Adapted Driving/Driving Rehab Flashcards
What skills can an OT generalist assess prior to a driving rehabilitation trial?
- Physical/Functional Status: ROM, MMT, sensation, coord, startle reaction, transfer status
- Cognition/Behavior: Memory, attention, problem solving, divided attention, exec skills, insight , judgment, ability to benefit from instruction, frustration tolerance, level of cooperation, motivation
- Vision/Perception: Visual acuity & Horizontal visual fields. Oculomotor skills: eye alignment, eye ROM, visual tracking. Contrast sensitivity, bilateral visual awareness, depth & color perception. Useful Field of View. VIsual perception tests
What types of transportation does the ADA regulate?
- Public transportation
- 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.
- Steering
- Acceleration
- Braking
List the four secondary controls that a driver must be able to operate.
- Turn signals
- Horn
- Dimmer
- 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 (positioning device only- NOT the actual seat belt)
- Accessible or remote switch for horn, dimmer, wipers, and turn signals
- parking brake extension
List adaptations for a person with no hands.
- specialized wheel mounted on the floor of the car
- left sided accelerator pedal can be placed to the left of the standard brake pedal
What adaptations may be appropriate for an elderly driver, and why?
- the long rearview mirrors that span the width of the car
- 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 with low interest rates
Define Community mobility
Moving self in the community and using public or private transportation, such as driving, or accessing buses, taxi cabs, or other public transportation systems
Define Paratransit
-system that provides demand-response service within a prescribed geographic area
What are the responsibilities of a driving rehabilitation generalist?
- Can give suggestions of what might be needed
- Work on specific driving related skills, but can not get in the car with client.
- knowledgeable about area driver rehabilitation programs
What education is needed to become a Certified Driving rehabilitation specialist?
- driver education / driver training and transportation equipment modifications for persons with disabilities through education and information dissemination
- undergraduate degree or higher in health related area of study with 1 year of full time experience in degree area of study and additional 1 year full time experience in Driver Rehabilitation or
- 4 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 field of Driver Rehabilitation or
- 2 year degree in health related area of study with 1 year experience in degree area of study and an additional 3 years full time experience in field of Driver Rehabilitation or
- 5 years of full time work experience in field of Driver Rehabilitation
