


Some modifications are simple and inexpensive, while others can be expensive and customized for an individual. If you think you may benefit from any equipment or modifications to your vehicle, a comprehensive driving evaluation is a good place to start.
By working with a skilled professional:
There are many choices and solutions for car modifications. The best option for one person may not be appropriate for another. Changes to a vehicle can be costly and could pose risks to yourself and others. That’s why it is wise to have car modifications made with guidance from an expert.
Here are examples of potential modifications:If your seat won’t adjust enough to give you adequate view above the steering wheel, an occupational therapist will advise you on cushions that maintain a proper seating position. In addition, your car seat, safety belt and air bags are carefully designed to work together to protect you. Do not use bed pillows or other common household cushions while driving because they could compromise your safety in a crash.
If you have short legs or arthritic changes that affect your height, an occupational therapist can advise you on having pedal extenders professionally installed, and how to look for vehicles with an adjustable pedals option. Improperly installed or make-shift pedal extenders can put your life at risk if they are dislodged when driving. Always consult a trained professional to install pedal extenders.
If you have weakness in one arm or an amputation, an occupational therapist can determine if a spinner knob or other steering wheel adaptation is right for you. A spinner knob can help you to safely turn the steering wheel with one hand. Consult your therapist before getting this type of modification, since the wrong type of knob – or an improperly installed one – may result in a dangerous situation.
If you have had sensory changes in your feet or an amputation, an occupational therapist can explore the prospects for you to use adaptive hand controls to operate the gas and brake pedals. Hand controls are relatively common. Many drivers have adjusted to them and drive safely. If the occupational therapist determines you could benefit from hand controls, you will need to have on-the-road training before you go solo. It is important to have hand controls properly installed and to learn how to use them before getting out on the road.

This guidebook describes the benefits of having a comprehensive driving evaluation from an occupational therapist with specialized driver evaluation training.
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