Category Archives: Mobility

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

Wheelchair Accessible Vehicles: Summer Road Trip Preparation

Each year, the summer months bring a slew of adventurous opportunities including road trips, family outings and visits to special destinations like the beach and state parks. With these fun-filled plans in motion, the last thing you are going to want to be worrying about is car or handicap accessible vehicles maintenance. However, as the hottest season of the year, summer is also one of the most trying on your vehicle. Even if you are not exactly handy with a wrench, a quick trip to the mechanic can help you follow these trip-saving tips and make sure you reach your destination this summer.

Check tires.
Summer temperatures can significantly affect the pressure levels on your tires. Driving with an under or overinflated tire runs the risk of the tire bursting, really putting a damper on your vacation plans. To avoid getting stuck roadside, be sure to check your tire pressure regularly. Consult your car’s manual for the optimal range of pressure for your vehicle, and ensure that none of your tires falls below or over those numbers. While you are at it, also check the pressure of your spare tire, as that can make a big difference if you are in a bind.

Change oil.
Putting your car or handicapped vans through regular oil checks and changes can drastically improve your vehicle’s driving condition. From better gas mileage to an overall longer lifespan, your wheels will thank you for keeping them oiled up and ready to go. Experts recommend changing your vehicle’s oil every 3,000 miles. You can have a professional take care of it or even complete the process yourself.

Replace windshield wipers.
Although summer comes with the promise of pool days, it is also often known to spring sudden showers on unsuspecting drivers. The colder months can be quite harsh on windshield wipers with extreme temperatures, snow, ice and salt affecting the rubber blades and decreasing their efficiency. If you are finding that it takes a few swipes to clear your windshield, it is time to replace your blades.

Treat Rust.
Vehicles today are subject to rust and corrosion due to moisture, humidity, tons of road salt and other airborne pollutants that can cause rapid deterioration of your wheelchair van. If neglected, the damages can make your mobility investment of little value. The thousands of yearly miles, environments and exposure to the elements of larger vehicles means they are a lot more likely to suffer from the effects of corrosion. Correct rust proofing on a regular basis can ensure that your vehicle does not suffer from corrosion related vehicle downtime and keep your van from falling apart.

Stay cool.
One of the worst things you could hear during the hotter months is that the air conditioning has stopped working. Not only does this feature add comfort, it also prevents driver fatigue due to high temperatures. A cooling system that does not function properly has probably developed a leak out, allowing the refrigerant to escape. Prevent any further damage and have a professional take a look.

Accessible Fun Family Summer Activities

Leave a reply

Picnics in the park are a great way to have a nice and affordable time with your family. Most parks are also easily accessible for those in wheelchairs, so pack your favorite snacks and just enjoy the amazing weather. Some local parks will have music playing, or community events that the whole family can enjoy—some even welcome dogs so you can enjoy the day with your furry friend.

Why not take a trip to a museum? Not only are most museum entrance fees affordable, but also this idea is a great way for you and your family to discover foreign cultures, classic masterpieces and more of history, while having a great time doing it.

Have a family game night. Who doesn’t love some mildly intense family competition? Find your favorite board games and plan a night in with the family. Great snacks are a definite must for this kind of fun, so make sure you have plenty of finger foods and yummy treats to munch on while you play. If you’re inviting friends or family members over to your home, it’s always a good idea to ask if there are any special dietary needs or food allergies you should know when planning the evening’s menu.

At home science experiments are a fun way to keep kids engaged even while they’re on summer break. It’s been shown that being away from school, kids lose a third of what they learned the previous year. Help them retain their knowledge and go back to school smarter than ever before by doing fun at home experiments and projects.

Horseback riding and/or fishing have also proven to be very therapeutic for folks with disabilities. Both items provide a great opportunity to be outside in a healthy environment.

Volunteering is definitely the least costly and most rewarding way to spend your time this summer. There are tons of different organizations and causes that you can dive into as a family. Pick a cause, assemble your team and give back to your community this summer.

Putting Amputees Back in the Driver’s Seat

Leave a reply

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.

35th Annual National Veterans Wheelchair Games

Leave a reply

If you’re looking for a summer vacation getaway full of excitement, look no further than the National Veterans Wheelchair Games held this year in Dallas, Texas. Whether you’re taking the whole family to experience these acts of courage and strength, or making a stop on your summer accessible road trip, this event supports and benefits our country’s veterans by encouraging a spirit of healthy activity and friendship.

The History
Since the Games began over 30 years ago in 1981, the event has grown from only 74 competitors to over 500 in 2014. This event is presented each year by the Department of Veterans Affairs (VA) and Paralyzed Veterans of America, with additional support from numerous organizations, corporate and community sponsors. Wheelchair sports had their start in the aftermath of World War II, when young disabled Veterans began playing wheelchair basketball in VA hospitals throughout the U.S. Since 1980, when the VA’s efforts brought about an enhanced awareness of the rehabilitative value of wheelchair athletics, VA therapists have used wheelchair sporting as a therapeutic tool for supporting Veterans with disabilities.

The Location
The event has moved from city to city over the years and 2015 marks the 35th annual NVWG. The event is being held in Dallas, a city with much to offer as host, including cultural districts, the best restaurants, hotels and museums for something to do while you’re not at the games. This years games are being held June 21–26, so if you’re looking to turn up the heat this summer, Dallas is the perfect place to be!

The Events
Veterans can compete in 18 different events at the games, including: 9-ball, air rifle, hand cycling, quad rugby, softball, track, table tennis, weightlifting, and many more. Athletes are classified by degree of disability and then further into divisions. Although registration for this years event ended April 15, if you are a U.S. military service veteran who uses a wheelchair due to mobility impairments, be on the lookout early next year to register!

If you aren’t a veteran, or just happened to miss registration but still want to be involved with this event you can always sponsor the games, or volunteer! More than 3,000 local volunteers are required to assist with all aspects of the games, from helping with transportation, to event set-up, water distribution, assistance with meals, and much, much more. Summer time calls for travel and excitement, and what more of a rewarding way to spend your summer days then traveling to Dallas to support our veterans.

Marfan Syndrome Awareness

Leave a reply

Marfan syndrome is a genetic disorder that affects the body’s connective tissue. Connective tissue holds all the body’s cells, organs and tissue together. It also plays an important role in helping the body grow and develop properly.

Connective tissue is made up of proteins. The protein that plays a role in Marfan syndrome is called fibrillin-1. Marfan syndrome is caused by a defect (or mutation) in the gene that tells the body how to make fibrillin-1. This mutation results in an increase in a protein called transforming growth factor beta, or TGF-β. The increase in TGF-β causes problems in connective tissues throughout the body, which in turn creates the features and medical problems associated with Marfan syndrome and some related disorders.

Because connective tissue is found throughout the body, Marfan syndrome can affect many different parts of the body, as well. Features of the disorder are most often found in the heart, blood vessels, bones, joints, and eyes. Some Marfan features – for example, aortic enlargement (expansion of the main blood vessel that carries blood away from the heart to the rest of the body) – can be life-threatening. The lungs, skin and nervous system may also be affected. Marfan syndrome does not affect intelligence.

Who has Marfan syndrome?
About 1 in 5,000 people have Marfan syndrome, including men and women of all races and ethnic groups. About 3 out of 4 people with Marfan syndrome inherit it, meaning they get the genetic mutation from a parent who has it. But some people with Marfan syndrome are the first in their family to have it; when this happens it is called a spontaneous mutation. There is a 50 percent chance that a person with Marfan syndrome will pass along the genetic mutation each time they have a child.

Knowing the signs of Marfan syndrome can save lives
People with Marfan syndrome are born with it, but features of the disorder are not always present right away. Some people have a lot of Marfan features at birth or as young children – including serious conditions like aortic enlargement. Others have fewer features when they are young and don’t develop aortic enlargement or other signs of Marfan syndrome until they are adults. Some features of Marfan syndrome, like those affecting the heart and blood vessels, bones or joints, can get worse over time.

This makes it very important for people with Marfan syndrome and related disorders to receive accurate, early diagnosis and treatment. Without it, they can be at risk for potentially life-threatening complications. The earlier some treatments are started, the better the outcomes are likely to be.

Knowing the signs of Marfan syndrome can save lives. Our community of experts estimates that nearly half the people who have Marfan syndrome don’t know it. This is something we are working hard to change.