@elained I guess it comes down to how motivated one is. I shall be 81 this month and I live alone, but maintaining my independence was my highest priority and a strong motivation for getting the Kempf hand controls, which now allow me to drive the 600 miles to my appointments at Mayo in Minnesota. I have a friend who is in his 50s and is wheelchair-bound being totally paralyzed from the waist down. He carts a collapsible wheelchair, a walker, and various pieces of equipment that enable him to get in and out of his Kempf-equipped van. Don't give up!