primary studies into categories of driving assessment (neuropsychological; simulator; off-road; self-report, other report, and postinjury disability status; and comprehensive driving evaluation) and synthesized the predictability of these tools as it relates to driving performance for people with TBI.
Conclusions:
To assist clinicians and researchers in making decisions regarding testing the driving performance of people with TBI, we provide recommendations for neuropsychological tests; off-road tests; self-report, other report, and postinjury disability status; and comprehensive driving evaluation.
