TY  - JOUR
PY  - 2019//
TI  - Post-concussion driving management among athletic trainers
JO  - Brain injury
A1  - Schmidt, Julianne D.
A1  - Lempke, Landon B.
A1  - Devos, Hannes
A1  - Lynall, Robert C.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - <b>Primary objective</b>: To describe and compare athletic trainer (AT) post-concussion driving management practices and opinions. <b>Research design</b>: Cross-sectional. <b>Methods & procedures</b>: A survey was sent via email to 8,723 ATs (10.8% response rate[945/8723]) to capture demographics, management practices, and opinions (agreement on a seven-point Likert scale). We used Kruskal-Wallis tests to compare the percentage of patients instructed to refrain from driving across the highest earned a degree, setting, and years certified (alpha = 0.05). <b>Main outcomes & results</b>: When asked whether they recommended patients with concussion refrain from driving, 58.5%(n = 553/945) of ATs responded "sometimes", 37.9%(n = 358/945) responded "always", and 3.6%(n = 34/945) responded "never". ATs responding "sometimes" or "always" estimated that they instruct 57.6 ± 37.6% of patients with concussion to refrain from driving. ATs most commonly: recommended that patients refrain from driving until symptom resolution(44.7%,n = 399/892); utilized their clinical exam (patient interview/history) to determine when a patient could resume driving(64.9%,n = 579/892); and provided instructions verbally(94.2%,n = 840/892). High school(60.5 ± 37.6%) and clinical ATs(66.5 ± 31.2%) trended toward higher percentages of patients they instruct to refrain from driving relative to college(52.3 ± 38.2%; χ<sup>                          <b>2</b>                      </sup>(2) = 5.92,<i>p</i> =.052). <b>Conclusions</b>: ATs recommend driving restrictions to some, but not all, patients with concussion. Overall, ATs recognize post-concussion driving dangers, but do not strongly endorse refraining from driving after a concussion. High school and clinical ATs may manage more adolescent novice drivers and, therefore, act more conservatively.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2019.1664765
ID  - ref1
ER  -