Driving with a 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.

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 if applicable
• 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.

Driving control technologies to compensate for the loss of strength and/or range of motion:

• Reduced effort steering 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. We can assist in making the correct van choice as well as provide a comprehensive assessment to determine a persons ability to drive.

The assessment will include:

• Visual perception
• Functional ability
• Reaction time
• Behind-the-wheel assessment