Tag Archives: modifications

Things You Should Know Before Renting a Wheelchair Accessible Van

Whether your own wheelchair accessible vehicle is undergoing repairs or modifications or you’re testing the adaptive automobile waters before taking the plunge with the purchase of one, renting a Wheelchair Accessible Van is an affordable, convenient and comfortable way of improving your mobility.

If you’re looking to rent this type of vehicle, these are some good tips to keep in mind.

How Much Does It Cost To Rent A Handicap Van?
If you’re all about saving your pennies, there are many ways to reduce the cost of renting a wheelchair accessible van. Here are just a few:

Avoid renting an accessible vehicle airport. Enjoy lower taxes and minimal fees by going to a dealer or rental agency outside the airport grounds.
Reserve online whenever possible to take advantage of special offers.
Fill up the tank before returning the vehicle. More often than not, this will be less expensive than paying the fill-up fee or pre-paying for gas at the rental agency.
Don’t double up on insurance. If your personal auto insurance already covers you for rentals, make sure you don’t sign up for redundant coverage.

Where to Go
Many mobility dealers maintain a fleet of accessible cars or conversion vans for rental purposes. Identify and contact the location nearest you to find out if they have handicap vehicles available to meet your needs. There are also a number of companies that specialize in accessible rental vehicles.

When to Rent
A wheelchair accessible van or car can transform the lives of people with disabilities or temporary mobility impairment. Renting a wheelchair accessible vehicle can be particularly helpful when:

Your current wheelchair accessible vehicle requires repairs or maintenance over a period of multiple days.
You’re going on a road trip or long ride – a rented wheelchair accessible vehicle can make these much more comfortable. Even if you own a wheelchair accessible vehicle, you might still consider renting a vehicle in order to avoid putting the mileage and wear on your own van.
A loved one or family member with a disability visits. If you don’t own an accessible vehicle, renting a wheelchair accessible vehicle can facilitate transporting your friends and family.

Easy Ways to Adapt Sports for Kids with Disabilities

Leave a reply

Step up to the plate, take the game-winning shot, leap across the finish line – the thrill of sports is nearly impossible to compare or match to that of another activity. For kids with a disAbility or other mobility limitations, sports can seem intimidating, as if they were a task too difficult to complete. With adaptive sports on the rise and more and more athletes with disAbilities making waves with their skill, kids of all ages and abilities should be encouraged to participate in these exciting activities. With a few modifications, even the most demanding sports can be completely accessible.

Basketball
Wider and lower hoops make this fast paced game a simpler competition. Use buckets, hula-hoops or even boxes can provide a larger targeted area, making it easier for kids to make those winning shots. Lower the “hoops” to a manageable height to boost your child’s confidence in their game.

Baseball
Tees aren’t just useful in golf; they are an excellent way to allow kids to take better aim when hitting a baseball. This sport, amongst others, can improve a child’s hand-eye coordination and focus, as well as instill a sense of teamwork in them.

Volleyball
Beach balls can quickly transform the sport of volleyball into a fully inclusive activity that’s sure to be a blast for everyone. The light beach balls are not only easier to hit, but they allow more time for players with disAbilities to react after the other team’s move. Balloons are another great alternative.

Whatever your sport of choice is, all it takes is a little ingenuity to adapt it to suit a child with a disAbility. Invite your kids’ friends over for backyard Olympics or stir up some friendly competition with your child – not only will sports allow kids to be more active, they’re a great way of improving social skills and abilities.

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.

Adaptive Mobility Equipment Financing Options

Leave a reply

Adaptive equipment describes an installed device, in addition to a structural modification, that is necessary for a person with a permanent physical disability to drive or be transported in a vehicle.

Some equipment not thought of as typical adaptive equipment, or equipment which is not available from the factory, that serves a need to operate or ride in a vehicle for persons with disabilities such as but not limited to: assist handles, keyless entry, keyless ignition switch, lumbar support, headrest adjustment, pedal extensions power seats, remote liftgate opener, running boards, seat belt extenders, seat modifications, and special mirrors may be eligible for reimbursement and require additional documentation. You will be notified if additional documentation is needed such as a letter or prescription clearly describing the permanent physical disability requiring this equipment, prepared by a licensed or certified medical professional.

Factory installed options such as air conditioning, running boards, lumbar seats and power windows are not considered eligible under the terms of the program.

Driving is a privilege for people stroke survivors with limited mobility; it provides a sense of stability in their lives so they can regain their independence. They love the flexibility their adaptive mobility equipment provides, but they often face exorbitant costs when it comes to financing the purchase of the equipment.

“The number one reason people with disabilities don’t have access to adequate transportation is because they cannot afford it.” The good news is that funding assistance to purchase adaptive equipment is becoming increasingly available.

Sources of funding determine a person’s “buying power.” Unlike the financing options provided by original equipment manufacturers, Mobility Equipment Dealers, such as such as ourselves, have access to financing options specifically for adaptive equipment purchases; they offer options and solutions for the customer.

Veterans
The Department of Veterans Affairs (VA) offers grants enabling 100% service related disabled veterans to purchase a new or used modified vehicle and adaptive equipment. Automobile grants are available once in the service member’s lifetime and adaptive equipment grants are available for special equipment that may used more than once. For more information, call 1-800-827-1000 or read the VA’s “Automobile and Special Adaptive Equipment Grants” fact sheet.

State Programs

State Vocational Rehabilitation (Voc Rehab) Agencies may be able to assist with the costs associated with purchasing an adaptive vehicle (or adding adaptive equipment to an existing one) if the vehicle is necessary in order for a person to get to and from work.
State Assistive Technology Loan Programs may also be able to provide assistance to help pay for modifications to the vehicle.
Center for Independent Living (CIL) can provide additional information on programs that may be available in your state.

Government Programs

Medicaid: Medicaid is a jointly administered federal and state program that helps with medical costs for some people with limited income and resources. Medicaid benefits differ by state and are approved on a case-by-case basis when a request for funding is presented through a prior approval.
Medicare: Medicare is a federal program and in some instances they will pay for adaptive equipment following a specialty evaluation performed by a qualified practitioner. For more information, call 1-800-633-4227.
Supplemental Security Income (SSI): SSI offers a Plan to Achieve Self-Support program, or PASS, which helps those with disabilities pay for items or services needed to achieve a specific employment goal – to ultimately return to work.
Internal Revenue Service (IRS): Often sales-tax exemptions on equipment purchases and other out-of-pocket costs can qualify for tax deductions as medical expenses. Contact a tax adviser or get literature from the IRS that outlines the tax code for medical equipment by calling 1-800-829-1040 and asking for publications with extensions 3966, 907 and 502.

Workman’s Compensation:
Your insurance or workman’s compensation policies may also pay for vehicle adaptation. Check with your HR department or workman’s comp. organization for more information.

Fundraisers, Charitable Organizations/Churches
These may not be for everyone, but they can be effective and many people have successfully raised the money to pay for a wheelchair accessible vehicle and adaptive equipment using these options.

Automakers Rebate Programs
Many automobile makers are providing people with disabilities a wide range of rebates and incentive programs to cover adaptive equipment installation. Below is an overview of some programs offering rebates or reimbursements for adaptive mobility equipment.

Ford Motor Company: The Ford Mobility Motoring adaptive equipment reimbursement offers up to $1,000 off for a vehicle modification. You may also qualify for up to $200 for alert hearing devices, lumbar support, or running boards installed on any new Ford or Lincoln vehicle purchased or leased from a U.S. Ford or Lincoln dealer during the program period.
Daimler Chrysler Corporation: Once you have a 2010-2013 Chrysler, Jeep, Dodge, Ram or FIAT vehicle that fits your transportation needs, contact a reputable and qualified adaptive equipment installer to ensure that it can be adapted to meet your needs.
General Motors Company Reimbursement Program: New vehicle purchasers/lessees who install eligible adaptive mobility equipment on their new Chevrolet, Buick or GMC vehicles can receive up to a $1,000 reimbursement for the cost of the equipment.
Toyota: The Toyota Mobility Assistance Program provides cash reimbursement of up to $1,000 of the cost of any aftermarket adaptive equipment or conversion, for drivers and/or passengers, when installed on any eligible purchased or leased new Toyota vehicle within 12 months of vehicle purchase or lease.

The decision to purchase adaptive mobility equipment stems from a need for mobility freedom for people with disabilities, including stroke survivors. The purchase process begins with selecting a reputable dealer to provide the adaptive equipment and installation, locating options to finance the purchase, and ends with insuring the adaptive equipment.

Make sure the after-market mobility modifications are professionally installed by a NMEDA mobility dealer. Once the adaptive mobility equipment is financed and installed, notify your insurance agent with a full disclosure of all adaptive mobility equipment installed in the vehicle.

Make sure your auto insurance company provides coverage for the conversion and adaptive equipment. Make sure you request coverage for “special” equipment, not just “handicapped” equipment.

“Handicapped equipment” covers only basic equipment such as the ramp or lift, not the lowered floor, kneeling system, lockdown system or other adaptive equipment.
“Special equipment” covers the conversion in its entirety. Be sure and send your insurance company an itemized list of every modification (which you can get from the mobility dealership that performed the conversion).

VMi New England Mobility Center is an advocate for mobility and accessibility for drivers with disabilities. If you need help with converting or buying a wheelchair accessible car, truck or van, please contact us at 508-697-6006 info@newenglandwheelchairvan.com

How To Choose An Accessible Vehicle For A Child

Leave a reply

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.