SimClinic® is the robust software library of therapist-inspired patient activities used to help exercise and measure many areas of functional performance. There are currently over 40 activities to choose from including those that are appropriate for general Occupational Therapy practices, as well as advanced driving scenarios that are appropriate for clinics with driving rehabilitation programs.

SimClinic provides Occupational Therapists with exercises and scenarios proven to help assess and improve physical strength, reaction time, control, endurance, cognitive skills in attention, memory, problem solving and anticipatory thinking, visual perception and information processing, visual-motor integration, visual field testing, neuromuscular reeducation of movement, coordination and proprioception.

The simulator at our clinic is used by all of our clinicians. For example, our Speech Therapist can work on the cognitive components of divided attention because the simulator allows her to use a variety of cognitive programs to address issues. Our Occupational Therapist may be working on upper extremity recovery and focus on introducing scenarios that exercise steering skills. Our Physical Therapist may work on a patient's ability to control their extremities and use the simulator for therapeutic exercise and bill accordingly.

— Marc Rosello, RKT, CDRS, Driving
Rehabilitation Director, University of Utah Sugarhouse Rehabilitation Clinic


To Help provide the best patients outcomes, the SimClinic® library is comprised of clinician-inspired activities organized into the following four progressive phases.


Pre-Driving clinical exercise, basic functional abilities

This phase provides exercise and measurement of pre-driving functional abilities. Scenarios include exercises for visual information processing, coordinated movements, regulation of physical inputs, strength and range of motion, memory, and anticipation and planning.

Steering and Pedals Static

Simple upper and lower-extremity strength, range of motion and control of physical inputs

Steering Chase

More dynamic-upper extremity strength, range of motion and control of physical inputs

Pedals Chase

More dynamic-lower extremity strength, range of motion and control of physical inputs


Motor planning, anticipatory thinking

Combined Controls

Visual-motor integration, fine motor control

Copy Cat

Working memory, coordination muscle movements

Stoplight & Steering

Visual information processing (speed and accuracy) and coordinated muscle movements


More Functional Abilities in the Context of Simple Driving

This phase introduces lane keeping and speed control, reaction timers, and very powerful Functional Object Detection to help clinicians gain a clear understanding of a patient’s ability to react to scenarios that they will regularly encounter on the road. These scenarios can serve to boost the confidence of the patient and identify problem areas as well.

Lane Keeping Straight

Lane position management on straight roadway

Reaction Timer Steering

Simple reaction timer requiring quick decision and steering inputs when visual stimulus is given

Speed Control Straight

Simple speed control management of straight roadway

Reaction Timer Stoplight

Simple brake reaction timer

Lane Keeping Changing Lanes

Practice changing lanes, using turn signals on straight road with no traffic

Lane Keeping Mirrors

Practice using rear and side-view mirrors and judging gaps in adjacent traffic

Functional Object Detection

Divided attention and visual scanning while driving. Excellent test of visual fields and neglect issues.


Progressive Basic Driving Skills

This phase provides progressive, fundamental driving skills development and evaluation, essential instruction and adaptation drives, plus additional training scenarios suited for basic driving rehabilitation and training.

Lane Keeping Curves

Lane position management on road with curves

Pedals And Stopping

Practice stopping and starting at intersections, an important adaptation step for simulator introduction

Following Distance

Practice maintaining appropriate following (headway) distance

Turning Left

Introduce making left hand turns at intersections

Turning Right

Introduce making right hand turns at intersections


Introduce merging into freeway traffic

Changing Lanes and Braking

More practice changing lanes and bringing car to a stop

Hills And Curves Speed

More speed management practice with simultaneous hills and curves

Hills And Curves Stop

Continued vehicle control practice including stopping and starting in combined hills and curves

Obstacles On Straight

Cones course exercising vehicle maneuvering and control skills

Speed Control Curves

Speed control with curves

Speed Control Hills

Speed control with hills

Training Tracks Scenarios

Simple paved closed-course tracks to allow easy, non-threatening practice of basic vehicle control


Advanced Driving Skills & Naturalistic Scenarios

This phase provides advanced road course drives in diverse driving environments and includes advanced traffic interaction, situational awareness and defensive driving challenges that help determine if a patient is ready to get back on the road.

35-Minute Drive

Moderate drive through variety of roadway types and mostly well-behaved traffic. A fewer driver challenges. Some curves, but no turns at intersections.

City and Highway

Advanced “naturalistic” drive along a guided course through dense urban and freeway driving environments. Some advanced traffic interactions and challenges, such as unprotected left turn with oncoming traffic and unexpected incursions by others into drivers’ path of travel.

Residential and Suburban

Advanced naturalistic drive along a guided course through residential and suburban environments. Some advanced traffic interactions and challenges, such as unexpected pedestrian and cyclist interactions.

FOD Advanced

Powerful clinical exercise combining several configurable secondary tasks with basic driving task. Excellent for divided attention and for evaluating visual fields and neglect issues.


Easy freeway loop that takes about 10 minutes per circuit. Can be driven indefinitely.

Town and Country

Advanced naturalistic drive along a guided course through small town and rural/mountainous road environments. Some advanced traffic interactions and challenges, such as unexpected lane incursions and a police roadside incident the driver encounters.

Level 1 Hazards

Level 1 of 3 escalating hazards drives on a rural highway. Each drive includes 3 driver challenges or hazards that occur, along with collision avoidance performance measures.

Level 2 Hazards

Additional driving challenges and hazards

Level 3 Hazards

Additional driving challenges and hazards