Home → VA Prosthetics → VA Handbook 1173.4 - Automotive Adaptive Equipment → Additional Automobile Adaptive Equipment
4.19. Additional Automobile Adaptive Equipment
a. Single Disabilities
(1) Foot
(a) Loss of Left Foot (Including Loss of Use), Ankylosis of Left Knee or Hip
1. Hand-operated dimmer switch (nonstandard).
2. Hand-operated parking brake (nonstandard).
3. If standard transmission is selected, bar welded to clutch pedal to prevent foot slipping down or off to side.
(b) Loss of Right Foot (Including Loss of Use), Ankylosis of Right Knee or Hip
1. Left foot operated gas pedal.
2. Hand-operated dimmer switch (nonstandard).
3. Hand-operated parking brake (nonstandard).
4. Extension on brake pedal for left foot operation if not part of car.
5. If standard transmission selected, bar welded to clutch pedal so both clutch and brake pedals may be operated with the left foot.
b. Hand
(1) Loss of Left Hand (Including Loss of Use)
(a) Steering wheel knob or ring.
(b) Right hand operated direction signals.
(c) Right hand or foot operated parking brake (nonstandard).
(d) Relocation of control switches, as needed.
(2) Loss of Right Hand (Including Loss of Use)
(a) Steering wheel knob or ring.
(b) Left hand or foot operated parking brake (non-standard).
(c) Relocation of control switches, as needed.
(d) Left hand gearshift lever.
b. Multiple Disabilities
(1) Feet. The loss of both feet (including loss of use) ankylosis of both knees or both hips.
(a) Hand-operated brake and gas pedal in combination.
(b) Hand-operated parking brake (nonstandard).
(c) Hand-operated dimmer switch (nonstandard).
(d) Steering wheel knob or ring.
(2) Hands. The loss of both hands, triple extremity loss or quadruple extremity loss (including loss of use). Any combination of hand and/or foot control which does not involve steering, and relocation of control switches or levers as required. NOTE: A distinction must be made between those items which are optional and those items referred by the manufacturer to be "standard" or "included."
