For many stroke survivors, being able to drive is a big step, and a big achievement. It does support a fuller independence. A stroke can affect many of the skills necessary for independent driving. A number of stroke survivors will return to independent driving.

The first objective in evaluating the possibility of independent driving is to ensure safety. Safety is always an issue as soon as someone gets behind the wheel. It’s even more important after a stroke. Injury to the brain can result in deficits in strength, coordination, vision, perception, and cognition – all these will impact the stroke survivor’s safety in driving.

Adaptive aids, such as steering wheel pegs and accelerator extensions, can certainly be incorporated to help compensate for some of the motor deficits. A spinner knob can be attached to the steering wheel to allow controlled steering with the use of one hand. A left gas pedal may be used if you are unable to use your right foot to gas or brake. All these aids will require training to ensure safety with a new adapted driving method.

Before one returns to driving it is advisable to have an Occupational Therapist perform an evaluation of one s driving ability. This can include an assessment of vision, muscle and grip strength test, brake reaction time, and perceptual and cognitive abilities. Driving skills can be tested in a simulator or behind-the-wheel with an instructor. In some case the therapist will recommend additional driver training such as visual scanning and tracking, reaction time, spatial perception, execution of complex actions. Your doctor can guide you on training and evaluation options.

Please note that driving against your doctor’s advice can be dangerous and may be illegal. Some stroke survivors will unfortunately have to cut off or give up driving. They can still keep their independence with some planning ahead to go to the places they want to and meet the persons they want to. They should consider riding with family and friends, taxis, public transportation or even to walking. They also often have access to transportation services offered by senior centers and local service groups.

Sources
MediFocus Guide from Medifocus.com
www.nhtsa.dot.gov
www.driver-ed.org