What are some considerations when using and buying an adapted vehicle?
Author: Sharon Jang | Reviewer: Lisa Kristalovich | Published: 6 July 2022 | Updated: ~
Funding considerations
There are often costs associated with the various parts of getting back on the road. In general, fees are required for the initial driving assessment, rehabilitation both in a clinic setting and on the road, and for adaptive equipment. In Canada, there is often no funding for these costs; this is often paid out of pocket unless you have an injury claim or other funding source. As a result, funding can be a big barrier to returning to driving.
For more information on the related fees, contact your local driving rehabilitation center for.
Considerations when looking to buy a vehicle to adapt
When looking to buy a vehicle to adapt after your injury, some things to consider include:
Transfer abilities
What are your transfer abilities? Will you be staying in your wheelchair to drive or will you transfer to the driver seat? If you are able to transfer, how easy is it for your to transfer to a higher surface? Do you need a ramp to get in and out of the vehicle?
Wheelchair storage
If you are planning on transferring out of your wheelchair, where will you store it? In the front seat or back?
Adaptive equipment required
Does the equipment you need only fit in a certain type of vehicle, such as a van? Can the vehicle accommodate the hand controls you need?
Passengers
If you plan on driving others, will there be enough space for passengers in the vehicle once it has been adapted?
Parking
Will the vehicle fit in the parking space you have?
Some driver rehabilitation centers will also complete a vehicle modification assessment. This assessment will help you select the equipment you need to get you and your wheelchair into the vehicle safely. There is usually a fee for a vehicle modification assessment.
Considerations when driving an adapted vehicle
Two studies interviewed people with disabilities who drove adapted vehicles. Some challenges that were identified by the drivers included:
Pain
Pain was experienced in the wrists when driving long distances, especially with a twist accelerator. Shoulder pain was also reported after driving for a long time. You may want to consider what position your arms are in, what movements are used, and if you can do this over a long period of time.
Trunk strength
Having a weak core resulted in some drivers needing to slow down or brace themselves when driving at high speeds or on winding roads. People with a higher spinal cord injury level often need extra trunk support, as they are unable to use their arms for support when hand controls are being used.
Fatigue
Driving can be tiring in comparison to driving able-bodied, as more focus is required for driving an adapted vehicle.
Accessibility of the environment
Some drivers found that the location they drove to was inaccessible, and they were unable to et out of their vehicle. For example, some garages had a step to get out of them, had a steep hill to the entrance, or if there is not enough space to open a ramp.

