Rehabilitation of Resumption of Driving for the Aphasic Person

Abstract

  We cannot miss the car-driving in modern life. When a higher brain dysfunction person comes back to its normal life, the evaluation that is appropriate about the resumption of driving is necessary. A concept model about the driving includes Michon (1985) and Watanabe (2016) , and higher brain functions corresponding to it include visuospatial cognition, sight cognition, hearing cognition, attention (sustained, selective, divided) , executive function, processing speed, working memory and language function. The driving evaluation has neuropsychological evaluation and a driving simulator evaluation as off-road evaluation and the car-driving evaluation at the driving school as an on-road evaluation. In our cases, we weighed 84 non-aphasia cases that called non-aphasic group (64 cases that called redriving possibile group and 20 cases that called redriving suspended group) against 60 aphasia cases that called aphasic group (44 cases that called redriving possible group and 16 cases that called redriving suspended group) about a neuropsychological evaluation. It was the result that there were more significant difference the non-aphasia group than aphasia group in MMSE, symbol search, digit span, letter-number sequencing tasks. and the possibility that there was much load in the aphasia group was shown. When was similar for disease severity by Boston diagnostic aphasia examination of Goodglass et al. (1971) , and weigh aphasia group, a ratio of redriving possible group was higher division 4 and division 5 on these 2 groups than a group of division 1-3. There were a significant difference in MMSE, TMT-A & B, and digit span task. The possibility that load of the language processing became disadvantageous in these problems was thought about, and the possibility that it acted for driving disadvantageously likewise was suggested.