To:
`
`Subject:
`
`Sent:
`
`Sent As:
`
`Attachments:
`
`ADED, Inc. (info@paulandpaul.com)
`
`U.S. TRADEMARK APPLICATION NO. 87683685 - SPECIALIST IN DRIVER REHABILITATION -
`2017-129
`
`10/5/2018 8:23:40 AM
`
`ECOM116@USPTO.GOV
`
`Attachment - 1
`Attachment - 2
`Attachment - 3
`Attachment - 4
`Attachment - 5
`Attachment - 6
`Attachment - 7
`Attachment - 8
`Attachment - 9
`Attachment - 10
`Attachment - 11
`Attachment - 12
`Attachment - 13
`Attachment - 14
`Attachment - 15
`
`UNITED STATES PATENT AND TRADEMARK OFFICE (USPTO)
`
`OFFICE ACTION (OFFICIAL LETTER) ABOUT APPLICANT’S TRADEMARK APPLICATION
`
`U.S. APPLICATION
`SERIAL NO.   87683685
`
`           
`
`MARK: SPECIALIST IN
`DRIVER
`REHABILITATION
`
`*87683685*
`
`CORRESPONDENT
`ADDRESS:
`  
`       ALEX R SLUZAS
`
`CLICK HERE TO RESPOND TO THIS
`LETTER:
`
`  
`
`       PAUL & PAUL
`
`http://www.uspto.gov/trademarks/teas/response_forms.jsp
`
`VIEW YOUR APPLICATION FILE
`
`         1717 ARCH ST STE
`3740
`
`           PHILADELPHIA,
`PA 19103
`
`    
`
`   
`
`APPLICANT: ADED,
`Inc.
`
`    
`
` 
` 
` 
` 
` 
`

`

`CORRESPONDENT’S
`REFERENCE/DOCKET
`
`  2017-129
`
`CORRESPONDENT
`
`NO:       
`E-MAIL ADDRESS:       
`
`   
`
`info@paulandpaul.com
`
`OFFICE ACTION
`
`STRICT DEADLINE TO RESPOND TO THIS LETTER
`TO AVOID ABANDONMENT OF APPLICANT’S TRADEMARK APPLICATION, THE USPTO MUST RECEIVE APPLICANT’S
`COMPLETE RESPONSE TO THIS LETTER WITHIN 6 MONTHS OF THE ISSUE/MAILING DATE BELOW.   A RESPONSE
`TRANSMITTED THROUGH THE TRADEMARK ELECTRONIC APPLICATION SYSTEM (TEAS) MUST BE RECEIVED BEFORE
`MIDNIGHT EASTERN TIME OF THE LAST DAY OF THE RESPONSE PERIOD.
`
`ISSUE/MAILING DATE: 10/5/2018
`
`THIS IS A FINAL ACTION.
`
`This Office action is in response to applicant’s communication filed on August 28, 2018.   The applicant (1) amended the certification statement
`and (2) amended the application to seek registration on the Supplemental Register.  No. 1 is acceptable.
`
`The proposed amendment to the Supplemental Register is unacceptable.
`
`The refusal under Trademark Act Section 2(e)(1) is now made FINAL for the reasons set forth below.  See 15 U.S.C. §1052(e)(1); 37 C.F.R.
`§2.63(b).
`
` 
`  
`  
` 
` 
` 
` 
` 
`

`

`MARK IS MERELY DESCRIPTIVE
`
`Registration is refused because the applied-for mark merely describes a desirable feature of applicant’s services.  Trademark Act Section 2(e)(1),
`15 U.S.C. §1052(e)(1); see TMEP §§1209.01(b), 1209.03 et seq.
`
`A mark is merely descriptive if it describes an ingredient, quality, characteristic, function, feature, purpose, or use of an applicant’s services. 
`TMEP §1209.01(b); see, e.g., In re TriVita, Inc., 783 F.3d 872, 874, 114 USPQ2d 1574, 1575 (Fed. Cir. 2015) (quoting In re Oppedahl &
`Larson LLP, 373 F.3d 1171, 1173, 71 USPQ2d 1370, 1371 (Fed. Cir. 2004)); In re Steelbuilding.com, 415 F.3d 1293, 1297, 75 USPQ2d 1420,
`
`1421 (Fed. Cir. 2005) (citing Estate of P.D. Beckwith, Inc. v. Comm’r of Patents , 252 U.S. 538, 543 (1920)).  
`
`The applicant applied to register the certification mark SPECIALIST IN DRIVER REHABILITATION for driver rehabilitation services for
`persons with disabilities, namely, vehicle driving instruction.
`
`The dictionary definitions made of record in the first Office action established that SPECIALIST refers to a person who has special knowledge
`and skill relating to a particular job, area of study, and DRIVER REHABILITATION refers to is a type of rehabilitation that helps individuals
`facing challenges caused by a disability or age to achieve safe, independent driving or transportation options through education or information
`dissemination.
`
`In addition, the attached materials downloaded from the internet clearly shows the descriptive nature of the mark as applied to applicant’s
`certification services.  (See attachments).
`
`As previously stated, the proposed mark would immediately be understood as describing applicant’s certification services, namely, that the
`person being certified is a specialist in driver rehabilitation.
`
`Accordingly, the refusal to register the mark under Section 2(e)(1) is made FINAL.
`
`Refusal – Amendment to Supplemental Register Unacceptable
`
`Registration is refused on the Supplemental Register because the proposed mark is not in lawful use in commerce, as required by Trademark Act
`Section 23.  See 15 U.S.C. §1091(a); 37 C.F.R. §2.47(a); TMEP §714.05(a)(i).  Specifically, this application is based on applicant’s bona fide
`intention to use the mark in commerce under Section 1(b), and applicant has not yet submitted an amendment to allege use under 37 C.F.R.
`§2.76.  See 37 C.F.R. §§2.47(d), 2.75(b); TMEP §§815.02, 1102.03.
`
`This refusal will be withdrawn if applicant (1) deletes the amendment to the Supplemental Register, or (2) submits an amendment to allege use
`that meets the requirements of 37 C.F.R. §2.76(b), (c).  See TMEP §§815.02, 1102.03.
`
`If applicant maintains the amendment to the Supplemental Register and provides an acceptable amendment to allege use, the effective filing date
`of the application will be the date on which applicant met the minimum filing requirements of 37 C.F.R. §2.76(c) for the amendment to allege
`use.  37 C.F.R. §2.75(b); TMEP §§816.02, 1102.03.  In addition, the undersigned trademark examining attorney will conduct a new search of the
`USPTO records for conflicting marks based on the later application filing date.  TMEP §§206.01, 1102.03.
`
`OPTIONS
`
`Applicant must respond within six months of the date of issuance of this final Office action or the application will be abandoned.  15 U.S.C.
`§1062(b); 37 C.F.R. §2.65(a).  Applicant may respond by providing one or both of the following:
`
`(1)      
`
`a response filed using the Trademark Electronic Application System (TEAS) that fully satisfies all outstanding requirements
`and/or resolves all outstanding refusals; and/or
`
` 
` 
` 
` 
` 
` 
` 
` 
` 
` 
` 
`

`

`(2)      
`
`an appeal to the Trademark Trial and Appeal Board filed using the Electronic System for Trademark Trials and Appeals (ESTTA)
`with the required filing fee of $200 per class.
`
`37 C.F.R. §2.63(b)(1)-(2); TMEP §714.04; see 37 C.F.R. §2.6(a)(18); TBMP ch. 1200.
`
`In certain rare circumstances, an applicant may respond by filing a petition to the Director pursuant to 37 C.F.R. §2.63(b)(2) to review
`procedural issues.  TMEP §714.04; see 37 C.F.R. §2.146(b); TBMP §1201.05; TMEP §1704 (explaining petitionable matters).  There is a fee
`required for filing a petition.  37 C.F.R. §2.6(a)(15).
`
`  
`
`TEAS PLUS OR TEAS REDUCED FEE (TEAS RF) APPLICANTS – TO MAINTAIN LOWER FEE, ADDITIONAL
`REQUIREMENTS MUST BE MET, INCLUDING SUBMITTING DOCUMENTS ONLINE:  Applicants who filed their application
`online using the lower-fee TEAS Plus or TEAS RF application form must (1) file certain documents online using TEAS, including responses to
`Office actions (see TMEP §§819.02(b), 820.02(b) for a complete list of these documents); (2) maintain a valid e-mail correspondence address;
`and (3) agree to receive correspondence from the USPTO by e-mail throughout the prosecution of the application.  See 37 C.F.R. §§2.22(b),
`2.23(b); TMEP §§819, 820.  TEAS Plus or TEAS RF applicants who do not meet these requirements must submit an additional processing fee of
`$125 per class of goods and/or services.  37 C.F.R. §§2.6(a)(1)(v), 2.22(c), 2.23(c); TMEP §§819.04, 820.04.  However, in certain situations,
`TEAS Plus or TEAS RF applicants may respond to an Office action by authorizing an examiner’s amendment by telephone or e-mail without
`
`incurring this additional fee.     
`
`/Alice Benmaman/
`
`Examining Attorney
`
`Law Office 116
`
`(571) 272-9126
`
`alice.benmaman@uspto.gov
`
`TO RESPOND TO THIS LETTER:   Go to http://www.uspto.gov/trademarks/teas/response_forms.jsp.   Please wait 48-72 hours from the
`issue/mailing date before using the Trademark Electronic Application System (TEAS), to allow for necessary system updates of the application. 
`For technical assistance with online forms, e-mail TEAS@uspto.gov.  For questions about the Office action itself, please contact the assigned
`trademark examining attorney.  E-mail communications will not be accepted as responses to Office actions; therefore, do not respond to
`this Office action by e-mail.
`
`All informal e-mail communications relevant to this application will be placed in the official application record.
`
`WHO MUST SIGN THE RESPONSE:  It must be personally signed by an individual applicant or someone with legal authority to bind an
`applicant (i.e., a corporate officer, a general partner, all joint applicants).  If an applicant is represented by an attorney, the attorney must sign the
`
`response.  
`
`PERIODICALLY CHECK THE STATUS OF THE APPLICATION:   To ensure that applicant does not miss crucial deadlines or official
`notices, check the status of the application every three to four months using the Trademark Status and Document Retrieval (TSDR) system at
`http://tsdr.uspto.gov/.   Please keep a copy of the TSDR status screen.   If the status shows no change for more than six months, contact the
`Trademark Assistance Center by e-mail at TrademarkAssistanceCenter@uspto.gov or call 1-800-786-9199.   For more information on checking
`status, see http://www.uspto.gov/trademarks/process/status/.
`
`TO UPDATE CORRESPONDENCE/E-MAIL ADDRESS:  Use the TEAS form at http://www.uspto.gov/trademarks/teas/correspondence.jsp.
`
` 
` 
` 
` 
` 
` 
`

`

`  
`

`

`http'flsafemoblllt
`
`fl comeealtnCareProwderResources ntm
`
`10/05/2018 08 18'14 AM
`
`A+ | Reset | A7
`Home v Ag ng Road Userv Aging In Place - Vehicle v Resources For.
`
`Search this websitB E
`Laws -
`Find a Rlde
`
`1r
`lSAFE MOBILITY
`l— FOR LIFE —
`
`Heailh Care Needs
`Assessment
`
`9
`
`3
`
`
`
`Doctors and other health rare professionals play an important role in the safe mobility of their older patients. The American
`Medical Association encourages physicians to make driver safety a routine part of their medical services.
`
`FIND IT FAST
`* How to Report a Medically Atafiisk Driver
`i Clinical Assessment of Driving Related Skills {CADRe5) Score Sheet (pdf)
`i Current Procedural Terminology (CRT) Codes (pdf)
`1: FindaRideFlorida.org 7 Access to local transportation options for your patients
`. Florida's Guide for Aging Drivers 7 Find local resources for patients to remain proactive drivers
`. clinician's Guide to Assessing and Counseling Older Drivers
`
`The American Geriatrics Society and NHTSA have published the clinician’s Guide to Assessing and Counseling Older Drivers
`to help healthcare professionals prevent motor vehicle crashes and injury to older adults. The Guide assists cli
`ans in
`assessing older drivers at risk for crashes and counseling ofder drivers to help enhance their driving safety. Resources for
`easing the transition to driving retirement when necessary are also available. Click here for our new page dedicated to this
`important resource or click the button above.
`
`

`

`http'flsafemobillt
`
`fl comeealthCareProwderResources htm
`
`10/05/2018 08 18'14 AM
`
`Important resource or (2|ch me outrun above.
`
`Occupational Therapists and Driver Rehabilitation Specialists
`Driver rehabilitation specialists, many of whom are also occupational therapists, have specialized training in identification of
`a driver‘s strengths and the physical, visual and cognitive challenges presented by the task of operating a motor vehicle.
`They can evaluate an individual's ability to safely operate a vehicle and make recommendations about ways to limit risks.
`Many of them are located in a healthcare setting in your community.
`There are vehicle modification items that require an assessment by an occupational therapist or driver rehabilitation
`specialist. This is to ensure proper installation and training on safe use. Examples of this include pedal extenders, panoramic
`mirrors, hand controls, seat lifts, steering devices, etc. Visit the AOTA website to find a Driver Rehabilitation Specialist.
`The Association for Driver Rehabilitation Specialists was established in 1977 to support professionals working in the field of
`driver education/driver training and transportation equipment modifications for persons with disabilities through education
`and information dissemination.
`
`"As we age, we often lace some oflbe abilities that make us safe drivers. Vision, memory, physical
`strength and reaction time may decline. That's where a little-lam“ health—(21m professional can
`help out: a driver rehabilitation specialist. That's a therapist1 ofhen an ocalpational therapist1 with
`special training to help people compensate for a disability that makes it hard to drive."
`
`Read the NPR article or listen to the audio entitled On the Road Again: specialists Helping Aging
`
`i AOTAguide for therapists seeking
`
`Drivers.
`
`n p
`
`Becoming a Specialist in Driver Rehabilitation and Community Mobility
`The following organizations offer resources for specializations in driver rehabilitation and mobility.
`«an
`V“
`”’9‘;
`TheAssociationfor Driver
`'
`g?
`‘
`in
`Rehabilitation Specialists
`V
`‘59,;
`,
`3’:
`is. M
`It ADED link for CDRS certification
`it CDRS Certification Exam Handbook
`it Driver Rehabilitation Providersearch [opens
`ADFD website!
`
`AOTA TheAmerican Occupational
`Therapy Association, Inc.
`i Specialty Certification in Driving and
`Community Mobility
`rerrifiratinn
`
`

`

`http'flsafemobjllt
`
`fl comeealthCareProwderResources htm
`
`10/05/2018 08 18'14 AM
`
`AUtU webslte)
`
`cemtlcatlon
`‘ Driving Rehabilitation Program Development
`Toolkits
`é Find a Drlving Specialist (opens AOTA
`website)
`
`Florida's Health Care and Social Service Needs Assessment
`The Safe Mobility for Life Coalition's mission is to improve the safety, aocess, and mobility of Florida's aging road user.
`Florida's Aging Road User Strategic Safety Plan, developed by the Coalition sen goals for improving safety and to help meet
`those goals, the Coalition needed to assess the current situation and level of knowledge among the health care community
`and other adult service organizations.
`The FDOT contmcted with researchers from SRA Research Group Inc. to develop an assessment tool and conducta
`statewide survey. The research project titled "Health Care Providers and Older Adult Service Organizations to Assist in the
`Prevention and Early Recognition of Florida's At-Risk Drivers" helped determine baseline levels of community practice,
`knowledge, interest, and resource needs regarding at—risk drivers.
`
`The assessment results provide a snapshot of current practice in regarding how professionals from health care and older
`
`adult senrice organizations interact with older Flori ans on driving issues. Some key findings include:
`
`1} Top resources they want to receive: mm.
`
`1k A majority of both medical professionals (85%) and social service providers
`(37%) said they discuss dri
`'ng with adult: age 50 and over.
`§ Barriers to discussing driving were identified:
`a Lack of resources to assess (55%]
`t No transportation options to offer (50%)
`t Not driving may negatively impact quality of life (49%)
`:5 Lack of resources to edumte {41%)
`¥ No time to assess [40%)
`§ Main topit: discussed with older adulm:
`
`t Flanning for the future (56%)
`¥ Talking about ways to drive safely (52%)
`i The majority (88%) feel a simple screening tool to help identify and better
`predict atirisk drivers would be helpful.
`§ The majority (88%] agree identifying at-risk drivers is everyone's
`responsibility.
`
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`http'flsafemobillt
`
`fl comeealthCareProwderResources htm
`
`10/05/2018 08 18'14 AM
`
`‘ Florida's Guide forAging Drivers
`‘ Local Transportation Options
`t FDOT Safe and Mobile Seniors website (www.5afeMobilityFLcom)
`
`The Safe Mobility for Life Coalition will use the results ofthis research proiect to guide the development and/or
`dissemination of educational and outreach materials which support the recognition and reporting of at-risk drivers. For
`more information, view the project's final report and summary.
`
`a Summary
`
`& Final Report
`
`State Traffic Engineermg and Operations Office
`
`
`
`Licensing
`Each state has its own licensing and license renewal criteria for drivers of private motor vehicles. In addition, certain states
`require physicians to report unsafe drivers or drivers with specific medical conditions to the driver licensing agency.
`Information on Florida's Medical Advisory Board can be found on our Laws page.
`
`*s’éurces
`& TransAnalytics Health & Safety Services sponsored website DrivingHealth.com includes information on medical fitness
`to drive, medications that might impair driving, screening and assessment, and trainingfremediation.
`t NHTRA hnps://www.ninqa.gm/mad.=are1v/nIdE-pdrium Resnur
`rm People Arnund nldpr nrium.
`§ The American Geriatrics Society webinars provide guidanoe to cl
`ans who treat older drivers. The webinars are free
`and offer CME credits. Geriatrics Care Online
`
`Department
`
`

`

`https flwvwv autotnsurancecenter comladaptiveeautoetechnoloqles htm
`
`MES/2018 08'l9 36 AM
`
`A Aufolnsurance
`
`HOME
`
`STATE ABOUT
`CONTACT
`
`\t844l777-5466
`24 hours a day. 7 days a week.
`
`
`
`Adaptive Auto Technologies
`
`Many adaptive driving devices are available forthe aid of individuals with physical disabilities. The aids used for a specific individual will depend on that person‘s physical needs
`as well as his or her preferences Some common types of vehicle modifications involve changes to the car’s mechanical systems steering devlces. or foot and hand controls.
`Changes to vehicle seating or the individual’s method of entering the vehicle might also be necessary. It is recommended that any modification to an indiVidual‘s vehicle should be
`assessed in a real~|ife driving environment before the individual decides to permanently install the device.
`
`Some ofthe common adaptations to the major systems of the vehicle can include installing an automatic transmission in lieu of a manual shift and clutch; providing power steering
`that allows operation of the steering wheel with only one hand: and switching to a power braking system used in conjunction with hand-operated controls Steering changes can
`include a floor-mounted wheel for steering With one 5 foot; a modified effort system for steering. which reduces the amount of personal strength required for steering or braking;
`and the installation of devices that modify how steering is operated. such as an amputee ring. tri pin. quad fork. or spinner knob. Custom-built steering devices are also available.
`Other options include extensions of existing foot pedals or the installation of an accelerator that is operated with the left foot.
`
`it
`Some modified vehicles may use hand controls that feature one lever for all braking and accelerating actions: along with minor controls such as turn signals. wipers, or horn.
`should be noted that the Veterans Administration does not recommend the use of mounted or temporary hand controls. It is also possible to shift gears with the left hand by way
`of an electric gear selector. Some individuals might require the installation of a turn signal operated by the right hand. A remote switch can be used for repositioning the controls
`for secondant operations like turn Signals.
`
`Modifications to seating or vehicle entry are often required to make vehicles accessible for drivers with physical limitations Some limitations might require the use of power seats.
`which reduce the difficulty of transferring into the vehicle. or custom seating that accommodates specific needs for stability. balance. or positioning. Adjustments to lap or shoulder
`safety belts could also be required. For individuals with mobility issues, lamps or lifts make it easier to get in and out of the vehicle. Those who use a wheelchair or scooter may
`need a specialized lift to accommodate this device. A wheelchair carrier might also be required for ease oftransportlng a wheelchair out of the vehicle.
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`

`https flwku autornsurancecenter c0mladaptiveiautoitechnoioqies htm
`
`10/05/2018 08'19 36 AM
`
`For individuals who have physical limitations, there are programs available for driver rehabilitation that can help with the adjustment to adaptive driving. Each of these programs
`should feature a certified specialist in driver rehabilitation, in addition to vehicles and equipment that are needed. The specialist will begin by evaluating the driver's visual,
`cognitive, and perceptual functioning and physical limitations. For individuals using a wheelchair or other specialized seating, the specialist will also assess this equipment. Next,
`the specialist will assess the driver's ability to function safely within a real driving environment using the provided equipment. Based on these assessments, the specialist will
`provide a prescription for vehicular modification, including a detailed description of the driver’s vehicle, its dimensions, and any mobility devices that are needed, such as a scooter
`or wheelchair. The driver will be fully educated on the operation of a vehicle containing the equipment that has been prescribed for him or her. Finally, when the needed
`equipment has been added to the driver‘s vehicle, the specialist will perform one last check to assess the driver's use ofthe new equipment.
`
`Selecting a vehicle requires careful consideration of several important factors. It may be helpful to consultwith your physical therapist, occupational therapist, or doctor when
`making this decision. You can also use the services of a certified specialist in adaptive driving, who can help you select a vehicle as part of a driver rehabilitation program. Here
`are some of the factors to consider when selecting a vehicle for your personal transportation needs. First, think about yourspecific needs. Can you use a form of public
`transportation, or do you need a personal vehicle? Do you Intend to drive the vehicle yourself or be a passenger? W“ a car provide adequate space, or will you require a larger
`vehicle such as a mini-van, full-size van, or tnrck? If you intend to be the driver, consider whether you can cope with the stress ofdriving, which can be physically and mentally
`challenging.
`
`You should also give thought to your physical limitations, which will affect your ability to drive a vehicle or even complete a transfer into the vehicle. Based on your individual
`limitations, consider whether you will need a lift for assistance and which type of lift best meets your needs (superann or piatfonn saving-out, electric or hydraulic, rear or side
`entrance, etc.). Will you need to raise the vehicle's doors and top, or lower the floor? You may require a power seat to access the driver's side of the vehicle, or perhaps you will
`need to be seated in your wheelchair or scooter while driving. Think about your total height when seated, from head to ground, as well as the width and length of your scooter or
`wheelchair.
`
`It is also wise to consider the financial and safety aspects of the vehicle you use for modifications. You may want to assess your eligibility for sources of alternative funding, such
`as services for vocational rehabilitafion or developmental disabilities; the Veterans Administration; health insurance; or Workman's Compensation. A certified accountant may also
`be able to assist you with tax credits that can help cover the needed modifications. In some cases, a vehicle manufacturer may offer a rebate program, or the car dealership might
`have a financing package that can help. For safety reasons, it's also a good idea to plan ahead for vehicle emergencies. Be aware of coverage provided by any warranty or
`service programs available for your vehicle. If you will be out of town, make a note of places where repairwork can be done in case of an emergency.
`
`Please refer to the following links for additional information on adaptive auto technologies and related resources.
`
`- Using a Wheelchair as a Seat in a Motor Vehicle
`- Resources for Vans and Vehicle Modifications
`
`- Adaptive Driving I Vehicle Adaptations
`- Adapting MotorVehicles for People with Disabilities
`- Common Vehicle Modifications for Persons with Disabilities
`
`

`

`https ”WWW automsurancecenter comladaptiveeautoetechnoioqies htm 10/05/2018 08'19 36 AM
`
`, vuuuuuu ucmuc Ivluulln—ullulla m.
`I claw”: mu. ulauuiliuia
`
`- Accessible Vehicies Q & A
`- Automobiles and Adaptive Equipment for Certain Disabled Veterans and Members ofthe Armed Forces
`- Adapting a MoIor Vehicle for a Person with a Disability
`- Mobility Evaluation Program
`- Equity in Transportation for People with Disabilities
`
`Ins
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`4 Tips for Using Electronic Proof of Insurance During Traffic Stops
`What Are These Warnings Lights on Your Car's Dashboard Telling You?
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`HealthAtterEO
`a-iamn i 2m? Updated May 12-17
`
`REVIEWES BY
`EMMA F'r'w M 3 MBA
`
`(3)
`
`
`
`Pain fatigue, reduced range of motion in the pints, loss at muscle shengthwxperiencing any one of
`these arthritisrrelated symptoms can make driving challenging,
`
`In tact, according to a study In The American Journal Of Occupational Therapy, many drivers with
`arthritis report that symptoms affect their ability to perform even the most basrc driVing maneuvers,
`such as steering, checking blind spots‘ reversrng, and responding to sudden changes, Fortunately, in
`many cases, there’s rm need to give up the car keys,
`
`In the meantime,
`Although self-nging cars appear to be on the horizon they‘re not an option just yet
`by purchasmg a vehicte With arthritis-friendly features or by making adaptations, you‘ll be abte to
`maintarn your Independence Without puttrng your safety or that of uthers at risk
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`https flwww healthcentral comfar‘ticlefwhatetoeknoweabouteimntereplacement
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`10/05/2018 [)8 20'35 AM
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`Buying a new car
`If you are ready to purchase a new vehicle, here are some important features to keep in mind, These
`will be more or less relevant to your individual situation, depending on which joints give you the most
`trouble,
`
`- Automatic tiansmission
`
`- Remnte key fob and starter
`
`- Running boards and assist handles on sport utility vehicles and vans
`- Adjustable steering wheel (up and down and telescoping)
`
`- Fully adjustable mtg (height, distance from pedals, fill, and lumbar support)
`
`- Adjustable pedals
`
`- Padded steering wheel
`
`- Easyetograsp controls within easy reach
`
`- Dashboardemounted, pushebutlon ignition switch
`- Seat baits that are easy to reach, lock, and release
`- Cniise control
`
`- Easy-to—use door handles
`
`- Easyetoadjust minors and sun visors
`
`- Easyetoaccess trunk or rear door
`
`- Shorter turning radius for ease in maneuvering
`
`Before you begin car shopping, give some thought to the aspects of driving that cause you discomfort
`or could limit your driving ability, For example, if getting in and out ofa car is troublesome, it might be
`easier to slide out of leatherthan cloth seats, Or if bending is an issue, it's best to avoid a vehicle
`that’s low to the ground,
`
`Take your time in the dealers' showrooms to evaiuate carefully the vehicles under consideration
`Before making the fine! demsinn, be sure to give each vehicle on your short-list a complete test drive
`This includes backing up, parking, changing lanes, turning sharp comers, drivmg at high speeds, and
`riding in the passeiigei seal
`
`Additional modifications
`
`If you are severety disabled by arthritis, several kinds of modifications can be made to cemin types
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`

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`https flwww healthcentral comfar‘tiolefwhatetoeknoweabouteimntereplaoement
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`“1/05/2018 [)8 20'35 AM
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`of vehicles Some can be made to vans or selected sedans but not to other types of vehicles.
`
`As a result, ifyou are significantly disabled, it's important h) consult a speCIalist in driver rehabilitation
`before you shop for a car.
`The specialist will assess your abilities and disabilities and offer advice about the types at
`modifications that may be helpful. The abilities assessment will cover visual acuity, visual perception,
`strength, flexibility and range of motion, decision making, reaction time, and performance behind the
`wheel.
`
`Some of the modifications available include a letteside accelerator and brake pedal or hand controls if
`you are unable to use your right leg. Other devices include special mirrors, extended gearshifl levers,
`and reducedetfort steering wheels.
`
`Be sure to purchase your adaptive devices from a reputable dealer and have them installed by a
`qualified technician.
`
`Additional considerations
`
`Adaptations for automobiles can be quite expensive, but financial assistance may be available
`through govemmen’l agencies and nonprofit groups. Ask your driver rehabilitation specialist about
`potential sources of aid, or call your state or local vocational rehabilitation agencies. Your health or
`disability insurance also may offer coverage.
`
`Be sure to check with your tax accountant to determine whether any of the costs are deductible as
`medical expenses. Also, don’t forget to notify your car insurance carrier about any features added to
`your vehicle. You will likely need to carry more insurance in order to cover these items.
`
`Finally, don’t be afraid to discuss your driving difficulties with your physician or to seek the services of
`a rehabilitation specialist.
`Some people fear that admitting their physical limitations behind the wheel will ultimately cost ltlern
`their driver's license However, ifyou are otherwise fit to drive, having the right vehicle with some
`adaptations should allow you to continue driving and, most important, In continue drivmg safely.
`
`Learn more about how pain medication may affect your ability to drive.
`
`
`HealthAlterflU
`Health Alter 50, published by the University ulcalilprnia. Berkeley. School of Public Health, provides llHodate, EVldEMlimd research arid expert advice ilillhe prevervtbn.l1iallnosis,anltti'eall1ieiitola wide range of
`health conditions affecting adults in middle age and beyond. Its pail of Remedy Health Media's new of digital and print publications, which also include Healhcmbal; HiwAios mantles The Body and The Body
`Pin; the UC Berkeley WellnEs Letter, arid the Berkeley Wellness website
`
`
`
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`https flwww healthcentral comfar‘tiClefwhatetoeknoweabouteimntereplacement 10/05/2018 [)8 20'35 AM
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`
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`It joint pain and other wmptoms of osteoarthntis keep you up at night, then you could soon
`fina yourselrtrapped in a vicious cycle.
`
`Mounting research not only ties inadequate sleep to a long list of chronic diseases, but also
`suggests that too much tmsing and tuming can make osteoarthritis harder to cope with.
`As your symptoms intensity, it may become even more of a challenge to get some shuteeye,
`and pretty soon pain and insomnia could dominate your life.
`
`Most adults should get at least seven hours of sleep each night to maintain good overall
`health. While older men and women often experience changes in sleep pattems that can
`interfere With getting a good night's rest, it's a myth that they require less steep than younger
`people.
`
`The good news: It you have osteoarthritis and battle insomnia, several recent studies suggest
`that some simple measures can hair) you drift off faster and stay asleep longer, which should
`make your s