Driving with Hand Controls: Everything You Need to Know
If you’ve ever wondered whether driving safely and comfortably without using your feet is possible, the answer is a resounding “yes.” For many people with disabilities or limited mobility in their legs, driving with hand controls opens a new world of independence and convenience. In this comprehensive guide, we’ll explore how hand controls work, the different types available, and what you need to get started on your journey to driving freedom.
What Are Hand Controls?
Hand controls are adaptive driving devices that allow the driver to operate the accelerator and brake using their hands rather than their feet. They’re commonly installed in vehicles used by individuals with disabilities affecting their lower limbs. With the proper training and equipment, hand controls make driving almost any compatible car, truck, or van possible.
How Do Hand Controls Work?
Hand controls connect to the accelerator and brake pedals through mechanical linkages or electronic systems. Pushing or pulling on the hand control device manipulates the gas and brake pedals to mimic standard foot controls. Depending on the style of the hand control:
• Push/Pull: You push forward on the handle to brake and pull back to accelerate.
• Push/Right Angle: You push forward to brake and move the handle at a right angle to accelerate.
• Push/Twist: You push forward to brake and twist the handle—similar to a motorcycle throttle—to accelerate.
Some setups also include a spinner knob or steering aid on the steering wheel, allowing the driver to steer with one hand while operating the hand control with the other.
Types of Hand Controls
Mechanical Hand Controls
1. Typically involves a physical connection to the brake and accelerator.
2. Include designs like push/rock, push/pull, and push/twist.
3. Generally easier to maintain but can be more physically demanding.

Electronic Hand Controls
1. Uses advanced electronics to translate hand motions into signals that control acceleration and braking.
2. Provides smoother transitions, which can reduce fatigue.
3. Often more expensive and may require specialized servicing.


Assistive Accessories
1. Spinner Knobs: Allow one-handed steering; attached to the steering wheel.
2. Tri-Pin Grips: Provide stability for those with limited hand strength.
3. Foot Pedal Guards: Protect your feet from accidentally hitting the pedals if you have some movement in your legs.


Check out Superior Van & Mobility’s hand-control products for more details and product options. Their comprehensive selection of hand controls can give you a better idea of the range of available solutions.
Who Can Benefit from Driving with Hand Controls?
• Individuals with Paraplegia or Lower-Limb Amputations
Those who have lost the use of their legs can operate a vehicle independently through hand controls.
• Seniors with Limited Mobility
Some older adults find foot control difficult or painful; hand control can reduce strain.
• Temporary Injuries
People recovering from leg or foot injuries may use hand controls short-term for continued independence.
• Chronic Pain Sufferers
Conditions like severe arthritis can make foot operations uncomfortable so that hand control can bring relief and ease of use.
Getting Started: Assessment and Training
• Driver Rehabilitation Assessment
Before installing any adaptive equipment, consult with a Certified Driver Rehabilitation Specialist (CDRS). They’ll assess your physical abilities, limitations, and specific needs and recommend the most suitable hand-control system.
• Vehicle Selection
While hand controls can be fitted to many vehicles, not every vehicle is ideal. Consider factors like seat comfort, door opening size, and interior space. Vans and larger vehicles often accommodate adaptive equipment more easily, but small cars can also work depending on the system.
• Installation by Professionals
Quality installation is crucial for safety and performance. Adaptive equipment specialists will ensure your vehicle’s hand control is securely mounted and properly calibrated.
• Learn and Practice
Learning to use hand controls requires some practice. Training sessions with a CDRS or qualified instructor will help you become comfortable with braking, accelerating, steering, and maneuvering in traffic.
• Licensing
In many regions, you may need a modification or endorsement on your driver’s license stating you use adaptive equipment. Check your local DMV or equivalent authority for the specific requirements.
Tips for Safe Driving with Hand Controls
• Practice in a Safe Space
Start in an empty parking lot or quiet street to get the feel of the equipment before tackling busier roads.
• Use Spinner Knobs or Steering Aids
If you have reduced upper body strength or need to steer one-handed, these aids can be invaluable.
• Perform Regular Maintenance
Ensure all linkages and fasteners remain secure. If you notice any unusual feedback or difficulty operating your controls, get them inspected immediately.
• Stay Updated on Technology
Adaptive driving technology evolves quickly. Keep an eye out for innovations that might improve your driving experience.
• Take Refresher Courses
As you gain experience, periodic refresher sessions with a driving professional can help reinforce best practices.
Cost Considerations
While driving with hand controls can be life-changing, planning for the financial aspect is essential. Installation costs vary widely based on the type of hand controls, vehicle model, and local labor rates. Some individuals may qualify for funding assistance through vocational rehabilitation programs, Veterans Affairs benefits, or non-profit organizations dedicated to helping people with disabilities. Insurance may also cover part of the cost if the hand controls are medically necessary.
Conclusion
Driving with hand controls isn’t just a possibility—it’s a reality that offers freedom and independence to many drivers who otherwise might be sidelined by mobility challenges. From choosing the right type of hand controls to working with qualified professionals for installation and training, there are clear steps you can take to get behind the wheel safely and confidently.
Whether you need mechanical or electronic controls, specialized steering aids, or additional accessories, the right adaptive equipment can transform your driving experience. For more information on available products and solutions, visit Superior Van & Mobility’s hand control products. Remember: with the proper assessment, expert installation, and some practice, you’ll be on your way to a new level of independence—one drive at a time.

Richard W. Maxwell, MBA
Richard Maxwell, is a seasoned automotive marketing executive with over two decades of experience. Starting in 1999 with his advertising agency, Maxx Design & Marketing, he has consistently delivered innovative marketing solutions. After earning his MBA, Richard shifted focus to adaptive technology, serving as Marketing Manager for Superior Van & Mobility. Today, he leverages his expertise to promote and educate others about adaptive equipment in transportation and drive change in accessible mobility.