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ADED
The Association for Driver Rehabilitation Specialists
Driving and Spinal Cord Injury
After a spinal cord injury has occurred, a person may no longer able to drive an automobile in the previous 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:
Operate primary vehicle controls with or without assistive technology
Operate secondary vehicle controls with or without assistive technology
Open , close and secure the door
Transfer to and from the wheelchair ( with or without a transfer assist device)
Store, secure 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:
Horizontal , reduced diameter or deep dish steering systems to position the steering wheel within functional range of motion and maximize available strength
Mechanical Hand Controls for those driving from a wheelchair or transfer seat base with adequate strength
Reduced effort steering and braking systems to compensate for reduced strength
Servo brake and accelerator control to compensate for reduced range of motion and strength
Joystick 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. A driver rehabilitation specialist can assist in making the correct van choice. He/she can provide a comprehensive evaluation to determine a person’s ability to drive.
The Assessment should include:
Vision/ Perception
Functional Ability
Reaction Time
Behind-the-Wheel Evaluation

To locate the driver rehabilitation specialist in your area contact:
The Association for Driver Rehabilitation Specialists
2425 N. Center ST #369
Hickory, North Carolina 28601
www.aded.net - (828)855-1623, (866)672-9466 Toll Free in the US & Canada
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To locate the driver rehabilitation specialist in your area, please visit our Membership Directory.