Category Archives: Hand controls

Hand controls for wheelchair van and vehicle users in New England, Boston MA

Basic Hand Control Systems

The four Basic Hand Control System designs are:

  • Push/pull: Push the control forward to brake; and pull back and hold to accelerate. Not the most popular control as it must be pulled toward you and held to maintain speed, requiring more arm strength.
  • Push/twist: Like on a motorcycle, it requires twisting the handle for the gas and pushing the hand control lever for the brakes. Unlike the push/pull in that the driver doesn’t have to pull the lever back and hold to accelerate.
  • Push/right angle: (Most popular) Drivers push forward for the brakes. Push down toward your thigh with a slight pull to your torso for acceleration. Acceleration with the push/right is less fatiguing than push/pull as the weight of your hand holds the desired speed.
  • Push/rock: Not necessary to keep a grip on the control. The driver rocks his or her hand on the top of the handle, rocking back to accelerate and forward to apply the brakes, like a slot machine.

All four can be mounted on the right or left side depending on your preference or abilities.

How To Choose An Accessible Vehicle For A Child

Wheelchair vans are often needed by families who have children with disAbilities. Vehicles with special features are available and/or can be converted to accommodate them. The most important step is to start with an appointment with a mobility specialist.

Here are a few facts needed to help determine which accessible option best fits the needs of your child and your family.

The Child’s Size
A mobility consultant should be incredibly thorough in compiling the details such as wheelchair width and height, your child’s height while seated in the wheelchair, and other essential information, which should help identify the perfect van for your family.

Your child’s age and size are factors, too. If your child is young/small the vehicle that they easily fit into now could possibly be out grown. It is important to not only think of their needs now, but also to keep in mind that their needs may change in the future.

The Family’s Size
Consider the size of your family. A big family (5-7 children) might need the extra room provided by a full-size van. For smaller families, an adapted minivan should work nicely, and both vehicle styles can be equipped for wheelchair accessibility. Keep in mind that even an only child will have friends who will join you for an occasional outing.

The Child’s Condition
Along with wheelchair size, your child’s condition has tremendous bearing on vehicle selection. When a child with limited mobility travels with a ventilator or feeding tube, the vehicle must accommodate it. In such situations, rear entry access is often the better option.

Side entry vans require the wheelchair user to maneuver into position; an operating ventilator or feeding tube on an independent portable stand can easily make positioning awkward. Rear entry access eliminates the need to maneuver–the wheelchair and ancillary equipment roll directly into position from the back of the van.

Seating
If you or a caretaker needs to assist your child, it would be helpful to have a seat right next to the wheelchair, as the front passenger seat can make interaction awkward.

Now is a good time to talk about the front-passenger seat, which can be adapted for portability, so you can remove it completely. With a wheelchair docking system installed, the coveted front-passenger position is wheelchair-ready.

That said, size definitely matters here. The laws in some states restrict the size of a child riding in that position, with a typical recommendation of 50 lbs.+ and the ability to tolerate the force of a deployed airbag. A child with a frail or sensitive physical condition should be seated in the middle of the vehicle for safety. Make sure to familiarize yourself with your state’s seat-belt laws for wheelchair passengers.

Passengers
When there are several passengers in the van, middle seating in the vehicle would put your child at the center of attention and always part of the fun. The side entry accessible van has an array of configuration possibilities, including jump seats and the potential for passenger seating in front, alongside, and behind the wheelchair user in any accessible van.

Focus on the Future
When you find the accessible vehicle that fits the needs of you, your child and family now but are concerned about the changes that may come over time, discuss them with your mobility consultant. Future you has a few options. Keep in mind that additional modifications can be made to your vehicle to better fit you and your family. Another option future you will have is to trade in your vehicle for a newer one that will fit your needs better.

Full Sized Accessible Wheelchair Vans

Ask people with disAbilities—when purchasing a handicap or accessible van—size matters. The full-sized van is a good option for those with a large family, those who travel often, those with additional equipment and accessories, those who need to tow large loads, or big or tall passengers or drivers.

Most minivans do not have roof modifications so you don’t have as much interior space.  Roomy full-size vans gain space by raising the roof, lowering the floor or both, and also have the advantage of more power and load carrying capacity.

Full-sized van:

  • Its weight-carrying capacity is significantly more than a minivan’s. It can hold the weight of a power wheelchair and even accommodate two individuals in wheelchairs.
  • It offers a lowered floor for the center, passenger or driver position; raised roof, raised doors; lifts and adaptive driving aids.
  • A raised roof makes it easy for someone to enter the van seated in a wheelchair or for a caretaker to tend to them or walk in and out of the entrance.
  • Doors are raised in conjunction with a roof to enable a person in a wheelchair to enter without having to bend over or have a caretaker tilt the wheelchair back.
  • Larger wheelchairs or motorized wheelchairs require floor-lowering or roof-raising modifications that a full-size van allows.

Steering Aids

Deep-Dish Steering Wheel
This device brings the steering wheel rim approximately 4″ closer to the wheelchair driver and is normally used with a low-effort steering system. It improves wheelchair accessibility to the steering wheel and lessens the range of steering motion.

Foot Steering Control
This devise transfers control of hand operated driving function to foot operation. Auxiliary and secondary vehicle controls are also adapted to foot operation.

Horizontal Steering Column
This motorized, telescoping steering column allows for adjustment of steering in a variety of planes and positions. It adapts to the reach limitations of a driver, and can be positioned for right or left hand use.

Low Effort Steering
This feature reduces the effort to steer the vehicle by approximately 40 per cent.

One Hand Drive Control System
This steering system is designed for people with limited or no use of lower extremities by good strength in one arm and hand. Its main component is a knob through which steering, brake, and throttle are activated. Auxiliary switches can be located adjacent to the knob, with toggle switches for convenience.

Steering Column Extension
This extension brings the steering wheel 2 -6″ closer to the wheelchair driver. It provides extra leg room and compensates for reduced range of movement.

Steering Spinners
Spinner knobs permit safe operation of the steering wheel by drivers who must steer with one hand. It allows them to remain in contact with the steering wheel at all times. They come in a variety of configurations including an amputee ring, knob, so called “quad-steering cuff,” palm grip, tri-pin and v-grip.

Zero Effort Steering
This reduces the effort required to steer the vehicle by approximately 70 per cent. A back-up steering system is usually recommended. It is available for vehicles with power steering.