Tag Archives: Veteran Administration

Putting Amputees Back in the Driver’s Seat

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For some people, an automobile is a necessity not a luxury.

To have a full life in America requires mobility -not just the ability to walk or run, but the ability to travel greater distances with more convenience and flexibility than public transportation provides.

For many lower-limb amputees, however, the lack of feet makes driving impossible in a conventionally equipped vehicle. Hand controls along with left foot gas pedals provide the solution. They make it possible for lower-limb amputees and people with other disabilities to enjoy the prosperity and independence that comes with vehicle ownership and use.

Different types of hand controls
Basic hand controls usually consist of a lever attached to a bracket and mounted under the steering column on cars equipped with automatic transmissions. The lever is moved to operate throttle and brakes. Usually the left hand operates the control, allowing the right hand to steer and operate the vehicle’s accessories. The three most common types of hand controls are push/rock, push/twist, right angle pull, and push/pull.

The push rock and push twist hand control works by twisting the handle to apply the gas and pushing it to apply the brakes. The right angle pull hand control works by moving the lever down towards the driver’s lap for acceleration. To apply the brakes, the driver pushes the handle forward towards the front of the car. The push/pull hand control works by pulling on the handle to apply the gas, and pushing for the brakes. Most hand controls, except for a very few, apply the brakes by pushing.

Most hand controls are hand-powered, using linkages or cables to operate the gas and brakes. Some models are power-assisted to make it easier on the hand and arm. Cars are designed for the driver’s foot to operate the gas and brake, so the force required to operate the hand control can be tiring to the hand during long drives. Power-assist options for hand controls range from very complex devices such as an electric joystick, to relatively simple ones that use vacuum power like power brakes. Most hand controls are dual-action devices that permit the simultaneous application of throttle and brake. Dual-action controls are helpful when the car is stopped on a steep hill or when making tight maneuvers on steep grades. The throttle can be applied a little before releasing the brake to prevent the car from coasting backward before moving forward. While most users prefer dual-action, some prefer single-action units because they eliminate the chance of accidentally applying the throttle during braking.

Which is best for you?
The best choice of hand controls for a person depends on a number of factors, such as the car’s layout, expected driving conditions, and the driver’s size, disability, and preference.

Push/twist
Push/twist hand controls are a good choice if either a large driver, a small car, or both, limit space. Economical use of space is achieved because the lever only needs to be moved to apply the brake. Throttle control is achieved by twisting the grip in the same manner as operating a motorcycle.

Push/twist controls provide a precise, sporty feel. By necessity, push/twist hand controls are often power-assisted. Without power-assistance, the twisting motion tends to feel stiff, and the hand tires. With a good quality power-assisted twist control, very little effort is required to maintain a throttle setting; simply resting the hand on the handle should provide enough force. This results in less fatigue on long drives.

Push/twist controls are good in tight turns and on rough roads. Throttle surges, which can be experienced with a push/pull or right angle pull device, as the driver and his or her arm bumps, sways, leans, or lurches going through curves and over bumps tend not to occur with a push/twist. Most push/twist controls are dual-action units.

These controls are not recommended for people with grip problems or those with amputated fingers or hands. Good left-hand dexterity is required for safe driving with push/ twist controls.

Right angle pull
Right angle pull controls are the most widely used form of hand control. They are relatively inexpensive and, usually, easy to install and adjust. Operation is simple and intuitive for these strictly mechanical units.

Space, however, can be a problem. Throttle application requires that the lever be moved down toward the driver’s lap. If the driver is large or the car is small, a push/twist or even a push/pull control may be more suitable. Because the lever is connected to the gas pedal with mechanical linkages, the underside of the dashboard will often require trimming.

For those missing fingers, hands, or with reduced grip strength, various handles, wrist straps, grips, etc., can be adapted for the right angle pull control. Specialized handles can be configured for use with a prosthesis. Right angle pull controls are usually dual-action, but also can be single-action.

Push/pull
Push/pull hand controls are by definition single-action. Since the lever is pulled for gas and pushed for brakes, the gas and brakes can never be operated at the same time.

This is the easiest hand control to learn to use. Senior citizens like the push/pull because there is no confusion when learning, after using the foot pedals all their lives. Power-assisted and non-power-assisted models are available. The driver’s hand can rest directly on the lever without causing the throttle to surge.

As with the right angle pull control, different handles can be adapted to the driver to permit safe and easy operation. Power-assisted push/pull hand controls equipped with handle adaptations are recommended for people with limited arm strength and poor manual dexterity.

Some other factors to consider
When shopping for hand controls, aesthetics is also a factor to consider. Car owners can be surprised to find that a section of the dashboard was cut away during the installation process. Most hand controls are mounted under the dash with a support extending into the driver space under the steering column where the lever is connected. A panel under the dashboard is removed during installation. If the hand control’s design and the dashboard layout permit, the panel can be returned allowing the mounting bracket to be hidden. Sometimes, however, the hand control’s hardware protrudes into the passenger space, and the panel cannot be reinstalled without cutting a window in it. Each installation varies with the model of automobile and the particular hand-control unit. Check with your dealer about what you can expect to see when you get your car back.

Many of us share cars with other family members. It is important that the pedals can still be used with the hand control installed and that there are as few impediments to using them as possible. Most good controls provide room for a pedal-pushing driver. Ask the installer what to expect.

Driving should be fun. Poorly designed hand controls, or a badly performed installation, can cause the driver to be distracted or preoccupied with the control, lead to frustration, and reduce safety. Good hand controls, professionally installed, will allow enjoyable, safe driving.

Installation
No matter what type of hand controls you use, you are making a significant modification to your vehicle. It is, therefore, important to have a trained and qualified person perform the installation.

The installer should cut a minimum amount of the dashboard. The handle should be located in a comfortable position so that the driver can hold on to the hand control and hook a thumb over the steering wheel. This position helps to stabilize the steering wheel and the throttle. The whole assembly should feel solid and sturdy. If the installation is done properly using a high-quality control, driving will be easy and fun.

Everyone is different, and each person is a special case. If you are uncertain about your condition and your abilities, consult a Certified Driving Rehabilitation Specialist (CDRS). A CDRS knows about different disabilities and can advise you about the best solution to your driving needs. Contact a CDRS through your rehabilitation facility or through your local amputee support group.

Whether you are a first-time buyer or already drive with hand controls, it is good to know what is out there and what to look for. High-quality hand controls are available, as are skilled mobility technicians who understand the quality and safety issues involved with their installation.

Spend a few extra dollars to purchase a high-quality product and have it professionally installed. You already have made a significant investment in your vehicle. A quality set of hand controls will surely enhance your driving experience and, above all, your safety.

Putting Amputees Back in the Driver’s Seat

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For most of us, an automobile is a necessity rather than a luxury.

Hand Controls putting amputees back in the drivers seat

Hand Controls putting amputees back in the drivers seat

To have a full life in America requires mobility -not just the ability to walk or run, but the ability to travel greater distances with more convenience and flexibility than public transportation provides.

For many lower-limb amputees, however, the lack of feet makes driving impossible in a conventionally equipped vehicle. Hand controls along with left foot gas pedals provide the solution. They make it possible for lower-limb amputees and people with other disabilities to enjoy the prosperity and independence that comes with vehicle ownership and use.

Different types of hand controls

Basic hand controls usually consist of a lever attached to a bracket and mounted under the steering column on cars equipped with automatic transmissions. The lever is moved to operate throttle and brakes. Usually the left hand operates the control, allowing the right hand to steer and operate the vehicle’s accessories. The three most common types of hand controls are push/rock, push/twist, right angle pull, and push/pull.

The push rock and push twist hand control works by twisting the handle to apply the gas and pushing it to apply the brakes. The right angle pull hand control works by moving the lever down towards the driver’s lap for acceleration. To apply the brakes, the driver pushes the handle forward towards the front of the car. The push/pull hand control works by pulling on the handle to apply the gas, and pushing for the brakes. Most hand controls, except for a very few, apply the brakes by pushing.

Most hand controls are hand-powered, using linkages or cables to operate the gas and brakes. Some models are power-assisted to make it easier on the hand and arm. Cars are designed for the driver’s foot to operate the gas and brake, so the force required to operate the hand control can be tiring to the hand during long drives. Power-assist options for hand controls range from very complex devices such as an electric joystick, to relatively simple ones that use vacuum power like power brakes. Most hand controls are dual-action devices that permit the simultaneous application of throttle and brake. Dual-action controls are helpful when the car is stopped on a steep hill or when making tight maneuvers on steep grades. The throttle can be applied a little before releasing the brake to prevent the car from coasting backward before moving forward. While most users prefer dual-action, some prefer single-action units because they eliminate the chance of accidentally applying the throttle during braking.

Which is best for you?

The best choice of hand controls for a person depends on a number of factors, such as the car’s layout, expected driving conditions, and the driver’s size, disability, and preference.

Push/twist

Push/twist hand controls are a good choice if either a large driver, a small car, or both, limit space. Economical use of space is achieved because the lever only needs to be moved to apply the brake. Throttle control is achieved by twisting the grip in the same manner as operating a motorcycle.

Push/twist controls provide a precise, sporty feel. By necessity, push/twist hand controls are often power-assisted. Without power-assistance, the twisting motion tends to feel stiff, and the hand tires. With a good quality power-assisted twist control, very little effort is required to maintain a throttle setting; simply resting the hand on the handle should provide enough force. This results in less fatigue on long drives.

Push/twist controls are good in tight turns and on rough roads. Throttle surges, which can be experienced with a push/pull or right angle pull device, as the driver and his or her arm bumps, sways, leans, or lurches going through curves and over bumps tend not to occur with a push/twist. Most push/twist controls are dual-action units.

These controls are not recommended for people with grip problems or those with amputated fingers or hands. Good left-hand dexterity is required for safe driving with push/ twist controls.

Right angle pull

Right angle pull controls are the most widely used form of hand control. They are relatively inexpensive and, usually, easy to install and adjust. Operation is simple and intuitive for these strictly mechanical units.

Space, however, can be a problem. Throttle application requires that the lever be moved down toward the driver’s lap. If the driver is large or the car is small, a push/twist or even a push/pull control may be more suitable. Because the lever is connected to the gas pedal with mechanical linkages, the underside of the dashboard will often require trimming.

For those missing fingers, hands, or with reduced grip strength, various handles, wrist straps, grips, etc., can be adapted for the right angle pull control. Specialized handles can be configured for use with a prosthesis. Right angle pull controls are usually dual-action, but also can be single-action.

Push/pull

Push/pull hand controls are by definition single-action. Since the lever is pulled for gas and pushed for brakes, the gas and brakes can never be operated at the same time.

This is the easiest hand control to learn to use. Senior citizens like the push/pull because there is no confusion when learning, after using the foot pedals all their lives. Power-assisted and non-power-assisted models are available. The driver’s hand can rest directly on the lever without causing the throttle to surge.

As with the right angle pull control, different handles can be adapted to the driver to permit safe and easy operation. Power-assisted push/pull hand controls equipped with handle adaptations are recommended for people with limited arm strength and poor manual dexterity.

Some other factors to consider

When shopping for hand controls, aesthetics is also a factor to consider. Car owners can be surprised to find that a section of the dashboard was cut away during the installation process. Most hand controls are mounted under the dash with a support extending into the driver space under the steering column where the lever is connected. A panel under the dashboard is removed during installation. If the hand control’s design and the dashboard layout permit, the panel can be returned allowing the mounting bracket to be hidden. Sometimes, however, the hand control’s hardware protrudes into the passenger space, and the panel cannot be reinstalled without cutting a window in it. Each installation varies with the model of automobile and the particular hand-control unit. Check with your dealer about what you can expect to see when you get your car back.

Many of us share cars with other family members. It is important that the pedals can still be used with the hand control installed and that there are as few impediments to using them as possible. Most good controls provide room for a pedal-pushing driver. Ask the installer what to expect.

Driving should be fun. Poorly designed hand controls, or a badly performed installation, can cause the driver to be distracted or preoccupied with the control, lead to frustration, and reduce safety. Good hand controls, professionally installed, will allow enjoyable, safe driving.

Installation

No matter what type of hand controls you use, you are making a significant modification to your vehicle. It is, therefore, important to have a trained and qualified person perform the installation.

The installer should cut a minimum amount of the dashboard. The handle should be located in a comfortable position so that the driver can hold on to the hand control and hook a thumb over the steering wheel. This position helps to stabilize the steering wheel and the throttle. The whole assembly should feel solid and sturdy. If the installation is done properly using a high-quality control, driving will be easy and fun.

Everyone is different, and each person is a special case. If you are uncertain about your condition and your abilities, consult a Certified Driving Rehabilitation Specialist (CDRS). A CDRS knows about different disabilities and can advise you about the best solution to your driving needs. Contact a CDRS through your rehabilitation facility or through your local amputee support group.

Whether you are a first-time buyer or already drive with hand controls, it is good to know what is out there and what to look for. High-quality hand controls are available, as are skilled mobility technicians who understand the quality and safety issues involved with their installation.

Spend a few extra dollars to purchase a high-quality product and have it professionally installed. You already have made a significant investment in your vehicle. A quality set of hand controls will surely enhance your driving experience and, above all, your safety.

Save Big When Purchasing a Dodge Wheelchair Van

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2013 Dodge Grand Caravan SXT VMI Northstar DR552571 front right side
You’ve found the ideal Dodge wheelchair van to meet your needs and now it’s time to determine exactly how you’re going to pay for the vehicle. Here are some things you can do to improve the buying experience.

Are You Purchasing from a Dodge mobility dealer?

If you’re buying a new Dodge wheelchair van, you’ll want to consider these pointers before you even think about opening your wallet.

Time is everything.
You can get the best possible prices on a vehicle in the last two weeks of December and between July and October. If you can hold off on a purchase until one of these date ranges, you’ll pay less.

Do your research.
You can pay less for a new vehicle if you do your homework. Know what other dealers are doing and seek out the best possible deals. Knowing what’s happening in the market can give you real negotiating leverage.

Don’t limit your choices.
You don’t need to restrict your choices to the vehicles on the lot. You can have a mobility dealer order the wheelchair van you want and those vehicles that come from the factory shouldn’t cost you a penny more than the ones that are already at the dealership.

Are You Purchasing from an individual?

Paying for a used Caravan, Grand Caravan sold by an disabled individual or caregiver can pose a few unique challenges. Keep the following advice in mind:

Be careful with cash.
Unless you personally know the seller, you should be cautious about showing up anywhere with a large quantity of cash on your person.

Be prepared to pay with a cashier’s check or money order. Many individual sellers will be wary about accepting a personal check from a buyer.

Stay away from wiring money.
Don’t utilize services like Western Union or Moneygram to buy a used wheelchair van. These outlets are often used in fraudulent activity and may not provide you with adequate protection.

Exercise caution.
If you’re considering using an escrow or shipping service when paying for your Dodge wheelchair van. Many people have lost their money due to criminal behavior on the part of those claiming to offer a legitimate service.

Are You Paying for Dodge Wheelchair Van Conversion?

Buying the underlying vehicle may only be part of your plans. If you’ll be paying for modifications, as well, consider the following:

Look for assistance.
Your state’s Department of Vocational Rehabilitation or development services offices may have a program to provide financial assistance for wheelchair van conversions. The Veteran’s Administration may be able to help vets qualify for funding.

Check with your insurance.
Depending upon your personal situation, you health or worker’s compensation insurance may provide benefits that will pay for part, or all, of the necessary modifications. Thoroughly investigate the opportunity.

Talk with your Dodge dealer.
Some dealers can actually wrap the financing of your mobility package up with your vehicle loan. You’ll end up with a single payment and you may save money on the interest rate in the process.

Get a prescription.
If you can get a doctor’s prescription for your planned modifications, you may be able to exempt the expense from sales tax. If you’re not responsible for those taxes, you’ll be spending less money.

Buying a Dodge wheelchair van requires a little bit of planning, thinking and investigation. If you follow these recommendations, paying for a Caravan, Grand Caravan or Sprinter should be more enjoyable and less expensive.

VA Benefits for Veterans – APPLY NOW

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VETERANS

salute

If you need a wheelchair van (driver or passenger) you may be eligible for one at little to no out of pocket cost. We, too, are Veterans and understand your needs.

Click here to begin the VA process and receive guidance on getting your benefits.

The Auto Allowance Grant: This benefit provides eligible Veterans with flat rate federal grant of $19,505.00 towards the purchase of a wheelchair accessible vehicle. This grant is paid to the seller of the vehicle and must be approved by the VA before the purchase.
The Automobile Adaptive Equipment Program: This benefit provides eligible Veterans with funding (approximately $25,000) for equipment and training to enter, exit and/or operate a motor vehicle. This equipment includes but not limited to platform wheelchair lifts, kneeling systems, power door openers, lowered floors/raised roofs, raised doors, hand controls and braking and digital driving systems.
Non Service Connected Van Modifications: This benefit provides eligible Veterans with funding (approximately $25,000) for non-operational equipment for entry and exit to the van. Issuance of equipment is considered medical and is not included as part of the Automobile Adaptive Equipment Program.

“U.S. veterans make so many sacrifices for our freedoms,” said Doug Eaton, president of VMI. “We’re indebted for their service and believe our disabled vets should have easier access to mobility vehicles. That’s why we teamed up with Paralyzed Veterans and the VMI Select Dealer Network to establish Operation Independence. Through this national program, we’ll help raise awareness of the federal grant money that is available to our vets to help them purchase a new mobility vehicle. We’ll also explain how the national VMI Select Dealer Network can fast track their purchase of a quality mobility van and provide important vehicle maintenance after the sale.”

Operation Independence is a national program developed by VMI and is supported by the Paralyzed Veterans and The American Wheelchair Van Society. A portion of the program will educate veterans about Federal Grant 21-4502, which is available to disabled U.S. vets and was recently increased from $11,500 to $18,900. In addition to the grant, VMI is offering an additional $1,000 coupon that can be used as cash back from the manufacturer or applied toward a down payment for veterans who qualify for the 21-4502 grant and who have not previously taken advantage of the 21-4502 Auto Allowance Grant. The American Wheelchair Van Society will assist all Veterans through the process.

“We’ve found that a number of important government benefits like the 21-4502 program, which provides a grant towards the purchase of a mobility vehicle of their choice, are under-utilized by eligible veterans,” said Al Kovach, National Senior Vice President of the Paralyzed Veterans of America, and a former Navy SEAL. “This partnership with VMI’s Operation Independence is so important to as it supports Paralyzed Veterans’ Mission: ABLE campaign which enables severely disabled veterans to secure care, benefits and jobs and rebuild their lives. Together, we can leverage our efforts to improve mobility for disabled veterans by connecting them with the vehicles that fit their needs and ultimately help them achieve the independence and dignity they deserve.”

Paralyzed Veterans of America was founded by a group of seriously injured American heroes from the “Greatest Generation” of World War II. They created a nonprofit organization to meet the challenges head that they faced back in the 1940s — from a medical community not ready to treat them, to an inaccessible world. For more than 65 years, Paralyzed Veterans national office and 34 chapters across the nation have been making America a better place for all veterans and people with disabilities. (www.pva.org)

“According to the Dept. of Veterans Affairs, there are nearly 3.5 million veterans who now live with a service-connected disability,” said Doug Eaton, president of Vantage Mobility International. “Many of those disabled veterans struggle to find employment because they don’t have access to reliable transportation. So, in addition to supporting the Paralyzed Veterans of America national tour, we’ve also teamed up with Toyota Motor Sales USA to give all disabled veterans a chance to win a 2013 Toyota Sienna SE with our Access360 In-floor Ramp Conversion. We hope veterans in the Houston area will join us at Adaptive Driving Access in Houston to learn more about our Operation Independence Star Spangled Salute contest.”

‘The Big Push for Progress’ initiative was developed to honor Paralyzed Veterans and help local communities “take a stand for veterans and their families.”

Paralyzed Veterans of America, which is celebrating 67 years this year, is urging all Americans to take a stand for veterans. “Our disabled veterans face an unemployment rate three to eight times higher than average,” said Bill Lawson, U.S. Army veteran and national president of Paralyzed Veterans. “That’s just one reason I’m asking my fellow Americans to help redouble our efforts for positive change. We need everyone to be a part of our big push for progress.”

Click here to begin the VA process and receive guidance on getting your benefits.

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