Adapted Driving Flashcards
What skills can an OT generalist assess prior to a driving rehabilitation trial?
Interview: license status, driving history, driving goals, client and family concerns regarding driving
Physical and functional status: ROM, muscle strength, sensation, coordination, spasticity, severity of startle reaction, susceptibility to dysreflexia/seizure, transfer status
Cognition/behavior: executive skills, insight, judgement, ability to benefit from instruction, frustration tolerance, level of cooperation, motivation
Visual/Perception: visual acuity, horizontal visual field, eye alignment, eye ROM, visual tracking, contrast sensitivity, bilateral visual awareness, depth perception, color perception, useful field of view
Generalists should NEVER take a client behind the wheel
What types of transportation does the ADA regulate?
buses, trains, ships, and other means of transportation that use fixed and demand-response systems
ADA regulates for accessibility guidelines including wheelchair lifts and ramps and for securement of mobility aids; priority seating, handrails, public address systems to announce stops, stop request controls, clearly marked designation and route signs, and various other features intended to ease navigation by persons with disabilities
Complementary paratransit service is mandated by the ADA, but individuals must meet eligibility requirements
List the three primary controls that a driver must be able to operate.
devices that control steering, acceleration, and braking of a vehicle
List the four secondary controls that a driver must be able to operate.
Secondary controls are those used to manage the vehicle and to interact with the elements and other roadway users
The four secondary controls are: turn signal indicators, horn, dimmer, and windshield wipers
List at least five adaptations that can help a person with C7-8 SCI drive safely.
standard power steering and power brakes with automatic transmission
mechanical hand controls to operate accelerator and brake
a steering device, usually a spinner knob or V-grip
an upper torso support strap (this is a positioning device only and should never be considered as a safety device to replace a seat belt
accessible or remote switch for horn, dimmer, wipers, and turn signals
a parking brake extension
List adaptations for a person with no hands.
foot steering system
head controls
automatic transmission
What adaptations may be appropriate for an elderly driver, and why?
the long rearview mirrors that span the width of the car bc it’s hard for older people to turn their necks and look behind them before reversing
compensatory strategies for driving ( only driving during the day, don’t travel during rush hour)
What is the role of simulated driving programs in driver’s rehab?
simulated driving is helpful to see some skills, but does not replace being behind the wheel because you can’t simulate all of the “invisible” factors
What resources are available to help a driver afford an adapted vehicle?
DARS, VA for Veterans, ATLFA-small loans for AT
“Moving self in the community and using public or private transportation, such as driving, or accessing buses, taxi cabs, or other public transportation systems”
Community mobility
provides demand-response service within a prescribed geographic area; vehicle dispatch occurs only in response to the request of a qualified driver special transportation services for people with disabilities, often provided as a supplement to fixed-route bus and rail systems by public transit agencies; services may vary considerably on the degree of flexibility they provide their customers. At their simplest they may consist of a taxi or small bus that will run along a more or less defined route and then stop to pick up or discharge passengers on request. At the other end of the spectrum—fully demand responsive transport—the most flexible systems offer on-demand call-up door-to-door service from any origin to any destination in a service area.
Paratransit
can give suggestions of what might be needed; work on specific driving related skills; but can not get in the car with client.
Driving rehabilitation generalist
What education is required for Certified Driving rehabilitation specialist?
Certification process governed by the Association for Driver Rehabilitation Specialists (ADED)
CDRS: eligibility for exam–>
undergraduate degree or higher in a health related area of study with 1 yr. of full time experience in degree area of study and an additional 1 year full time experience in Driver Rehabilitation
or. ..four year undergraduate degree or higher with a major or minor in traffic safety and/or a Driver and Traffic Safety Endorsement with 1 year full time experience in Traffic Safety and an additional 2 years of full time experience in the field of Driver Rehabilitation
or. ..two year degree in a health related area of study with 1 year experience in degree area of study and an additional 3 years full time experience in the field of Driver Rehabilitation
or. ..Five years of full time work experience in the field of Driver Rehabilitation
What education is required for the Certified driving instructor?
Must possess 5 years of driving experience, 2 years within the US
For instruction of individuals 19 and over, must show successful completion of 3 semester hours of Introduction to Driver Education
For instruction of individuals under 19, completion of above course plus 3 semester hours of instructional Principles of Teaching Driver Education
No more than 6 demerit points
Affiliation with a driver training school registered with the VA DMV
Cannot be employed by more than one school
Yearly renewal process with the DMV
License allows the driving specialist to provide classroom and/or in-vehicle instruction
Does not provide any training in the area of driver rehabilitation
