Oral Communication

Resumption of driving car after acquired non-progressive brain damage: methodology.

Dr Francis LE MOINEa, Dr Anne Claire D'APOLITOb, Mrs Catherine ROSSIGNOLc, Dr Michel BUSNELd, Dr Michel ENJALBERTe

a UGECAM CENTRE HELIOMARIN Voie Julia 06220 Vallauris, b APHP CH Raymond Poincaré 92380 Garche, c UGECAM Tour de Gassie 33523 Bruges, d COMETE France 14 rue Colbert 56100 Lorient, e Service de MPR CH Perpignan 66046 Perpignan

Today essential activity to autonomy, inclusion and social participation, driving car facilitates social and professional integration and gives a sense of freedom. This self-regulated and inter-active activity is complex because it mobilizes many motor, sensory, sensory and cognitive functions [1]. How brain injured people can resume driving safely for themselves and for others?

Objective. COMETE France Association and three co-sponsors: SOFMER , FEDMER and IFSTTAR, wanted to write guidelines for a good clinical practice on the topic: "Resuming driving after a brain damage, acquired and non-progressive."

Method. For this methodology, "Recommendations for clinical practice" was selected and the project approved by the French High Health Authority (HHA) in charge of these projects.

So it has been created:

- A steering committee composed of the co-sponsors and of a methodologist, to prepare the questions selected, ensuring the frame of the project, and to implement a comprehensive literature search.

- A working group to bring the answers to five questions: How to identify people for which the driving car situation can be affected by brain injury? How to assess the driving abilities of the identified population? What is the place of the rehabilitation process after an assessment of driving ability? What support set up for people who have been assessed? What is the place of the person throughout the process? This group consists of representatives of the various health professions and disciplines involved in the recovery process of driving, representatives of users and methodologist.

- Independent reading group to replay different versions and make all necessary and perfected remarks.

Discussion/Conclusion. The final document of recommendations, based on scientific arguments, will be discussed shortly in committee by the French HHA.

[1] Lundqvist A, Alinder J, Rönnberg J. Factors influencing driving 10 years after brain injury. Brain Inj 2008 Apr; 22 (4): 295-304.

Keywords : Driving; Brain damage;COMETE ; FEDMER; SOFMER.