Assessing Your Mobility Needs
Before undertaking any vehicle modifications, a crucial initial step is a professional assessment [1, 3]. Your needs will dictate the type and complexity of the modifications required, whether for a driver or a passenger [1].
The Importance of a Professional Evaluation
Consulting a Certified Driving Rehabilitation Specialist (CDRS) is highly recommended [1]. A CDRS is a healthcare professional who can evaluate your functional abilities and match them with the most suitable adaptive equipment, ensuring both safety and independence [1].
Key Considerations During Assessment
- Driver vs. Passenger: This distinction determines the primary focus of modifications [1].
- Type of Mobility Device: The size and weight of your mobility device influence the choice of ramps, lifts, and carriers [1].
- Budget: Costs vary widely, from simple aids to major structural conversions [2, 3]. Establishing a budget early is important [3].
- Current and Future Needs: Consider potential future changes in mobility, especially if equipment can be transferred to a new vehicle [3].
Common Modifications for Accessible Driving
For those with limited lower body mobility, several modifications can enable them to drive safely [1, 3].
Hand Controls
Hand controls allow operation of the accelerator and brake using hands. Types include push-pull, push-right angle, and push-rock systems [1, 3].
Steering Aids
Steering modifications reduce effort and allow for one-handed steering, such as spinner knobs, amputee rings, and powered steering assist [1, 3].
Pedal Modifications
Modifications like the left-foot accelerator or pedal extensions help drivers with specific needs [1, 3].
Enhancing Passenger Access
For passengers, safe and easy entry and exit are key, especially for wheelchair users [1, 2, 3].
Swivel and Transfer Seats
These seats rotate, extend, and lower to facilitate transferring from a wheelchair or standing [2, 3]. The BraunAbility Turny Evo is a common example [2].
Ramps and Lifts
Ramps and lifts are essential for wheelchair users who remain seated in the vehicle. Options include manual or automatic side-entry and rear-entry ramps, and motorized lifts for heavier devices or when ramps are not suitable [2, 3, 4].
Vehicle Carriers and Hoists
When mobility devices can be stored outside, exterior carriers or interior hoists can be used [2, 3].
Ramp vs. Lift: A Comparison Table
| Feature | Ramps | Lifts |
|---|---|---|
| Cost | Generally lower cost, especially manual versions [2, 3]. | Higher initial cost due to motorization [2, 3]. |
| Vehicle Space | Can take up interior space [2]. | Often stow neatly [2]. |
| Effort Required | Manual ramps require effort; powered are minimal [2, 3]. | Fully motorized, requiring minimal effort [2, 3]. |
| Maintenance | Lower maintenance for manual; more for powered [2]. | Require regular maintenance for motorized parts [2]. |
| Parking Needs | Side-entry needs extra space; rear-entry may block access [2]. | Can deploy in different configurations for more flexible parking [2]. |
Costs and Financial Assistance
Modification costs vary greatly. Simple aids can be a few hundred dollars, while full conversions can cost tens of thousands [2, 3].
Funding and Rebates
Financial assistance may be available through Veteran Affairs (VA), state grants, non-profit organizations, and manufacturer rebates on new vehicles [2, 3].
Finding a Reputable Mobility Dealer
Choosing a qualified dealer is critical. Look for one certified by the National Mobility Equipment Dealers Association (NMEDA) [1, 2, 3]. Certified dealers adhere to high safety and quality standards [1, 2, 3]. You can find a locator tool on NMEDA's member locator [1, 2, 3].
Conclusion
Making a car handicap accessible is about restoring independence [1]. By starting with a professional assessment, understanding modification types, considering costs, and working with a certified dealer, you can make an informed decision for your mobility needs [1, 2, 3].
