State-of-the-art applications of driving simulators in neurorehabilitation: A scoping review
Year: 2025
Type: article
Study design: Systematic Review
Abstract: ObjectiveThis scoping review evaluates the current use of driving simulators in neurorehabilitation, focusing on diagnostic assessment and therapeutic training in neurological populations.Data SourcesWe searched nine major databases for studies published through September 2025, using broad terms related to simulated driving and neurorehabilitation.Review MethodsFollowing PRISMA-ScR guidelines, we used ASReview software with active learning to identify relevant studies. Articles were grouped into diagnostic, therapeutic, review, and special interest categories, with data charted manually by two reviewers.ResultsOf 224 included articles, 124 addressed diagnostic use and 25 examined therapeutic interventions. Simulated driving was often evaluated for its predictive value in determining fitness-to-drive. Combined with neuropsychological tests, simulator outcomes reliably identified key cognitive predictors such as attention and executive function. Twenty-eight studies included on-road driving comparisons, supporting simulator validity. Simulator-based interventions showed benefits for patients with stroke, traumatic brain injury, or Parkinson's disease, particularly for improving tactical driving skills and awareness. Benefits were more pronounced in individuals with mild to moderate impairments. Simulators were generally well-accepted across patient populations.ConclusionDespite the heterogeneity of the literature, there is evidence to support the use of driving simulators as a promising tool for evaluating and improving fitness to drive in neurorehabilitation.
Source: Clinical Rehabilitation
Language: English
Topic: Older Adults Driving Studies
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4416202106