Lower Limbs

Lower Limbs

September 8, 2022 Off By Word for Word Media


e.g. bilateral amputees, paraplegics, spina bifida, polio, muscular dystrophy, Cerebral Palsy, Multiple Sclerosis, etc.

Where the driver has not got enough function in their legs to enable them to use the pedals, then Hand controls are fitted.

Click here for more info on hand controls


e.g. amputee, incomplete spinal cord injury, stroke, etc.

Left leg affected:

L LL amp rL LL ampMany amputees, particularlyWhere the left leg cannot be used, an automatic car is a simple solution, however it is possible to get a clutch conversion for a manual car.



L LL amp knee 1 L LL amp footbelow knee can safely use their prosthesis on the clutch pedal as it is a simple up-down action to control and this can be easily learned.

L LL amp foot r L LL amp knee 2 Where there is weakness in the left leg, the endurance is an important factor to consider as well as the amount of sensory feedback from the leg, allowing the driver to feel the position of the foot in order to have accurate clutch control.

Right leg affected:

rr amp rr LL ampWhen a person is unable to use their right leg on the pedals they are generally limited to driving an automatic car and have the choice of fitting a left foot accelerator pedal or using hand controls. The Guidosimplex hand control system can be fitted to a manual car but this is very expensive.

Using the left leg on the right hand pedals is allowed but is not recommended for long term use due to the twisting of the hip and lower back which may lead to long term postural problems.

Left leg on pedals 2

Driving with any of these methods, the driver is required to re-do their driving licence.

r LL amp knee 1People witr LL amp footh a below knee amputation can choose between driving with their prosthesis, a left foot accelerator pedal or hand controls. Driving with a prosthesis requires a well rehabilitated person and usually requires a few months to get used to a it before they have the confidence and control of it to drive.

r LL amp foot rr LL amp knee 2Where there is a strong hip it is often still possible to drive with reduced function in the lower leg, such as a drop-foot. Since the right foot needs to quickly move between the pedals, the sensory feedback is essential to feel where the foot is in relation to the pedals. Where there is no sensation in the right foot it is safer to drive with hand controls of a left foot accelerator                                         pedal.