This combination works especially well for the person who can ambulate short distances with rapid fatigue. The seating systems for three wheelers are rapidly improving but still are not sufficient for those who must spend much time in them. They carry more power than their three wheeled counterparts and can turn decidedly easier. Psychologically, these have less attraction than the carts which look sporty. Transportation A major problem for those with progressive MS is transportation.
Public transportation is very spotty depending upon the residence of individuals.
It needs to be of reasonable cost and the efficiency of pick up and delivery cannot be spotty. Appropriate transportation should accommodate wheelchairs, three wheelers and other varieties. For the person with progressive MS who can drive, adaptive devices are a necessity. Whether these are hand controls, special brake and accelerator levers, or vans with many special devices, safety must be essential. However, given that, there is much that can be done to help those with significant MS to drive.