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Updated: May 14, 2026

Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
United States version of the Stroke Driver Screening Assessment: a pilot study
Abiodun Emmanuel Akinwuntan1, Diana Gantt, Gina Gibson
1Department of Physical Therapy, Georgia Health Sciences University, Augusta, GA, USA.
The US version of the Stroke Driver Screening Assessment (SDSA) shows promise in predicting driving ability for stroke survivors. This tool could help ensure safe return to driving after stroke.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Transportation Safety
Background:
- Most stroke survivors resume driving within a year, often without formal fitness-to-drive evaluations due to a lack of standardized tools.
- The established Stroke Driver Screening Assessment (SDSA) is not currently used in the US.
- This study piloted the US version of the SDSA to assess its utility in a US-based stroke survivor cohort.
Purpose of the Study:
- To investigate the predictive ability of the US version of the Stroke Driver Screening Assessment (SDSA) in US stroke survivors.
- To evaluate the SDSA's potential as a screening tool for driving fitness post-stroke.
Main Methods:
- Administered the US version of the SDSA to 15 first-ever stroke survivors and 16 healthy adults.
- Compared SDSA performance with driving performance assessed in a high-fidelity driving simulator.
Main Results:
- The SDSA accurately predicted driving performance in both stroke survivors (87% accuracy) and healthy adults (88% accuracy).
Conclusions:
- The US SDSA demonstrates potential as an effective predictor of driving performance for mildly impaired stroke survivors.
- Further research with larger cohorts is necessary to confirm the predictive accuracy of the US SDSA.
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