The importance of driving and its effects on one’s independence is magnified by the prospect of losing this privilege.  What happens if you or someone you care for loses the ability to operate the acceleration and brake pedals of a vehicle?

First why would a driver not be able to use the original pedals of their vehicle?  There are many situations or diagnosis that can affect this skill.  Anytime there is a loss of sensation or strength in the lower extremities there is the strong possibility driving with feet on the pedals is no longer possible or the safest way to accelerate or brake a vehicle.  To consider a few diagnoses, the most obvious would be the effects of a spinal cord injury or amputation of a right lower extremity.  However other conditions or diagnosis can have an affect as well.  For instance, neuropathy, a loss of sensation in the feet.  This can be related to diabetes, past injuries, or lower back issues.   A loss of strength with the progression of Multiple Sclerosis is also common.

There are too many situations to list in any detail, but if you have identified a concern with how accurately or efficiently you activate the pedals, it is time to consider alternatives to ensure you maintain your safe driving skills.

What are the alternatives to using the brake and accelerator pedals of your vehicle?  By far the most common vehicle modification would be hand controls.  Hand controls are specialized devices that enable individuals with mobility limitations to operate a vehicle without using their legs. These controls are used in place ofthe original foot pedals with mechanisms that can be operated by hand, allowing individuals to accelerate, brake, steer and control other functions of the vehicle using only their upper extremities.

Hand controls can be customized to suit the specific needs and preferences of each driver. There are various types of hand controls available with main differences related to their position in the vehicle and the action required to accelerate the vehicle.  (Additional types of controls are available for individuals with higher level needs.)Drivers work with therapists specializing in adaptive driving to select the most appropriate type of controls.  These professionals can be found through the Association for Driver Rehabilitation Specialists (ADED) at www.ADED.net through the member locator.

It is important for individuals using hand controls to receive proper training to demonstrate safe driving skills and ensure success with licensure.  Many countries and states require drivers to complete specialized driver training programs to ensure they can safely and effectively operate a vehicle using hand controls. These programs typically involve learning how to use the controls, understanding the rules and regulations, and practicing driving with the professionals.  Each of the therapists working at Driving to Independence are credentialed as Certified Driver Rehabilitation Specialists (CDRS) or are working toward the credential with their experience and education.  Our therapist also hold many badges to signify expertise in specific practice areas as offered by the Association for Driver Rehab Specialists.

Driving with hand controls often requires certain legal considerations. Depending on the jurisdiction, drivers may need to inform the licensing authority about their use of hand controls and provide medical documentation or certification. Additionally, some countries or states may have specific requirements or restrictions for drivers using hand controls, such as vehicle modifications or additional equipment.

The use of hand controls provides increased independence and mobility for individuals with mobility limitations. It allows them to maintain or regain their ability to drive, enhancing their daily lives while enabling them to travel independently, commute to work, and engage in various activities. Hand controls offer a valuable solution for individuals to enjoy the freedom of driving.

If you feel hand controls will benefit you or someone you care about, please contact our offices at 855-449-3331 or at Info@DrivingtoIndependence.com.

Please note that specific regulations and practices regarding driving with hand controls may vary depending on the country or state. It is important to consult local laws and seek professional guidance for accurate and up-to-date information.