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When Is It Safe to Drive after Mild Traumatic Brain Injury/Sports-related Concussion?
Jacob Christensen1, Christopher A McGrew1,2
1Department of Family and Community Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM.
Current Sports Medicine Reports
|January 10, 2019
Summary
Driving after a mild traumatic brain injury (mTBI) or sports-related concussion (SRC) poses risks. While restricting driving for 48 hours is reasonable, return-to-driving guidance lacks sufficient evidence for standardized recommendations.
Area of Science:
- Neurology
- Sports Medicine
- Rehabilitation Medicine
Background:
- Driving is a complex task with inherent risks.
- Mild traumatic brain injury (mTBI) and sports-related concussions (SRC) can impair cognitive functions essential for safe driving.
- Current guidelines for return to driving after mTBI/SRC are limited.
Purpose of the Study:
- To review the evidence regarding the safety of driving after mTBI/SRC.
- To inform clinical decision-making for advising patients on return to driving.
- To highlight the need for further research in this area.
Main Methods:
- Literature review of existing studies on mTBI/SRC and driving.
- Analysis of evidence supporting driving restrictions and return-to-driving recommendations.
- Clinical expertise and case-by-case assessment considerations.
Main Results:
- Driving restrictions for the initial 24-48 hours post-mTBI/SRC are likely reasonable.
- There is insufficient evidence to establish standardized recommendations for return to driving after 48 hours.
- Clinical judgment is crucial for individual patient assessments.
Conclusions:
- Further research is necessary to develop evidence-based, standardized guidelines for return to driving after mTBI/SRC.
- Clinicians must carefully evaluate individual patient factors when advising on driving resumption.
- A standardized approach to return-to-driving protocols after concussion is needed.
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