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Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

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
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Driving After Concussion: Clinical Measures Associated With Postconcussion Driving.

Kumiko Hashida1, Julia D Drattell1, Kim Love2

  • 1Department of Kinesiology, University of Georgia, Athens.

Journal of Athletic Training
|December 31, 2025
PubMed
Summary
This summary is machine-generated.

Clinical assessments like dual-task and Complex Figure tests may help evaluate postconcussion driving ability. These tools can aid clinicians in determining return-to-driving recommendations after a concussion.

Keywords:
concussion assessmentreturn to drive

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Sports Medicine

Background:

  • Postconcussion driving assessment is challenging due to the limitations of driving simulators.
  • Clinicians require effective tools to guide return-to-driving decisions after concussion.

Purpose of the Study:

  • To investigate the association between clinical measures and driving simulator performance in college students within one week of a concussion.

Main Methods:

  • A cross-sectional study was conducted in a laboratory setting.
  • Forty-three college students with concussion and 46 controls were assessed.
  • Clinical outcomes included symptom scores, dual-task tandem gait, Complex Figure, Useful Field of View, and Vestibular/Ocular Motor Screening (VOMS). Driving simulator outcomes measured collisions, speed exceedances, and lane deviations.

Main Results:

  • Greater dual-task cost correlated with increased road-edge excursions and standard deviation of speed (SDS).
  • Higher VOMS symptom provocation was linked to less SDS.
  • Improved Complex Figure performance (higher copy score, faster completion, higher delayed score) was associated with fewer driving errors like centerline crossings and road-edge excursions.

Conclusions:

  • Dual-task and Complex Figure tests show potential utility in assessing postconcussion driving ability.
  • VOMS symptom provocation associated with better driving suggests cautious strategies in symptomatic individuals.