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Hmm is part of the problem that she can't reach the pedals if she raises her seat? Or is it already fully up? Holding at 3 and 9 should still have the arms at a downward angle from the shoulder, but I've seen some folks driving with arms fully extended straight and slightly upward toward the wheel.

On long straight drives, she may want to drive using the 4 and 8/5 and 7 positions instead to let her arms settle in a more natural resting position. Or even switch up between using something like 10 and 5/2 and 7 (depending on which arm is dominant for steering). The steering wheel airbag should be pointed right at the chest and should be distanced away at least 10".

And then there is ultimately sometimes just biology that doesn't work (e.g. too big of a car, and thus cockpit, for the body type, or simply the ergonomics of a brand just don't work for some people), and some folks don't have sufficient shoulder muscles for long duration drives. My wife is 5'-0" and has no issues so I'm curious as to what the positioning looks like.
 
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