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Driving
Rehabilitation
Question | Answer |
---|---|
Safe driving involves | a complicated set of visual motor actions based on complex input and requiring precise action |
Will the person use a van or a car? | This decision is usually based on whether s/he can transfer into the drivers seat and stow his/her wheelchair |
Driving while seated in car? | I they can transfer to the car easily they usually go for a car, it is easier to drive and park |
Equipment that can help get the wheelchair into the car | Manual, electical hoist, chair topper, trunk rack |
A trunk rack | requires the person to walk into the car |
Practice car | - an easy cheap solution that has some of the bumps you need to overcome in a car |
Driving while seated in a wheelchair | need a ramp/lift to get into the car - may be on the rear or at the side |
Switch options | Driver control, pendant, magnetic switch |
head height | some people don't have flexibility to duck their head getting into the car |
Restraint systems | You need to lock down the person and the chair. you can lock down the chair with: lock-down- where the person pulls into it OR tie down- 4 ties locked at the bottom. |
What can you adapt for with driving adaptions to compensate for motor impairment? | acceleration, braking, steering, phone, radio, a/c, mirrors, windows, horn, window washer |
Adaptions for Acceleration | Left foot accelerator, hand control, joystick , low effort |
Driving adaptions for braking | hand control, joystick (digidrive), low effort. |
Why use a leg block- | with hand controls, protect from leg spasams |
Driving adaptions for steering | spinner know, tri-pin, remote steering wheel |
Headrest | switches, can be installed on headrest |
Getting gas | Most states require stations to provide service at self-service cost to people who need it . |
What do we evaluate? | visual acuity, fields, reaction time. motor abilities, cognition. |
What is driver simulation for? | evaluation and screening- you see the ball and how long it takes you to brake |