Category Archives: Hand controls

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

Spina Bifida

Spina Bifida is a congenital defect in which part of one or more vertebrae (the bone structure that surrounds the spinal column), fail, to develop completely, leaving part of the spinal cord exposed. It can occur anywhere on the spine but is most common in the lower back. The severity of the condition depends on how much nerve tissue is exposed. Frequently special adaptations on a vehicle are necessary for independent driving. The person with spina bifida may also have impairments in the ~areas of vision, perception (how the brain interprets what the eyes see) or learning. Adaptive driving equipment is frequently used for physical problems. A spinner knob and hand controls can be used if a person is unable to use either foot for gas or brake. Specialized modifications can also allow a person to transfer to the driver’s seat or drive from the wheelchair in a van or minivan. 


Common factors that can affect safe driving:

  • Limited range of motion and strength
  • Difficulty with coordinated movements
  • Visual impairments (poor acuity)
  • Trouble visually scanning or tracking quickly
  • Learning difficulties
  • Impaired judgment in complex situations
  • Slow processing and reaction time


A driver rehabilitation evaluation will examine the strengths and weaknesses of each individual as related to the driving task. The goal is independent, safe driving. No modifications or vehicle selection should be made until the person has completed a driver evaluation.

If you or those that drive with you notice any of the above warning signs and need a driving evaluation, give us a call at 508-697-6006 and we can, help you with with knowledge about medical conditions, and help with a comprehensive evaluation and determine your ability to drive. 

  • Visual Perception
  • Functional Ability
  • Reaction Time
  • Behind-the-wheel evaluation

Spinal Cord Injury

After a spinal cord injury has occurred, a person is no longer able to drive an automobile in the normal manner. However, there are several types of adaptive equipment and vehicle modifications that can allow an individual with a spinal cord injury to drive. Depending on the level of injury and functional ability, either a sedan or van may be an appropriate vehicle choice.
The following are considerations for selecting a vehicle:

Driving a sedan:  When considering the use of a sedan, the individual must be able to do the following:

  • Lock and Unlock the door
  • Open and close the door
  • Transfer to and from the wheelchair
  • Store and retrieve the wheelchair (either independently or with a wheelchair loading device)
  • Since characteristics and dimensions of vehicles vary, it is important that the individual performs these functions in the vehicle being considered prior to purchase. A driver rehabilitation specialist can provide recommendations for sedan selection.
Driving a van:  If an individual is unable to drive a sedan, there are several options available for driving a van. Specialized modifications can allow a person to transfer to the driver seat or to drive from the wheelchair.

There are several levels of driving control technology to compensate for the loss of strength and/or range of motion. Some of these include:

  • Reduced effort steering systems to compensate for reduced strength
  • Servo brake and accelerator control to compensate for reduced range of motion and strength.
  • Servo driving systems, allowing one hand operation of brake, accelerator and steering.
  • Adaptive equipment and vehicle modifications for wheelchair access are available for some full-size and mini vans; however, all vans are not suitable for modifications. We can assist in making the correct van choice and can provide a comprehensive evaluation to determine a persons ability to drive.
If you or those that drive with you notice any of the above warning signs and need a driving evaluation, give us a call at 508-697-6006 and we can, help you with with knowledge about medical conditions, and help with a comprehensive evaluation and determine your ability to drive.
  • Visual Perception
  • Functional Ability
  • Reaction Time
  • Behind-the-wheel evaluation

Traumatic Brain Injury

Traumatic Brain Injury and Closed Head Injury commonly occur due to motor vehicle collisions. Injuries can range from a loss of consciousness of less than five minutes to being comatose for many months. Any level of injury can cause an increase in pre-injury bad driving behaviors or create new, unsafe driving issues. These issues can stem from problems with vision, accuracy and speed of eye movements, speed of response, attention, memory, problem solving, judgment and/or loss of physical skills. It can spare one skill and wipe another skill completely from memory. It commonly makes learning new information difficult and may keep a survivor from quickly learning from their mistakes. All of the above can result in unsafe driving encounters, unpredictable driving actions or repeat collisions for the survivor.

If someone you know has been in an accident or has had a TBI, look for the following warning signs:

  • Inappropriate driving speeds
  • Is slow to identify and avoid potentially hazardous situations
  • Needs help or instruction from passengers
  • Doesn’t observe signs or signals or speed limits
  • Leaves out important road, traffic or warning information
  • Slow or poor decisions to traffic or road changes
  • Easily frustrated or confused
  • Pattern of getting lost, even in familiar areas
  • Collisions or near misses
  • Blames their driving mistakes on the behavior of other drivers
If you or those that drive with you notice any of the above warning signs and need a driving evaluation, give us a call at 508-697-6006 and we can, help you with with knowledge about medical conditions, and help with a comprehensive evaluation and determine your ability to drive.
  • Visual Perception
  • Functional Ability
  • Reaction Time
  • Behind-the-wheel evaluation

Obtaining a Wheelchair Accessible Van

A wheelchair van is more obtainable than you realize



Automotive Innovations, Your New England Mobility Resource understands a wheelchair van is much more than a way to get around. It means independence, a higher quality of life and freedom. We also understand that people with disabilities often struggle with medical bills, limited income and other financial obstacles that can make owning a handicap van seem unrealistic.

A wheelchair van is more obtainable than you realize. Numerous grants and reimbursements are offered from varied sources. And now you’ve found the most comprehensive online resource for wheelchair van financial assistance options. Explore the links below to discover the available grants, rebates and reimbursements for buying a wheelchair van or modifying a car with adaptive driving equipment.

OEM Rebate Programs
Learn about rebates offered by original equipment manufacturers. Vehicle manufacturer programs that give money back on new wheelchair vans or handicap van conversion equipment are a great way to cut your costs.

Organizations that Award Grants
See a list of nonprofit organizations and associations that award grants to people with physical disabilities. Grants can significantly offset the expense of a wheelchair van or adaptive driving equipment.

Financial Aid for Veterans
Find sources of funding for veterans of the U.S. military. Most veterans are eligible for partial or complete aid for acquiring a wheelchair van.

Assistance for Families with Disabled Children
Read about aid benefiting families of children with special mobility needs. Grants for physically disabled children help families afford a handicap van.

State Grants
Search for grants given out by your state. Every state provides financial aid to the physically disabled. Your state government is an essential source to help make a wheelchair van, accessibility modification or adaptive driving controls more affordable.

Government Grants for People with Disabilities

Find government grants and financing for handicap vehicles for people with disabilities nationwide. Money can be located with a little patience and a lot of research through various government programs. We’ve compiled a list of the most well-known government grant programs to assist your search for help funding a wheelchair van.When paying for a handicap van, you can use money from government grant programs for people with disabilities, as well other funding resources like disability grants, loans, fundraiser money, foundation endorsements, or any other funding source. We’ll work with your chosen foundations or any government grant program, after they verify financial assistance, to get you on the road!

To learn more about applying for wheelchair van grant funding to buy a handicap van or convert a pre-owned minivan, read “How to Apply for a Grant for Wheelchair Vans, Mobility Equipment, or Minivan Conversions.”

Government Wheelchair Van Financing Resources
Fund your wheelchair van with these government grant programs provided by the U.S. government and locally in your state.

Administration for Children & Families
On this website, new funding opportunities are displayed as they become available.

Grants.gov
The U.S. government resource listing federal grants available.

Medicaid
Sometimes provides assistance when children or other special circumstances are involved.

Medicaid/Department of Human Services (DHS)
Children are screened as part of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program of Medicaid. Under Medicaid’s “rehabilitative services,” people often receive handicap van or lift funding to achieve their “best possible functional levels.”

Vocational Rehabilitation (VR)
Located within each state’s Department of Human Services (per state), helps you prepare for work, train for a job, find a job, or keep a job as early as high school. Services are prioritized according to the severity of the disability.

Department of Assistive and Rehabilitative Services (DARS)
Check your state’s branch for grant availability.

Division of Developmental Services (DDS)
Check your state’s branch for grants.Those with Supplemental Security Income (SSI) benefits from the Social Security Administration can contact the agency about its Plan to Achieve Self Support(PASS). A PASS plan sets aside income to buy equipment or services in a way that keeps income, as well as resources, below the SSI eligibility cut-off so there are no reductions in benefits. The emphasis is on whether the handicap van or equipment will help the SSI recipient become vocationally self-sufficient. It’s important for an individual to contact and receive the approval of Social Security before setting up a PASS plan. Once money has been set aside for a PASS, spending it on something else can result in the loss of SSI benefits.Please note: You can use multiple sources of funding that include grants, loans, and other funding assistance. If you’re unable to find government grants for people with disabilities or need to acquire more money to help pay for your wheelchair van and/or mobility needs, check out more opportunities at our mobility finance page.