“…To our knowledge, there is no well-defined, validated model with measurable end points that can truly evaluate upper extremity function in the context of driving performance. However, our position has been that through the use of a validated driving simulator, which has been used in a variety of studies both in the medical and in the orthopedic literature, 6,7,18,20,22,25,35 we have been able to create a customized driving circuit that directly tests upper extremity function in the context of driving by minimizing confounding variables such as variability in speed and braking, particularly in worst-case scenario situations that require coordinated evasive maneuvering.…”