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Related Experiment Video

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Driving Simulation in the Clinic: Testing Visual Exploratory Behavior in Daily Life Activities in Patients with Visual Field Defects
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Return to driving after quadriamputation: A case study.

Thibaut Fraysse1,2,3, Maëva Cotinat1,2,3, Sophie Bichard1,2,3

  • 1Aix Marseille Univ, CNRS, Marseille, France.

Prosthetics and Orthotics International
|July 2, 2025
PubMed
Summary

Individuals with quadruple amputation can regain driving independence. This case study shows how customized prostheses and vehicle adaptations enabled a woman to drive again, significantly improving her quality of life.

Keywords:
adapted vehiclemultiple limb amputationprosthesisresumption of driving

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Occupational Therapy

Background:

  • Quadruple amputation presents significant challenges to daily independence.
  • Driving is essential for autonomy, yet literature on adaptive driving for individuals with multiple limb amputations is scarce.
  • Septic shock can lead to severe complications, including peripheral necrosis requiring quadruple amputation.

Purpose of the Study:

  • To examine the feasibility and process of enabling an individual with quadruple amputation to return to driving.
  • To document the use of adaptive devices and vehicle modifications for driving after multiple limb loss.
  • To assess the impact of regaining driving independence on the quality of life for an individual with quadruple amputation.

Main Methods:

  • Case study of a 35-year-old woman with quadruple amputation (bilateral transtibial, left forearm, right carpal radius).
  • Involved a multidisciplinary care and rehabilitation program.
  • Utilized customized prostheses and vehicle adaptations for driving control (steering, gearbox, indicators).

Main Results:

  • The patient successfully regained the ability to drive independently.
  • Her driver's license was revalidated by authorities.
  • Adaptive prostheses and vehicle modifications were key to enabling operation of driving controls.
  • Regained independence facilitated participation in activities like collecting her daughter from school and attending riding lessons.

Conclusions:

  • Return to driving is achievable for individuals with quadruple amputation through specialized rehabilitation and adaptive technology.
  • Customized prostheses and vehicle modifications are critical for restoring driving independence.
  • Regaining the ability to drive significantly enhances independence and quality of life after extensive limb loss.