An adapted automobile is an automobile adapted for ease of use by disabled people. Automobiles, whether cars or vans, can be adapted for a range of physical disabilities. Hand controls Foot pedals can be raised, relocated (for instance swapped to be used by the opposite leg) or replaced with hand-controlled devices. The common form of hand controls consists of a push-pull handle mounted below and projecting to the side of the steering wheel housing. The bar connects by levers to the accelerator and brake pedals, and is typically pivoted so that pushing applies the accelerator while pulling applies the brake. As there is no facility to work a clutch pedal, hand controls must generally be used in cars with automatic transmissions; One exception is the GuidoSimplex Semi-Automatic Syncro Drive Clutch System along with an over/under ring accelerator and hand controlled brake a car with a manual gearbox can be adapted. With one hand continuously engaged working the hand controls, the steering wheel will generally also be fitted with a steering knob to allow one-handed use. More complex fittings may also connect into the electronic circuitry of the vehicle to place indicator and other switches in easy reach of the driver without requiring them to release the hand controls or steering knob. A guard plate may be fitted to prevent inadvertent contact between the driver's feet and the pedals. Extension levers or adapted grips may also be fitted to the parking brake to allow it to be applied by a driver with limited hand or arm strength. Adaptions may be individually customized and in more extensive adaptions the traditional pedals and steering wheel may be entirely replaced by a joystick control, or by a secondary mini-steering wheel adapted for users with restricted grip and/or arm movement. Steering knobs may also be adapted for users with restricted grip, using a three-pronged tetra-grip, or for users with a prosthetic hook. Ergonomic adaptations, such as repositioned mirrors and adapted seating may also be needed and some larger vehicles may be fitted to allow them to be driven directly from a wheelchair. Wheelchair and mobility device access Standard vehicles are not fitted for wheelchair or mobility device access, leaving users of mobility devices with the choice of either transferring out of their mobility device, or purchasing a vehicle adapted for mobility device access via a lift or ramp, commonly referred to as a Wheelchair Accessible