Assessing Ability to Drive following an Acute Neurological Event: Are We on the Right Road?

Every day in Canada occupational therapists are asked to assess clients with neurological impairments and to provide recommendations to provincial licensing bureaus regarding the individual's fitness to drive. These decisions have great impact on the client and on society. In this paper we briefly review the findings that have been published regarding the assessment of — individuals with neurological conditions who wish to resume driving. In addition, a description of the tools commonly used to assess individuals is provided, along with where available, the measurement properties of each. Finally, the Driving Evaluation Service of a physical rehabilitation centre is described.

[1]  Nadina B. Lincoln,et al.  Validation of a cognitive assessment: predicting driving performance after stroke , 1992 .

[2]  A. Davies,et al.  The influence of age on trail making test performance. , 1968, Journal of clinical psychology.

[3]  W H Brouwer,et al.  Acquired brain damage and driving: a review. , 1987, Archives of physical medicine and rehabilitation.

[4]  A. Folsom,et al.  Acute stroke in a metropolitan area, 1970 and 1980. The Minnesota Heart Survey. , 1985, Journal of chronic diseases.

[5]  B Simms,et al.  DRIVING AFTER STROKE , 1986, The Lancet.

[6]  Gibson Cj.  Epidemiology and patterns of care of stroke patients. , 1974 .

[7]  R. Bonita,et al.  The pattern of management after stroke. , 1987, Age and ageing.

[8]  P. L. Olson,et al.  Driving and perceptual/cognitive skills: behavioral consequences of brain damage. , 1981, Archives of physical medicine and rehabilitation.

[9]  N. Mayo,et al.  Destinations of stroke patients discharged from the Montreal area acute-care hospitals. , 1989, Stroke.

[10]  J. Fisher,et al.  Neuropsychological Assessment, 2nd Ed , 1985 .

[11]  A W Gaillard,et al.  Task and driving performance of patients with a severe concussion of the brain. , 1986, Journal of clinical and experimental neuropsychology.

[12]  W. L. Mihal,et al.  Individual differences in perceptual information processing and their relation to automobile accident involvement. , 1976, The Journal of applied psychology.

[13]  J. Money,et al.  STUDIES IN DIRECTION SENSE. I. TURNER'S SYNDROME. , 1964, Archives of general psychiatry.

[14]  S. M. Schmidt,et al.  Status of stroke patients: a community assessment. , 1986, Archives of physical medicine and rehabilitation.

[15]  R Jones,et al.  Assessment and training of brain-damaged drivers. , 1983, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[16]  N. Mayo,et al.  Determining medical fitness to drive: physicians' responsibilities in Canada. , 1989, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[17]  Elizabeth K. Warrington,et al.  Short recognition memory test for faces , 1996 .

[18]  R L Hewer,et al.  Driving after a Stroke , 1986, Journal of the Royal Society of Medicine.

[19]  M. Thompson,et al.  The economic costs of stroke in Massachusets. , 1978, The New England journal of medicine.

[20]  W. Garraway,et al.  The changing pattern of survival following Stroke. , 1983, Stroke.

[21]  R. S. Bourke,et al.  Assessment of recovery from serious head injury. , 1978, Journal of Neurology Neurosurgery & Psychiatry.

[22]  R. Reitan.  Trail Making Test: Manual for Administration and Scoring , 1992 .

[23]  J. Money,et al.  A standardized road-map test of direction sense , 1965 .

[24]  N. Mayo,et al.  Perceptual and cognitive impairments and driving. , 1990, Canadian family physician Medecin de famille canadien.

[25]  C N Smart,et al.  The incidence and economic costs of cancer, motor vehicle injuries, coronary heart disease, and stroke: a comparative analysis. , 1980, American journal of public health.

[26]  J. Delisa,et al.  Assessing the driving potential of cerebral vascular accident patients. , 1983, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[27]  C. Gibson.  Epidemiology and patterns of care of stroke patients. , 1974, Archives of physical medicine and rehabilitation.

[28]  L. Gauthier,et al.  The Bells Test: A quantitative and qualitative test for visual neglect. , 1989 .

[29]  A. Anastasi.  Individual differences. , 2020, Annual review of psychology.