What Are Hand Controls?

At PB Conversions, we know that for many drivers, physical mobility should not mean losing independence behind the wheel. That’s why we specialise in hand controls, making driving accessible again for those who cannot use conventional foot pedals. Whether you’re looking into cars with hand controls, considering retrofit solutions, or simply learning what “hand controls for cars” means, this guide will walk you through everything you need to know.

Who uses hand controls – and why?

Hand controls aren’t just a luxury; they’re a practical necessity for people whose legs, feet or lower limbs make using conventional accelerator and brake pedals difficult or impossible. Our customers typically include:

• Drivers with lower-limb disabilities or amputations, who find traditional foot pedals unworkable.
• People recovering from strokes, injuries or surgeries that affect leg function or mobility.
• Drivers with limited strength or range of motion in their legs might struggle with standard pedals.
• Anyone seeking to remain independent on the road, rather than move to public transport or rely on others.
• Motability users or lease-scheme drivers who wish to keep or obtain a vehicle adapted with hand controls.

We design solutions that are tailored to your needs, so you regain confidence and control, driving your own vehicle once again.

1. What are hand controls, and how do they work?

Simply put, hand controls are adaptive driving aids that transfer the functions of the foot-operated accelerator and brake (and in some cases, clutch or other controls) to hand-operated mechanisms. 

Typical arrangements include a lever mechanism mounted near the steering column or beside the driver’s seat: for example, a “push/pull” system where you pull to accelerate and push to brake. 

More advanced systems use electronic “drive-by-wire” hand controls, where minimal physical force is needed and the car’s electronics interpret signals from the hand control. 

With the right installation, your vehicle operates just like any other car—you steer with your standard steering wheel (or optional knob), select gears, and drive. The major difference is that your lower limbs don’t need to operate pedals.

2. Types of hand controls for cars – mechanical vs electronic

When it comes to hand controls for cars, there are two broad categories: mechanical and electronic. Understanding the difference helps you make the right choice for your needs.

Mechanical hand controls

These are the more traditional versions. A mechanical lever links physically to the vehicle’s brake and accelerator pedals. For example:

• A push/pull lever mounted on the steering column: pull to accelerate, push to brake.
• Floor-mounted lever beside the centre console for left-hand use.

Advantages:

• Often more cost-effective.
• Suitable for many automatic transmission vehicles.
• Straightforward to install and maintain.

Electronic hand controls (auto hand controls)

Here, the adaptation uses electronic sensors and actuators, reducing the physical effort required. For example:

• A ring accelerator fitted to the steering wheel that activates the throttle when pressed.
• An electronic push lever for acceleration with mechanical brake assist.

Advantages:

• Less fatigue on longer drives.
• Ideal if your hand or arm strength is limited.
• Sleeker integration in modern vehicles.

When we at PB Conversions carry out your assessment, we’ll look at which type suits your physical requirements, vehicle type and budget.

3. Are hand controls legal and safe in the UK?

Yes, using hand controls is perfectly legal in the UK, provided the conversion complies with regulations, is properly installed, and you undertake the necessary assessments and licensing updates.

From our experience:

• Your vehicle needs to be adapted by an approved specialist.
• You may need to inform DVLA so your licence can be updated with the adaptation information.
• Training may be required to ensure you can drive safely with the new controls.
• The conversion must not hinder safety mechanisms (steering, airbags, brakes) nor impede other drivers using the vehicle.

At PB Conversions, we ensure every installation meets legal and safety requirements so you can drive with confidence, worry-free.

4. Can any car be fitted with hand controls for cars?

This is a question we hear often, and the answer is: in many cases, yes—but not always. It depends on your vehicle and the adaptations required.

Key factors:

• Transmission: Automatic transmissions are the easiest fit for hand controls, because they remove the need for a clutch pedal. 
• Vehicle compatibility: Space around the driver’s footwell, steering column, and components matters. Some vehicles may require more complex adaptation or may not be suitable at all. 
• Shared use: If other able-bodied drivers use the vehicle, the hand control system should allow them to drive conventionally. Many systems are designed with this in mind. 

At PB Conversions, we carry out a full vehicle suitability assessment before recommending any hand control installation—so there are no surprises, and we ensure the right solution for your car.

5. How much do hand controls cost, and how are they funded?

Cost is a practical concern—and one we address clearly for our customers. The total cost depends on multiple variables: type of hand controls (mechanical vs electronic), vehicle complexity, installation time, and any additional adaptations (steering aids, secondary controls, etc.).

For example:

• Mechanical lever systems are generally more affordable.
• Electronic hand controls tend to cost more due to added complexity and integration. 
• Mobility in Motion
• You might need to factor in training and driving assessment costs. 

At PB Conversions, we work with Motability customers and other funding routes to make the process as smooth as possible.

We always provide a clear quotation ahead of work so you know exactly what to expect.

6. What’s the process? From assessment to driving again

At PB Conversions, our process is designed to make adapting your vehicle as simple and stress-free as possible:

• Initial consultation & assessment – We review your mobility needs, driving habits, vehicle and budget.
• Vehicle suitability check – We inspect your car, check compatibility, and recommend the best hand-control system for you.
• Custom adaptation design – We choose the appropriate hand controls (mechanical or electronic), steering aids if needed, and layout adjustments.
• Installation & calibration – Our technicians carry out the fitting of the controls, test everything, and ensure it’s safe and compliant.
• Training & familiarisation – Before you hit the road on your own, we ensure you’re comfortable and confident using the hand controls.
• Ongoing support & servicing – We remain available for maintenance, adjustments or if you change vehicles in the future.

Our aim is that once your vehicle comes back, you can simply drive—just like before—but now using your hands with full control.

To wrap up 

Hand controls are more than just vehicle modifications—they’re enablers of freedom, independence and confidence. Whether you’re driving again after an injury, adjusting to mobility changes, or simply want better ease and comfort behind the wheel, the right hand-control system can make a profound difference. At PB Conversions, we’re committed to helping you choose, install and use hand controls for cars that suit your life.

Ready to Regain Control of Your Driving?

If you’re exploring hand controls for cars, PB Conversions is here to make the journey effortless and reassuring. Our expert team will guide you through every step—from assessing your vehicle’s suitability to fitting the perfect auto hand controls designed for your comfort, safety and independence. We believe every driver deserves the freedom to stay mobile, no matter their physical ability.

Take advantage of our free compatibility assessment today to find out which hand control solution best fits your car and lifestyle. Whether you drive through Bedfordshire, Northamptonshire or beyond, our specialists will ensure your adaptation is safe, seamless and fully tailored to you.

• Contact us
• call 01525 850588 
• Book your free consultation

Let PB Conversions help you get back behind the wheel with total confidence.

FAQs – Your most asked questions answered

Q: Will installing hand controls stop someone else from driving my car using the pedals?

A: Usually not. Many hand-control systems retain the standard foot pedals so an able-bodied driver can still drive the vehicle. 

Q: I have limited hand strength. Can I still use hand controls?

A: Yes. Electronic hand control systems are designed for reduced physical effort and are ideal if you have limited hand or arm strength. 

Q: Do I need special training to drive a car with hand controls?

A: Yes. It’s strongly recommended to undertake professional adaptive-driving instruction to ensure you can operate the vehicle safely and confidently. 

Q: What happens if I change to a different vehicle in the future?

A: Many hand control systems are transferable with the correct mounting kits and adjustments. We’ll advise on the portability of the adaptation. 

Q: Are hand controls only for disabled drivers?

A: While many users have mobility impairments, hand controls can also benefit anyone who finds traditional pedal operation difficult—perhaps due to injury, fatigue or other physical limitations.