CDRS study materials
CDRS study resources

CDRS key terms

CDRS · Get comfortable with the vocabulary.

Driver rehabilitation

A specialized service that evaluates and trains people with medical, physical, cognitive, or visual conditions so they can drive safely or use alternative transportation.

Related: Driving evaluation, Adaptive driving equipment
Driving evaluation

A structured clinical and on-road assessment of a person's abilities, limitations, and safety behind the wheel, used to recommend fitness to drive or needed training.

Related: Clinical assessment, On-road assessment, Fitness to drive
Clinical assessment

The off-road portion of a driving evaluation covering vision, cognition, physical function, and medical history before any behind-the-wheel testing.

Related: Driving evaluation, On-road assessment
On-road assessment

Direct observation of a person's actual driving performance in traffic, scored against defined criteria to judge safety and skill.

Related: Driving evaluation, Road test route
Fitness to drive

A clinical and legal judgment that a person's medical, sensory, cognitive, and functional status allows safe operation of a motor vehicle.

Related: Driving evaluation, Medical review
Adaptive driving equipment

Modified controls and devices, such as hand controls, spinner knobs, or left-foot accelerators, that let a driver with impairments operate a vehicle.

Related: Hand controls, Vehicle modification, Driving evaluation
Hand controls

Mechanical or electronic devices that let a driver operate the accelerator and brake with the hands instead of the feet.

Related: Adaptive driving equipment, Vehicle modification
Spinner knob

A knob attached to the steering wheel that allows one-handed steering, often paired with reduced-effort steering or other adaptations.

Related: Adaptive driving equipment, Steering adaptation
Steering adaptation

Any modification to the steering system, such as a spinner knob, reduced-effort column, or secondary control, that matches steering demands to a driver's ability.

Related: Spinner knob, Adaptive driving equipment
Vehicle modification

Structural or mechanical changes to a vehicle, including lifts, ramps, transfer seats, and control adaptations, made to accommodate a driver or passenger with a disability.

Related: Adaptive driving equipment, Wheelchair-accessible vehicle
Wheelchair-accessible vehicle

A vehicle fitted with a ramp or lift, lowered floor, and securement system so a person can drive or ride while seated in a wheelchair.

Related: Vehicle modification, Wheelchair securement
Wheelchair securement

A system of straps, tie-downs, or docking hardware that locks a wheelchair in place inside a vehicle to prevent movement during travel.

Related: Wheelchair-accessible vehicle, Occupant restraint
Occupant restraint

Seat belts and related systems, including postural supports for people with limited trunk control, that protect a vehicle occupant in a crash.

Related: Wheelchair securement, Vehicle modification
Transfer training

Instruction in safely moving between a wheelchair and a vehicle seat or driver's position, including technique, equipment use, and energy conservation.

Related: Transfer seat, Vehicle modification
Transfer seat

A powered or manual seat that extends or rotates outside the vehicle to help a person move from wheelchair to driving position.

Related: Transfer training, Vehicle modification
Behind-the-wheel training

Structured driving instruction in a vehicle, adapted to the learner's needs, to build or restore the skills required for safe independent driving.

Related: On-road assessment, Driving evaluation
Road test route

A planned course of urban, suburban, and highway segments selected to sample the driving skills and hazards relevant to a client's situation.

Related: On-road assessment, Behind-the-wheel training
Visual field

The total area a person can see without moving the eyes, a key factor in detecting hazards and meeting licensing vision standards.

Related: Visual acuity, Fitness to drive
Visual acuity

The sharpness of central vision, usually measured with a Snellen-type chart, used to judge whether a driver meets minimum seeing standards.

Related: Visual field, Fitness to drive
Useful field of view

The area over which a person can rapidly detect and process information in a single glance, a measure linked to crash risk in older drivers.

Related: Visual field, Cognitive screening
Cognitive screening

Brief standardized testing of attention, memory, processing speed, and executive function to flag thinking problems that may affect driving.

Related: Useful field of view, Driving evaluation
Reaction time

The delay between a driving hazard appearing and the driver beginning a response such as braking or steering.

Related: Brake reaction time, Cognitive screening
Brake reaction time

The interval from hazard onset to actual brake application, combining decision and movement time; used in simulators and on-road measures.

Related: Reaction time, Driving simulator
Driving simulator

A computer-based system that recreates driving scenes and controls to assess or train skills safely without real traffic risk.

Related: Reaction time, On-road assessment
Driving retirement

The planned process of stopping driving and adopting alternative transportation, ideally introduced early and with support.

Related: Alternative transportation, Fitness to drive
Alternative transportation

Options other than self-driven cars, such as public transit, paratransit, rideshare, or family rides, that preserve community mobility.

Related: Driving retirement, Community mobility
Community mobility

A person's ability to reach work, health care, social, and daily destinations using whatever transportation means are available.

Related: Alternative transportation, Driving retirement
Medical review

A formal process in which licensing authorities examine a driver's medical information to decide whether restrictions or further testing are needed.

Related: Fitness to drive, Driving restriction
Driving restriction

A condition placed on a license, such as daylight-only driving, a limited radius, or required adaptive equipment, to reduce risk.

Related: Medical review, Adaptive driving equipment
Informed consent

A client's voluntary agreement to evaluation or training after understanding its purpose, risks, limits of confidentiality, and alternatives.

Related: Driving evaluation, Confidentiality
Confidentiality

The ethical and legal duty to protect a client's health and driving information, sharing it only with proper authorization or as required by law.

Related: Informed consent, Reporting requirement
Reporting requirement

A legal obligation in some jurisdictions for clinicians to notify licensing authorities about drivers with certain medical conditions.

Related: Confidentiality, Medical review
Documentation

Written records of assessment findings, test scores, recommendations, equipment fitted, and training progress that support clinical and legal decisions.

Related: Driving evaluation, Reporting requirement
Interdisciplinary team

A group of professionals, such as an occupational therapist, driving instructor, and physician, who combine expertise to plan and deliver driver rehabilitation.

Related: Driver rehabilitation, Driving evaluation
Certified Driver Rehabilitation Specialist

A credential held by a professional who has met education, experience, and examination requirements to deliver driver rehabilitation services.

Related: Driver rehabilitation, Interdisciplinary team
Neurodegenerative condition

A progressive disorder such as Parkinson's disease or dementia that gradually impairs function and requires ongoing review of driving safety.

Related: Fitness to drive, Driving retirement
Progressive vision loss

Declining eyesight from conditions such as glaucoma or macular degeneration that may require periodic reassessment of driving ability.

Related: Visual acuity, Visual field
Amputee driving

Driving by a person missing a limb, typically enabled through prosthetic use or adaptive controls matched to the residual limb.

Related: Adaptive driving equipment, Hand controls
Spinal cord injury driving

Return to driving after spinal cord injury, usually requiring hand controls, wheelchair transfer or accessible vehicle features, and retraining.

Related: Hand controls, Wheelchair-accessible vehicle