I find car steering wheel positioning rather unergonomic for long distance driving, even adjustable ones. According to driving instructors you're supposed to keep your hands at ten o'clock and two o'clock for best control, but I tend to rest my left elbow on the door rest with my left hand holding around 8 o'clock and my right hand sometimes on the wheel, sometimes on the gear lever depending on what's ahead, behind, and all around. Keeping your arms raised in front of you for long periods is not ideal..
The seats in my Golf are actually quite okay, though.