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MS – Specialist Driving Assessment and Adaptations — SCE Neurology MCQ

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ModerateMultiple Sclerosis & CNS InflammationMS – Specialist Driving Assessment and AdaptationsSCE Neurology

A 50-year-old man with known MS and severe spasticity is being assessed for driving. His right leg has significant extensor spasticity that he uses to stabilise on the accelerator pedal. His left leg has marked clonus. He has adequate upper limb function. What driving assessment approach is recommended?

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Correct answer: E — A specialist driving assessment (e.g. through a Mobility Centre) can assess whether vehicle adaptations (hand controls, automatic transmission, modified pedals) would enable safe driving despite his lower limb impairment

DVLA can licence drivers with significant physical impairment if they can demonstrate safe vehicle control, potentially with adaptations. Specialist Mobility Centres (e.g. QEF Mobility Centre) conduct on-road assessments using adapted vehicles. Adaptations include: hand controls (for acceleration/braking), automatic transmission, steering aids (spinner knobs, infra-red controls), left foot accelerator, and wheelchair-accessible vehicles. The assessment is individualised and focuses on functional ability, not diagnosis. A: Adaptations can enable driving. C: Automatic is one adaptation among many. D: Complete resolution is not required. E: All relevant functions are assessed.

Reference: DVLA – Assessing Fitness to Drive (2025); Mobility Centre Assessments