Table of Contents

5.2.1 Clinical assessment

Figure 12 shows the general functional requirements for driving a motor vehicle, accepting that there is considerable variation depending on the specific vehicle. The cab of a commercial vehicle is reached by climbing up to it, the gear shift is more complicated and the pedals are often heavier to use than in a private car. The aim of a medical assessment is to identify drivers with functional problems that are likely to result in difficulty undertaking the driving task. A number of specific factors need to be considered when assessing fitness to drive:

  • the strength of muscles to safely carry out driving functions
  • the level of flexibility of individual joints or limbs to allow adequate mobility for safe driving
  • the presence of pain that may impede movement and reduce the level of safety
  • the person’s endurance
  • the person’s sensory abilities (sensation, proprioception, kinaesthesia).

Figure 12: General functional requirements for driving motor vehicles (excluding motorcycles)