---
title: Accessible Home Design Ideas for People with Paralysis
description: From major renovations to simple additions to a room, here are some of the best ways to make a home accessible for someone with paralysis.
image: https://www.spinalcord.com/hubfs/accessible-home-design-sm%20%281%29.jpg
---

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# Accessible Home Design Ideas for People with Paralysis

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: January 10, 2025

Designing a home to meet your needs as a wheelchair user can be a daunting process. From large-scale homes to small-scale apartments, there are things you can do to make your home work better for your needs.

From major renovations to simple additions to a room, here are some of the best ways to make a home accessible for someone with paralysis.

![Accessible home design for people with paralysis](https://www.spinalcord.com/hs-fs/hubfs/accessible-home-design-sm%20(1).jpg?width=1000&height=667&name=accessible-home-design-sm%20(1).jpg)

## Open Floor Plan

If you are designing a home from the ground up, or if you are renovating an older home, an open floor plan is one of the best layouts for wheelchair users. A large space that contains both the living room and kitchen typically without any walls, an open floor plan gives wheelchair users the freedom to move between spaces without the hindrance of walls. Many people will remove walls to create open floor plans in their current home after a spinal cord injury.

## One-Level Home

An obvious and cost-effective home design idea for wheelchair users is a one-level home. A popular home design found in warmer climates, especially in deserts, one-level homes are a simple solution for accessibility. They also provide universal appeal and are cost-saving when it comes to climate control. If building a home after a spinal cord injury, this can be a great design idea as well in that no elevator will need to be installed to access various levels of a home.

## Reinforced Wall Corners

Wheelchairs may be a wonderful medical tool, but they can be detrimental to walls if not used precisely, which is why many wheelchair users dream of having reinforced walls and wall corners in their homes to ensure their longevity. To reinforce a wall corner, wire mesh or a piece of sheet metal is typically placed beneath the drywall before it is painted to give the wall corner robust strength and this usually works quite well in maintaining its integrity if hit by a wheelchair.

## Consistent Flooring (No Carpet)

For many wheelchair users, the flooring in their home is one of the most important design features. The overwhelming preference is vinyl flooring due to its durability and easy cleanup. Many want it throughout their entire home, which can make it easier to traverse; especially if someone is using a manual wheelchair. Also, avoid carpet if at all possible. If you use a wheelchair regularly, it will put wear and tear on your carpet and the carpet will likely need to be replaced sooner than vinyl flooring.

## Wall Paneling

A great and inexpensive way to protect your walls as a wheelchair user is with wall paneling, which is having a comeback in the design world. Typically made from thin wood material, wood paneling can be installed on nearly any wall to protect it from being damaged, especially if hit by a wheelchair. Many people will do half-wall paneling for a more modern look as it both protects walls and gives a lighter feel to a room.

## Widen Halls & Doorways

If renovating or building a home, one of the first things you need to do is look at the width of the hallways and doorways, which will likely need to be adjusted after a spinal cord injury. According to the ADA, which establishes guidelines for the accessibility of public buildings, a recommended minimum hallway width for a wheelchair is 32 inches. However, 36 inches is recommended for ideal maneuverability. As for doorway width, the minimum recommended width is 32 inches.

If you are on a budget and cannot fully renovate your home, a cheap idea to make a doorway wider is to install door hinges that mount outside of the door jam (instead of on the inside) to get more width.

## Height Adjustable Countertops & Sinks

Height-adjustable countertops and sinks are an expensive but futuristic accessibility feature to add to any kitchen. Both give wheelchair users an easier way to work in the kitchen without struggling. Several companies offer height-adjustable options, including Granberg, Linak, Accessible Home Solution, and Pressalit.

Built-in lifts and motors allow you to adjust the height of the countertops and sink, which makes it possible for wheelchair users and able-bodied individuals to comfortably use the same kitchen.

## Pull Down Cabinet Shelves

If you have cabinetry that is high on your walls, consider installing pull-down cabinet shelves. For many people, installing only lower cupboards is not possible due to space in their kitchen. Pull-down cabinet shelving makes it possible to use every square inch of your kitchen wall space. Many of the same companies that offer height-adjustable countertops and sinks also offer pull-down cabinetry. Pull-down cabinetry works by utilizing electricity and motors similar to height-adjustable countertops.

## Drawer Dishwasher

There are several appliances you can purchase to make a kitchen more accessible and one of the most popular is a drawer dishwasher, which is higher from the ground and opened via a pull-out handle making reaching it and accessing it much easier than a traditional dishwasher. This style of dishwasher is popular with the elderly as well. Although a drawer dishwasher cannot hold as many dishes, people who need this style do not care as it makes washing dishes independently possible.

## Wall Mounted Bathroom Sink

In the bathroom, a popular sink style for wheelchair users is a wall-mounted sink, which gives plenty of knee space. One drawback to this style is a lack of countertop space, but for those who want to fully access their bathroom sink without any limitations, a wall-mounted sink is the best option.

## Sliding Doors Rather Than Swinging Doors

Sliding doors and pocket doors are a great alternative to traditional "swinging" doors that can be difficult for wheelchair users to use. Sliding doors, which are typically found on patios, can be installed throughout the home where traditional doors are installed. Pocket doors can also be put in the same location, but can be more expensive due to their installation requirements.

## Lever-Style Hardware for Doors, Faucets

A way to make doors and faucets easier to use for those with paralysis in their arms and hands is by installing lever-style hardware. Lever door handles for example are the best way for those with quadriplegia to open a door without any help, and the same goes for lever handles on sinks, as minimal hand dexterity is needed.

## Lower Light Switches, Raise Outlets

Electrical outlets and light switches are typically in terrible spots for wheelchair users and both need to be adjusted properly in order for wheelchair users to use them independently. If building or renovating a home, doing this will be much easier. Ideally, light switches should be lowered slightly, while outlets need to be raised several inches. And a cheap workaround is simply using a strip and bringing it to your height.

## Large Attached Garage

An ideal home for any wheelchair user will include a large attached garage for storing their accessible vehicle and will include enough room to complete car transfers safely and maneuver their wheelchair without issue. Having an attached garage is also critically important as it is ideally temperature controlled, which is an important health issue for people with spinal cord injuries.

## Large Wet Bathroom with Roll-in Shower

Bathrooms can be a difficult issue for many wheelchair users, as many tend to be small and unusable. If renovating a home, one of the best things you can do is create a large wet bathroom with a spacious roll-in shower. Not only will this make it easy for any wheelchair user to use, but installing a drain in the middle of the bathroom floor will help preserve the longevity of the room itself over the years as water can get pretty spread out in the bathroom when bathing with a spinal cord injury.

## Bottom Freezer Fridge

Lastly, another kitchen appliance that can completely change the independence of a wheelchair user is a bottom freezer fridge, which makes accessing frozen foods much easier than a traditional refrigerator. The one drawback to this design is that the fridge area is a bit higher than normal, which can be difficult for some wheelchair users to reach.

**Topics:** Advice & Tips

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### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
- [Causes](https://www.spinalcord.com/signs-symptoms-of-spinal-cord-injuries)
- [Symptoms](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Prognosis](https://www.spinalcord.com/prognosis-of-spinal-cord-injuries)
- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
- [Legal Help](https://www.spinalcord.com/brain-injury-legal-help-get-a-lawyer)

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- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
- [Where To Start](https://www.spinalcord.com/brain-spinal-cord-injury-lawyer-where-to-start)
- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

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Spinal cord injuries are traumatic for patients and their families. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. Our experts have collected everything in one place to help you learn more about your injury, locate doctors and treatment centers, find financial support, and get assistance navigating your next move.

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  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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