Category Archives: Mobility

Mobility needs for wheelchair users including wheelchair vans, ramps, foot and hand controls.

Wheelchair Accessible Vehicle Heater Malfunctions and Maintenance

That first day when the world is coated in frost and the temperature has plummeted below freezing is not the time to find out your wheelchair vans heater is not working. Not only would the inside of your car feel like an ice box, but a broken heater can prevent your defroster from blowing warm air to your windshield to eliminate ice and fog, which can pose a hazard while driving. Not having a working heater could even become a dire situation, if you ever end up stranded.

That is why we recommend that you turn your car heater on long before you really need the heat. If your heater doesn’t respond with a warm blast of air, call and schedule an appointment today.

Causes of a breakdown
Your mobility van heater could stop working for a number of reasons, including:

A low antifreeze/water level in the radiator due to a leak in the cooling system.
A bad thermostat that isn’t allowing the engine to properly warm up.
A blower fan that isn’t working properly.
Coolant that contains rust particles or becomes otherwise contaminated and is blocking the heating core from circulating air into the cabin properly.

Depending on the problem, different types of repairs could be required. There really isn’t a heater unit, like a furnace in your house, that you can just replace. It is a combination of different things that provide heat into the vehicle. It’s very difficult to give a cost due to the wide variety of possible problems without inspecting the vehicle first.

One of the most important components, the heater core, which acts like a small radiator, passes the hot air from under the dashboard into the handicapped accessible vehicle. They can cost several hundred dollars to replace and sometimes takes a day or more to repair.

A decrease in the coolant level or a leak in the coolant system is one of the more common problems. Coolant doesn’t evaporate on its own. Topping it off may help in the short term, but it’s an indication of a deeper problem and should be checked out. You shouldn’t have to add anything at all if everything is working well. It can damage the motor if there is low heat from too little coolant.

A leak could be as simple as a loose hose clamp, or a major problem like a leaking engine cylinder head gasket, which can cause serious damage to the engine and cost several hundred dollars to replace.

Maintenance can prevent breakdowns
Several components make up the heating system, so unless you have experience with wheelchair accessible vehicle maintenance, it’s best to have a us diagnose the problem.

In general terms, a heating system works when the vehicle receives heat from the engine’s coolant system. Once the engine reaches its operating temperature — controlled by the thermostat — it heats up the coolant and water mixture, passes it through hoses and valves and into the heating core, which resembles a miniature radiator. A blower fan then pushes the warm air from the heating core through the cabin filter and into the vehicle.

The No. 1 tip is to have a mechanic asses your heater regularly by having a mechanic checking the coolant level and the other components. However, the coolant in newer vehicles may not need service until 60,000 to 100,000 miles, and heating problems usually don’t occur on newer vehicles.

Limb-Girdle Muscular Dystrophy

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What is limb-girdle muscular dystrophy?
Limb-girdle muscular dystrophy is a term for a group of diseases that cause weakness and wasting of the muscles in the arms and legs. The muscles most affected are those closest to the body (proximal muscles), specifically the muscles of the shoulders, upper arms, pelvic area, and thighs.

The severity, age of onset, and features of limb-girdle muscle dystrophy vary among the many subtypes of this condition and may be inconsistent even within the same family. Signs and symptoms may first appear at any age and generally worsen with time, although in some cases they remain mild.

In the early stages of limb-girdle muscular dystrophy, affected individuals may have an unusual walking gait, such as waddling or walking on the balls of their feet, and may also have difficulty running. They may need to use their arms to press themselves up from a squatting position because of their weak thigh muscles. As the condition progresses, people with limb-girdle muscular dystrophy may eventually require wheelchair assistance.

Muscle wasting may cause changes in posture or in the appearance of the shoulder, back, and arm. In particular, weak shoulder muscles tend to make the shoulder blades (scapulae) “stick out” from the back, a sign known as scapular winging. Affected individuals may also have an abnormally curved lower back (lordosis) or a spine that curves to the side (scoliosis). Some develop joint stiffness (contractures) that can restrict movement in their hips, knees, ankles, or elbows. Overgrowth (hypertrophy) of the calf muscles occurs in some people with limb-girdle muscular dystrophy.

Weakening of the heart muscle (cardiomyopathy) occurs in some forms of limb-girdle muscular dystrophy. Some affected individuals experience mild to severe breathing problems related to the weakness of muscles needed for breathing.

Intelligence is generally unaffected in limb-girdle muscular dystrophy; however, developmental delay and intellectual disability have been reported in rare forms of the disorder.

How common is limb-girdle muscular dystrophy?
It is difficult to determine the prevalence of limb-girdle muscular dystrophy because its features vary and overlap with those of other muscle disorders. Prevalence estimates range from 1 in 14,500 to 1 in 123,000 individuals.

Respect Accessible Spaces

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Going out in public is often riddled with obstacles for people with disAbilities. While this is largely due to inaccessible structures like stairs and narrow doors, so many unnecessary barriers are created by able-bodied people who place themselves where they shouldn’t be. That’s not to say that someone with a disAbility has special privileges. Rather, reserved access locations are intended to give people with disAbilities equal opportunities to experience the world around them. Here are some accessible places where able-bodied people should not be:

Handicap Parking Spaces
By far, the most frustrating obstacle put in place by able-bodied people is parking illegally in handicap accessible parking spaces. Though often thought that handicap parking is one of the “perks” of having a disAbility, the reality is that it’s a necessity, not a convenience. Most people with a disAbility get around in a wheelchair accessible vehicle that’s adapted with either a foldout/in-floor ramp or a lift so they can easily get in and out of their vehicle. If they don’t have access to a parking spot with enough space, there is literally no (safe) way for them to get out of their vehicles, which directly prevents them from getting where they need to go.

There are countless times when entering many parking lots that you’ll find that the only accessible spots are occupied by someone who doesn’t have a proper license plate or a permit. It is also common that vehicles park illegally in the white/blue lines next to the accessible spots making it impossible for the owner to access their vehicle which leaves them stranded.

Parking illegally in a handicap spot denies an important means of access to all people who legitimately need the accessible spaces. Able-bodied people have an entire parking lot full of spaces to choose from; disabled people usually only have a few accessible spaces. The accessible spaces are not there for the convenience of people who are lazy, or for people who claim they just needed to run into the store for a second. Illegal use of any part of a accessible parking space is inexcusable in any situation.

Accessible restroom stalls
While using the restroom at multiple locations you will find that most stalls are empty except the accessible one. Able-bodied people see the big, roomy bathroom open and are drawn to it; it’s understandable not wanting to be cramped into a small stall. However, using accessible bathroom facilities, especially when others are available, does demonstrate that people with disabilities aren’t in society’s conscience as being just as likely to be out in public as non-disabled people.

If every other stall is taken, it’s obviously okay to use it. But since people with disAbilities cannot physically get into regular sized restroom stalls, it’s not asking too much for able-bodied people to leave the one accessible bathroom option open when there are five other empty ones that are readily available.

Accessible shower stalls
Much like accessible bathroom stalls, there’s usually only one accessible shower facility in places like shared college dormitory restrooms and gym locker rooms. The accessible stalls are roomier and they often have a fold-down seat attached to the wall. Although this may be tempting for non-disabled people who want a shower with room to dance around or have a place to rest tired feet the accessible facilities are not intended for the convenience of able-bodied people.

Apparently, this is a hard concept for people. Frequently you’ll discover that every shower stall is empty except for the accessible one. Unfortunately it seems that able-bodied people see accessible showers as a luxury, rather than realizing that they are a necessity for disAbled people.

Accessible dressing rooms
Most stores have a large dressing room that qualifies as “accessible.” Unfortunately, they are rarely, if ever, properly labeled or guarded by store employees. Hence, some of the worst offenders of able-bodied people who block public access are the ones who use accessible dressing rooms.

Some people who actually need the accessible stall have to wait for 15-20 minutes (give/take) while able-bodied people take their time in the only accessible dressing room, even though several other regular dressing rooms are available. Able-bodied people need to realize that they have fifteen dressing rooms to choose from while people with disAbilities, that actually need an accessible room, only have one option.

Respect Accessible Spaces
If you don’t have a disAbility, then next time you just have to grab a gallon of milk or try on a bunch of shirts, please reconsider and don’t take up the only reserved accessible places. Leaving accessible places open for the people who truly need them is a super simple way to promote inclusion and acceptance of the disAbled community.

Beginner’s Tips: Searching for the Right Wheelchair Van

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If you’re a first-time buyer looking to purchase a wheelchair accessible vehicle things might seem a little overwhelming at first. You most likely have some questions and concerns when starting out, and that’s fine. We have several mobility vehicle experts/dealers and resources available to help you along the way.

Still, there’s never any harm in getting informed before you step onto your first lot as you look for a handicap van that meets your needs. Being equipped with information when you start looking for a mobility van will help you make a well-informed decision. It will also help you better express to us exactly what you are looking for.

There are a few basic pieces of information that can help you make your decision and learn more about accessible vans. Before heading out to shop around, there are some things you can to do prepare for your search.

Think about the options and features you are going to need in order to travel comfortably and without any hassle. This will give you a better idea of what sort of van you need while also giving a glimpse of what sort of price range you might be looking at.
Consider whether or not you’ll routinely have passengers such as family and friends and the room they might need.
Be realistic about the budget you have to work with. There is no sense in making another headache later on with a vehicle payment you can’t afford.

In addition to these tips, there are also several ways you can make the process easier outside of home. First and foremost, you could talk with one of our mobility consultants/experts to find out about benefits and features available to you in regards to whatever disability you may have.

We will let you try out a van before any money is put down. Take advantage of this opportunity to find out more about certain features and options that may suit your needs. Most of all, make sure you can ride comfortably.

Steinert’s Disease/Myotonic Dystrophy

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What is myotonic dystrophy?
Myotonic dystrophy is an autosomal dominant inherited disease characterized by wasting of the muscles (muscular dystrophy), myotonia and multisystemic conditions. Myotonic dystrophy is one of the most common neuromuscular diseases in adults. Its prevalence rate is five cases out of 100,000 inhabitants.

What are the clinical signs?
Two major clinical forms can be distinguished, although both due to defects of the same gene.

The common form in adults, which combines:

Progressive muscular dystrophy (weakness and atrophy);
Myotonia: delayed relaxation of a muscle after an initial contraction (for example difficulty to release grip after shaking hands);
Defects in other organs: eye (cataracts in nearly all patients aged 40 and more), nervous system (sleep, cognitive function, or mood disorders), heart (heart rhythm disorders and/or conduction disturbances sometimes causing sudden death), respiratory system (pneumopathies), digestive system, endocrinal glands.

The severity of the disease depends upon the age of onset, clinical signs and progression.

The congenital form combines a clinical picture of neonatal hypotonia and severe acute respiratory distress. If the child survives, the disease progresses to become a disabling condition, especially at the intellectual level. Its exclusive maternal transmission pattern is still not clearly understood.

What is the cause?
Myotonic dystrophy is an autosomal dominant inherited disease. There is a 50-50 chance that affected parents will transmit the disease to any of their children. The myotonic dystrophy gene has now been located and identified precisely (chromosome 19). It codes for a protein kinase called myotonine, the function of which remains unclear. The peculiar type of the genetic defect may partially explain the anticipation phenomenon; the severity of symptoms increases as the disease is passed on to the next generation.