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Adaptive Cycling: Handcycles, Amputee Adaptation, Visual Impairment, and Other Needs Have a need for adaptive equipment to ride to compensate for a disability or loss of limb or function? This area is for discussion among those of us in the cycling world that are coming back from traumatic circumstances and tell the world, "No, you are not going to beat me down!"

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Old 05-31-14, 01:48 PM   #1
Dashzap
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Walking quadriplegic, where to start with bike shopping

I'd like to get my son a bike to ride around the neighborhood (flat), and I am looking for advice on where to start shopping.

His physical specs: He is 19 years old, 6' tall, and fairly fit from regular PT. He's a quadriplegic, but it's incomplete, with greater mobility but less sensitivity on his left side, and reduced mobility and increased sensitivity on his right side. He can walk and run (just doesn't do it the same way the rest of us do, since there is some paralysis throughout). His greatest deficit is his right hand (he can grab things with it, but can't let go...good for braking I guess?)

He needs:
  • an upright position (rods in neck)
  • hand brake (can't manage coaster brake at this time)
  • feet flat on ground when start and stop
He managed a ride on a normal mountain bike last summer with his physical therapist, but felt out of control and couldn't brake.

Unfortunately, I need to keep the cost down if possible, and I know nothing about building a bike.

Any suggestions what to look at for him?
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Old 05-31-14, 03:00 PM   #2
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There are lots of brands of bicycle with a "crank forward" design that would satisfy the upright sitting and flat foot on ground requirements. You indicate that he needs hand brakes but "couldn't brake" on the regular mountain bike - what was the nature of the difficulty?
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Old 05-31-14, 04:57 PM   #3
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There are lots of brands of bicycle with a "crank forward" design that would satisfy the upright sitting and flat foot on ground requirements. You indicate that he needs hand brakes but "couldn't brake" on the regular mountain bike - what was the nature of the difficulty?
I think he was concentrating so hard on the basics of peddling and steering, and couldn't remember which wheel he'd be braking if he used the left hand. He didn't want to go tip over teakettle just doing the front brake. In a perfect world, his left hand would be able to brake both wheels.
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Old 05-31-14, 06:16 PM   #4
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I think he was concentrating so hard on the basics of peddling and steering, and couldn't remember which wheel he'd be braking if he used the left hand. He didn't want to go tip over teakettle just doing the front brake. In a perfect world, his left hand would be able to brake both wheels.
No problem with just applying the front brake as long as you don't grab it so hard you lock up (or almost lock up) the front wheel - I rarely use my back brake. But there are brake levers that will simultaneously pull on two cables to apply two brakes. Our tandem bike has one lever like that since the bike has two rim brakes plus a hub brake for long descents and only two levers. A good bike shop should be able to modify a bike to have both brakes connected to one lever. Does he have good hand strength and control in his left hand?
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Old 05-31-14, 06:39 PM   #5
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No problem with just applying the front brake as long as you don't grab it so hard you lock up (or almost lock up) the front wheel - I rarely use my back brake. But there are brake levers that will simultaneously pull on two cables to apply two brakes. Our tandem bike has one lever like that since the bike has two rim brakes plus a hub brake for long descents and only two levers. A good bike shop should be able to modify a bike to have both brakes connected to one lever. Does he have good hand strength and control in his left hand?
Yes, his left hand is pretty good. Thank you so much!
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Old 10-16-14, 05:11 PM   #6
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Wow. I'm sorry for replying so late but I just saw this post. I broke C5/6 back in 2001 and my condition is very similar to your son but in reverse. My left side has the weakness throughout and my left hand grips OK but has difficulty opening back up. My right side is stronger but has the sensory issues (no hot/cold or pain).

I'm 13 years post injury and just discovered cycling last year. I'm fortunate in that I haven't needed any modifications to my road bike. I've just sort of figured out what I can and can't do and have improved with practice.

I wish I could offer some advice. Good luck! He's not alone!
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Old 10-17-14, 01:03 PM   #7
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I was thinking either a crank forward or a recumbent with upright seating- flat foot stops and no chance of an endo. Something like this:



A.D Carson at Recycled Recumbents makes these.
https://sites.google.com/site/recycledrecumbents/home
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Old 10-26-14, 08:06 AM   #8
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To me it sounds like a trike would do the trick. A delta style often comes with a "car seat" design and wouldn't require feet to be put down. One brake handle to the rear axle, and riding...used deltas can generally be picked up very reasonably priced as they are not as 'chic' as the tadpoles.
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Old 10-26-14, 12:08 PM   #9
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I would second the trike. Many kids in the special olympics ride trikes. Many of them are quite fast.
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Old 10-26-14, 04:13 PM   #10
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Originally Posted by delcrossv View Post
I was thinking either a crank forward or a recumbent with upright seating- flat foot stops and no chance of an endo. Something like this:
I'd stay away from recumbents other than trikes, the low center of gravity makes it harder to balance. If balance isn't a problem I'd suggest a crank forward cruiser. I'd start with an Electra Townie 7D. Have the shifter moved to the left side and swap grips. For the brakes, get a Problem Solver Cable Doubler to operate both brakes from a single lever.
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Old 10-27-14, 11:15 AM   #11
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I'd stay away from recumbents other than trikes, the low center of gravity makes it harder to balance. If balance isn't a problem I'd suggest a crank forward cruiser. I'd start with an Electra Townie 7D. Have the shifter moved to the left side and swap grips. For the brakes, get a Problem Solver Cable Doubler to operate both brakes from a single lever.
Huh. My very hypotonic #2 son rides a lowracer, so I don't really agree with your analysis re:balance. But the cable doubler is a good idea, as is a trike.
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