Driving Assessments

Question 1

Clock Drawing Test

Answer 1

The client is asked to reproduce the face of a clock set to a specific time. This test may detect difficulties with visuospatial skills, visual perception, selective attention, memory, abstract thinking, and executive functioning.

Question 2

Ishihara Color Test

Answer 2

This measure of color perception

tests for red or green color deficiencies and was first published in 1917 by Dr. Shinobu Ishihara.

Question 3

Glare recovery:

Answer 3

This test assesses vision impairment and how quickly a person recovers vision after exposure to a bright light source.

Question 4

Letter and number cancellation

Answer 4

These assessments test visual scanning and selective attention as a client scans a grouping of letters and has to select and draw a line through the targeted letter (H).

Question 5

Motor-Free Visual Perception Test, Third Edition

Answer 5

assesses a person’s visual–perceptual ability in the domains of spatial re-
lationships, visual closure, visual discrimination, visual memory, and figure–ground. No motor involvement is needed to make a response.

Question 6

Ocular movement

Answer 6

Ocular movement, including ocular ROM, convergence, divergence, saccades,
and the vertical and lateral phorias, is assessed functionally by the clinician (drawing the letter H
or a triangle and requesting that clients follow the pattern with their eyes) or by the Optec 2500 or
5500 Functional Visual Analyzer

Question 7

Optec Functional Visual Analyzer (Stereo Optical Co., Chicago

Answer 7

This tool assesses a variety of visual
skills by providing a series of illuminated slides addressing areas such as depth perception, acuity,
contrast sensitivity, phorias, glare recovery, and color perception and recognition

Question 8

Symbol Digit Modalities Test

Answer 8

This test assesses neurocognitive function underlying
many substitution tasks, including attention, visual scanning, and motor speed. It is a timed test in
which clients are asked to match numbers to a series of symbols according to a reference key using
paper and pencil.

Question 9

Useful Field of View

Answer 9

This three-part computer-based cognitive assessment is used to determine crash risk. It assesses (1) central vision loss and cognitive processing speed, (2) divided attention, and (3) selective attention. After completing the three tests, clients are categorized according to a 5-point rating scale ranging from very low crash risk to very high crash risk.

Question 10

Visual acuity:

Answer 10

The Snellen wall chart is used to test static acuity at varied distances.

Question 11

Visual field tests:

Answer 11

Visual field is the range of view people can see as they look ahead, without eye or
head movements. Restrictions in this field can be identified using the Humphrey® Field Analyzer
for the 24o to 30o visual field radius or the Goldmann perimetry test for mid to far peripheral vision

Question 12

DriveABLE

Answer 12

This standardized evaluation to determine driver competence consists of two parts: the computer-based DriveABLE Cognitive Assessment Tool and the DriveABLE On Road Evaluation.

Question 13

Porteus Maze Test

Answer 13

This paper-and-pencil tracing activity is correlated with on-road driving performance. It is not timed.

Question 14

Mini-Mental State Examination, Second Edition

Answer 14

This brief assessment of cognitive function includes the domains of comprehension, reading, writing,
drawing tasks, arithmetic, memory, and orientation.

Question 15

Montreal Cognitive Assessment

Answer 15

This brief assessment of cognitive function
includes the domains of memory recall, visuospatial abilities, and executive function. It includes a
clock drawing test.

Question 16

Assessment of rules of the road and sign recognition:

Answer 16

The practitioner assesses the areas of symbolic recognition, reasoning, and judgment pertaining to driving rules and statutes.

Question 17

Neurobehavioral Cognitive Status Examination

Answer 17

This examination is available in paper- and computer-based formats. It is a brief neurocognitive as-
sessment that includes the domains of consciousness, orientation, attention span, language, con-
structional ability, memory, calculation, and reasoning and judgment.

Question 18

Assessment of rules of the road and sign recognition:

Answer 18

The practitioner assesses the areas of symbolic recognition, reasoning, and judgment pertaining to driving rules and statutes.

Question 19

Short Blessed Test

Answer 19

This brief 6-item assessment is used to identify cognitive function related to dementia. The test assesses the domains of memory, orientation, and concentration.

Question 20

Short Blessed Test

Answer 20

This brief 6-item assessment is used to identify cognitive function related to dementia. The test assesses the domains of memory, orientation, and concentration.

Question 21

12. Trail Making Test, Parts A and B

Answer 21

The Trail Making Test is a paper-and-pencil assessment measuring cognitive flexibility, motor control, perceptual complexity, visual scanning, and executive function.

Question 22

Wechsler Digit Symbol test: coordination.

Answer 22

This measure is a subtest of the Wechsler Adult Intelligence Scale–Revised measuring visual perception, motor and mental speed, and visual–motor

Question 23

Brake reaction timer:

Answer 23

This timer measures the time required to move the foot from the accelerator
to the brake in response to a stimulus such as a red light. Options are available to expand to complex
or choice reaction times in responding to multiple stimuli requiring choice of response.

Question 24

Finger-to-nose and toe-tap tests:

6. ROM and strength: Gross ROM and strength are assessed for the neck, trunk, and upper and lower
   extremities.

Answer 24

These timed motor coordination tests for the upper and lower

extremities detect dysmetria and coordination problems.

Question 25

Get Up and Go (GUG) and Timed Up and Go (TUG) tests:

Answer 25

The TUG involves timed performance of getting up from a chair, walking 10
feet, turning around, and walking back to sit down again; it is an indicator of fall risk. The TUG was
derived from the GUG, which is an observational rating of fall risk using a score ranging from 1 to 5.

Question 26

Rapid Pace Walk

Answer 26

In this timed clinical test, clients are instructed to walk 10 feet up and 10 feet back as fast as they feel safe and comfortable. This test is used as a measure for postural instability and gait disturbance.