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Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...

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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion

Published on: September 25, 2014

Physicians' Perspectives on Adolescent Return-to-Drive Post-Concussion: A Qualitative Study.

Taylor Hartlaub¹, Lindsay Sullivan, Vishaka Kalra

¹Author Affiliations:Taylor Hartlaub, Department of Pediatrics, St. Rita's Medical Center, Lima, Ohio, USA (Dr Hartlaub); Division of Health Sciences, School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, Ohio, USA (Dr Sullivan); Department of Psychological & Brain Sciences, Texas A&M University, College Station, Texas, USA (Ms Kalra); Center for Injury Research and Policy at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA (Ms Kalra); Division of Sports Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA (Dr Cuff); Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA (Dr Cuff); Institute for Social Science Research, The University of Alabama, Tuscaloosa, Alabama, USA (Dr Stavrinos); and Department of Psychology, The University of Alabama, Tuscaloosa, Alabama, USA (Dr Stavrinos).

The Journal of Head Trauma Rehabilitation

|September 30, 2025

Summary

Physicians lack clear evidence for concussion return-to-drive guidelines, leading to varied practices. Tailored recommendations are needed, especially for adolescent drivers at high risk.

Keywords:

concussion driving recommendations after concussion evidence-based practice mild traumatic brain injury return-to-driving

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Published on: September 21, 2018

Area of Science:

Neurology
Sports Medicine
Public Health

Background:

Concussion management requires clear guidelines for patient recovery.
Adolescent drivers are at increased risk for motor vehicle collisions post-concussion.

Purpose of the Study:

To investigate physicians' perspectives on driving after concussion.
To understand return-to-drive recommendations for adolescent patients.

Main Methods:

Qualitative study utilizing virtual, semi-structured interviews.
11 physicians from diverse specialties participated.
Interviews were systematically coded to identify themes.

Main Results:

Physicians cited a lack of evidence for safe return-to-drive timing.
Recommendations varied based on clinical factors and patient compliance.
A personalized approach to return-to-drive was emphasized.

Conclusions:

There is an urgent need for evidence-based clinical guidance on return-to-drive protocols.
Current inconsistent practices offer inadequate support for recovering adolescents.
Standardized protocols are essential for managing driving risks post-concussion.