On-road assessment of driving competence after brain impairment: Review of current practice and recommendations for a standardized examination

Abstract

Objective: To examine the approaches to on-road assessment of driver competence in persons with brain impairment. Items examined were procedures, standardization, scoring methods, equipment requirements, and determination of fitness to drive. Data Sources: All studies identified through citation or Medline search. Study Selection: The studies reviewed were those published from 1971 to the present that examined driving competence after brain impairment, as measured by a driving test. Data Extraction: A qualitative review of published studies reporting methodologies and authors' conclusions abstracted from sourced publications. Data Synthesis: Off-road driving assessments examine proficiency i..