Evaluating Cognitive Functions as it Relates to Commercial Drivers

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Did you know that the Canadian Council of Motor Transport Administration's (CCMTA) guidance document for Determining Driver Fitness In Canada uses the word 'Cognitive' 269 times in a 293-page document?[1]

Most companies managing a commercial fleet have little to no knowledge of what cognitive impairment means as it relates to driving.

What Does Cognitive Impairment Mean?

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Cognitive impairment is when a person has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life. Cognitive impairment ranges from mild to severe.

Driving is one of the most complex tasks a person can perform, which is heightened for operators of a commercial vehicle.  While a person with a healthy cognition will likely be able to perform driving functions safely and consistently, someone suffering from a cognitive deficit(s) may become overwhelmed and impaired under the same circumstances. 

What Are Illnesses That Can Cause Cognitive Impairment?

  • Untreated  Sleep Apnea

  • Diabetes

  • Hypertension

  • Psychiatric illness

  • Respiratory disease

  • Dementia

  • Developmental Disorder

  • Amnesia

  • Substance-Induced Cognitive Impairment

  • Alzheimer's Disease

  • Parkinson Disease

  • Brain Trauma

  • Frontotemporal degeneration[2]

 

What Are The Signs Of Cognitive Disorder Or Impairment?

Some of the most common signs of a cognitive disorder include:

  • Confusion

  • Poor Motor Coordination

  • Loss of short-term or long-term memory

  • Identity confusion

  • Impaired judgment

Why Is Healthy Cognition Important?

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Statistics Canada: "According to the 1991 Canadian Study of Health and Aging (CSHA), about 17% of Canadians aged 65 or older had mild impairment, often labeled "cognitive impairment—no dementia or CIND."  Similarly, data from the Health and Retirement Survey indicate that 22% of Americans aged 71 or older had CIND.  Consequently, an examination of the prevalence of various levels of cognitive well-being is warranted." [3]

In the past, transportation companies and drivers have experienced significant difficulties when a driver has performance decline such as, but not limited to, near misses, incidents, increased confusion, missed company procedures, etc.  When a company has not implemented a standardized process to evaluate drivers, they can incur increased cost burdens and lost earnings for the driver.

What Are The Essential Cognitive Functions Required To Operate A Motor Vehicle?

  • Alertness

  • Attention

  • Concentration

  • Coordination

  • Memory

  • Multi-tasking Abilities

  • Perceptual Abilities

  • Reaction Time

  • Thought Processing Judgment and Insight 

If a driver's cognition is impaired, this puts them into a higher risk class of driver.

Additional Resources

https://www.DriverCheck.ca/



[1] https://ccmta.ca/en/

[2] https://www.psychguides.com/neurological-disorders/cognitive/

[3] https://www150.statcan.gc.ca/n1/pub/82-003-x/2010004/article/11391/findings-resultats-eng.htm