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Updated: Jul 1, 2026

05:21
Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
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Screening Fitness to Drive After Stroke Across Demographic Subgroups: A Systematic Review
April Vander Veen1, Leaha Johnston1, Jeffrey Holmes1
1Western University, London, Ontario, Canada.
OTJR : Occupation, Participation and Health
|June 16, 2025
Summary
Occupational therapists need validated tools for post-stroke driver screening. The Stroke Driver's Screening Assessment and Trail Making Test-B are predictive, but research lacks diversity, necessitating broader demographic representation.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Occupational Therapy
Background:
- Returning to driving is a crucial aspect of life post-stroke.
- Healthcare providers require evidence-based driver screening tools for stroke survivors.
- Current screening tools need validation across diverse demographic subgroups.
Purpose of the Study:
- Identify literature-supported tests predicting driving fitness after stroke.
- Critically appraise the demographic representativeness of existing research.
- Inform culturally sensitive driver screening practices.
Main Methods:
- Systematic literature review.
- Analysis of studies on post-stroke driving fitness assessment.
- Evaluation of demographic representation in research samples.
Main Results:
- The Stroke Driver's Screening Assessment and Trail Making Test-B show predictive value for driving fitness.
- Consistent underrepresentation of women, individuals under 55, and participants from low-income countries was found.
- Existing research lacks detailed demographic reporting.
Conclusions:
- Validated driver screening tools are essential for stroke rehabilitation.
- Further research must improve demographic diversity and reporting in stroke driver studies.
- Culturally informed screening practices require inclusive research methodologies.
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