For many disabled drivers, the ability to drive independently is closely tied to having the right vehicle adaptations in place. The UK offers a range of vehicle control modifications designed to accommodate different physical needs — but understanding what’s available, and how to access it, can feel overwhelming.
This guide explains the most common disability adapted vehicle controls available, and how AVC’s subscription service makes accessing these vehicles significantly easier.
Why Vehicle Adaptations Matter
Standard vehicles are designed for drivers without physical limitations — pedals, steering wheels and gear changes all assume a level of strength and mobility that not every driver has. Adapted controls allow people with reduced limb function, limited strength or other physical conditions to drive safely and independently.
The ability to drive independently is not just practical — it’s a major factor in quality of life, mental wellbeing and personal freedom. The right adaptations make the difference.
Common Types of Disability Adapted Controls
Push/Pull Hand Controls
Push/pull hand controls replace foot pedals with a lever mechanism fitted near the steering wheel. Pushing the lever activates the brake, while pulling it accelerates. These are among the most widely used adaptations for drivers who have limited use of their legs.
They can be fitted to most automatic vehicles and are the go-to solution for drivers with lower limb conditions, leg amputations or paralysis.
Left Foot Accelerator
For drivers who have lost the use of their right foot or leg, a left foot accelerator pedal can be fitted alongside the standard controls. This allows driving with the left foot while keeping the brake pedal operation standard.
Lodgesons Infrared Controls
Lodgesons infrared control systems are highly sophisticated adaptations that allow drivers with very limited movement to operate secondary controls — indicators, wipers, horn, lights and more — using infrared sensors positioned to respond to minimal hand or head movements.
These systems are ideal for drivers with neurological conditions, upper limb weakness or conditions that affect fine motor control.
Steering Aids
Various steering aids exist to assist drivers who have limited grip or arm strength. These include:
- Steering balls/knobs — allow one-handed steering
- Steering cuffs — secure a weak or partially paralysed hand to the wheel
- Tri-pin controls — allow grip with three fingers for drivers with limb differences
Electronic/Joystick Controls
For drivers with very severe mobility limitations, full electronic driving systems are available that allow all vehicle functions to be operated via joystick or minimal movement input. These are bespoke solutions typically assessed and fitted by specialist occupational therapists.
How Does AVC Support Adapted Vehicle Drivers?
AVC’s subscription service includes a range of disability adapted and wheelchair accessible vehicles, including options with push/pull hand controls, left foot accelerators and Lodgesons infrared systems.
One of the key advantages of a subscription is the ability to trial different adaptations. If you’ve recently acquired a disability or are still working out which controls suit your needs, the vehicle swap option means you’re not permanently committed to one setup. You can work with the AVC team to find the right combination for you.
Do I Need a DVLA Assessment for Adapted Controls?
Yes. The DVLA requires that drivers who need adaptations notify them of their condition. A driving assessment at a specialist driving assessment centre (such as those run by the Driving Mobility network) will typically be required before you can legally drive with adaptations. Your GP and occupational therapist can help guide this process.
Find Out More
If you’re a disabled driver looking for adapted vehicle options, speak with the AVC team. They can discuss which adaptations are available, which vehicles they’re fitted to, and how the subscription model works for your specific needs. View subscription plans here.

