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Vehicle ModificationsModified Vehicle 1

Almost any car can be modified, but the types of vehicles and modifications appropriate for each driver are based completely on individual need and preference. Be sure to see Infinitec's driving assessment page to find out what's involved in a personal driving assessment before making any modifications.

Modified vehicle with wheelchair liftAssessments are extremely important to ensure personal safety, and it can't be stressed enough how unique each person's needs are; five people with the same disability will require five different modifications, and possibly even five different vehicles.(See Vehicle selection.) What's more, a proper evaluation will save you a lot of money you might have wasted on the wrong equipment. Protect yourself and others by taking all the right steps.

Helpful Resource: Adapting Motor Vehicles for People with Disabilities
http://www.nhtsa.dot.gov/cars/rules/adaptive/brochure/brochure.html
An online brochure detailing the process of selecting and installing assistive devices for drivers with disabilities.

Examples of typical modifications prescribed by driving rehabilitation specialists

We usually don't think of an automatic transmission as an adaptive device, but technology has impacted us all! An automatic transmission eliminates the need for a clutch and a manual shift.
Power steering is another winner! It has aided nearly everyone, but especially those with a weak upper body, some of whom use hand-controls.
Stability Management Systems offers a device that helps control the rebound energy in vehicle suspensions, so driver and passengers won't get jostled around and your vehicle retains stability. The device can prevent road bumps, wind from passing trucks, rollovers, and other accidents caused by vehicle instability. See: http://www.stability-ms.com/mobility/index.html
A siren detector electronically detects the high decibel sound waves of an ambulance or fire truck for a driver who is hearing-impaired.
Bioptics is a system with a telescope attached to prescription glasses that allows a driver with very low vision to be able to drive by glancing briefly and intermittently through the special lenses. People who are legally blind but able to substantially correct their vision with contact lenses have benefited from Bioptics, so don't despair if your vision is poor, maybe this can help.
Modified Steering DevicesSteering Devices
  • Knobs are employed for positive, one-hand control, adjustable to one's ability.
  • Drivers with no grip or diminished wrist stability can use tri-pins, a three-pronged grip for the wheel.
  • A steering cuff offers complete support and control for a driver with a totally disabled hand and wrist.
  • A palm grip, v-grip or quad fork is used with some quadriplegics for steering. It is placed at any position on the wheel according to the prescription and driver's personal comfort.
  • An amputee ring accommodates drivers with a prosthetic hook on their steering arms. (The prosthesis should have soft surface pinchers.)
  • Modified effort steering reduces strength needed to operate power steering or brakes for someone with low strength or endurance.
  • Floor-mounted steering is a floor steering wheel for foot control
A raised roof or dropped floor allows a person to drive from his/her wheelchair or scooter.
A left-foot accelerator eliminates left leg cross-over.
A pedal extender raises the height of the brake and accelerator.
Hand controls operate brakes and accelerator with a single lever (push/pull) and they're also used for secondary controls: horn, wipers, turn signals, etc. (Temporary or mounted hand controls are not recommended by the Veterans Association.)
A steering column extension is used to reach the wheel easier.
A Joy-stick system for controlling a vehicle is also a helpful option.
Gear selection with the left hand is done with an electric gear selector.
Using a right-hand turn signal allows right hand operation without cross-over.
Remote switches, including elbow switches, reposition or build up secondary controls (horn, wipers, turn signals, etc.).
Seat belts for the shoulder and lap will vary according to need.
Tie-downs will secure a wheelchair or scooter in place. There are several different types.
To ease access transferring to a regular captain's seat, power seats are often used.
Modified vehicle SeatSeats can be customized for balance, positioning and stability.
Vangater II LiftA wheelchair or scooter lift can be installed for help getting in and out of your vehicle. Some are designed to lift the driver and mobility aid together, while another type just lifts the mobility aid to store it during trips. Some are actually narrow enough to fit in the trunk of a car along with the scooter or wheelchair, eliminating the need to have a van! A ramp is also a helpful accommodation and it's good to know there are many types of lifts and ramps available for various vehicles.
Automatic door openers ease entry and exit.
Electric window openers and electric locks make life easier.
A wheelchair carrier (usually mounted on the roof or the back) is used for storage of a wheelchair, without having to own a large vehicle.
A quad key-holder or turner can be a life saver for those lacking fine motor control.

Resource

The Braun Corporation
www.braunlift.com
While this page is skewed to Braun Products, it provides a general description of things to consider when purchasing adaptive driving equipment and/or modifying vehicles. It provides a good overview of different types of equipment.

Vehicle SelectionModified Vehicle 3Modified Vehicle 2
Below are some questions to consider during vehicle selection. They were provided by RESNA, Rehabilitation Engineering and Assistive Technology Society of North America. (Remember, you don't have to answer these questions yourself, consult a specialist):

When choosing a vehicle for transportation there are several areas to consider. Your doctor, physical therapist or occupational therapist will have input and can help answer any questions, but a certified adaptive driving specialist can assist in making a vehicle selection with completion of the driver rehabilitation program.
Consider your transportation needs. Do you need a car, truck, full-size van or mini-van?
What are your physical limitations? What will affect your ability to access a vehicle or drive?
Are you concerned with the mental or physical stress related to driving?
What is your ability to transfer into and out of a vehicle? Will you require an assistive seat or lift to get in or out? If you require a lift, what options do you prefer? Side door or rear door entrance/exit, electric or hydraulic, platform swingout or superarm, etc.?
Do you require a lowered floor or raised top and doors? What is your height, head to ground when sitting, and the length and width of your wheelchair or scooter? Will you drive from a wheelchair or use a power seat?
Will you need special modifications, such as hand-controls, to operate the vehicle?
What are the services and warranty programs on your vehicle of choice? What parts are covered and where can emergency repair work be done if you're out of town?
Are you eligible for funding sources through the Veteran's Administration, your state's division of vocational rehabilitation, development disabilities services, worker's compensation or health insurance? (Many private insurance companies cover driver rehabilitation programs; some driver's insurance may cover vehicle modification.)
Have you checked with a qualified accountant to determine eligibility for tax credits for modifications?
Have you checked with the manufacturer for information on a rebate program to help pay for modifications? Chrysler, Ford and General Motors all have reimbursement programs for vehicle modification costs (See our Adaptive Equipment and Vehicle Dealers section.) You can get up to a $1000 reimbursement when you purchase and modify a vehicle manufactured by one of these companies.

Vangater