You are an occupational therapist with advanced training in driving evaluation. You are working with a client with paraplegia

After completion of a thorough predriving assessment, you determine that your client can safely drive with appropriate vehicle modifications. Which of the following are appropriate modifica-tions for the individual with paraplegia?
A. Left foot accelerator, spinner knob
B. Hand controls for accelerator and brake, hand-operated parking brake
C. Pedal extensions
D. High-technology electronic controls and power equipment

ANS: B
Most individual who sustained a spinal cord injury with resultant paraplegia and some at an inju-ry level of C7 to C8 can drive a car that has the following modifications (Figure 11-20): 1. Standard power steering and power brakes with automatic transmission. 2. Mechanical hand controls to operate accelerator and brake. 3. A steering device, usually a spinner knob or V-grip
With current technologies, and after extensive evaluation and training, some clients with C4 to C5 spinal cord injury can safely drive systems with high-technology modifications (see Figure 11-21).