Advances in Biomechanics Influencing Rehabilitation…Kazuomi SUGAMOTO 103

The NESS FES System : Present Status and Future Trends…Yoichi SHIMADA, Toshiki MATSUNAGA, Kana SASAKI, Daisuke KUDOH, Yoshihiko OKUDERA, Nobusuke SHIBATA, Ken SASAKI 108

Measures to Prevent Locomotive Syndrome in Childhood : Why We Must Act…Etsuo CHOSA 113

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Roles of the Rehabilitation Physician and Community General Support System in a Super-Aged Society : From Clinical Practice to Community Care and Creation of Scientific Evidence…Katsunori KONDO 120

Development and Problems of a Comprehensive Rehabilitation Promotion Plan in a Community Based Inclusive Care System…Nobuo TAKEZAWA 125

Community Based Rehabilitation on an Isolated Island…Takahito KOGANEMARU, Nobuo MATSUSAKA 130

Community Based Integrated Care Incorporating Social Inclusion…Hiroyuki YONEMITSU 134

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Objective : We conducted a fact-finding survey for the consecutive past 3 years to establish whether inpatients with brain injury who had wished to resume driving after discharge from our hospital had in fact resumed driving after discharge. The survey included both driving status and information about collisions. Methods : Patients who had been evaluated for resumption of driving and were discharged more than 1 year ago were sent a fact-finding survey questionnaire aimed at establishing whether they were currently driving. The patients who had resumed driving (resumers) were compared with those who had not resumed driving (non-resumers). From the questionnaire results we investigated driving status and whether collisions had occurred. Results : We obtained effective responses from 40 of the 54 people (48 males, 6 females) who were sent the questionnaire ; the collection rate was 74.1%. Of these, twenty-nine people had resumed driving, all were male. There were no significant differences between the resumers and non-resumers in higher brain function tests. In regard to driving ability, hemiparesis impairments were significantly milder in the resumers than in the non-resumers. Two respondents had hit posts or walls within the year. All these collisions occurred when parking. One respondent had a collision while driving along a road. Conclusion : We hope to provide patients with useful and appropriate information on resuming driving so that we can support them in a safe return to the driving environment.

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