• The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

The handcycle as ideal means of transport for leisure, exercising and everyday use

Authors of summary: Ursina Arnet and Timo Hinrichs (Swiss Paraplegic Research)
Original article: Arnet U, Hinrichs T, Lay V, Bertschy S, Frei H, Brinkhof MW; SwiSCI study group. Determinants of handbike use in persons with spinal cord injury: results of a community survey in Switzerland. Disability and Rehabilitation. 2015 Mar 18:1-6. [Epub ahead of print]

For the first time data on the use of handcycles by paraplegics were published in Switzerland: the study showed that almost 25% used a handcycle. These were mostly men between 31 and 45 years with a medium to high household income, German speaking and with a complete paraplegia. The most prominent reasons for not using a handcycle were lack of interest, lack of knowledge about handcycles and the high purchase price.

Summer is the perfect season for pleasant rides outdoors or for athletic challenges. For many paraplegics riding a handcycle is a good opportunity to get some exercise and to support their own health. It can be integrated easily into everyday life and is a lot of fun.


Riding a handcycle promotes health

Various studies have confirmed that riding a handcycle has many positive effects on the body (see figure 1): the power transmission is efficient and the shoulder load is much less compared to the use of a regular wheelchair. This decreases the risk of developing shoulder pain. In general regular exercising helps to improve stamina and decreases the risk for cardiovascular diseases and diabetes. Therefore riding a handcycle regularly can help to stay active into old age. Furthermore it enhances social integration: groups of handcycle users and cyclists, skaters and runners can, depending on fitness and speed, go on a tour or practice together. It is therefore no surprise that there are more and more handcycle users. Within many wheelchair sports clubs there is a specific section for handcycle users, and in 2015 also the UCI Para-cycling world championship took place in Switzerland.

Figure 1: advantages of the handcycle

What did the researchers discover?

The researchers analyzed the published data from the SwiSCI study which showed the use of handcycles by paraplegics in Switzerland for the first time. The study examined who are the typical handcycle users and for which reasons some persons do not use it.


According to the study, almost 25% of the population with paraplegia in Switzerland was using the handcycle as means of transportation, in more detail: of 1,549 study participants 350 were using a handcycle (22.6%) (see figure 2). This is approximately in line with other European countries such as Denmark or the Netherlands.

More men than women were using a handcycle (78%). The biggest group of users was between 31 and 45 years old. The higher the age, the smaller the user group and there were hardly any persons 62 years of age or older who were using a handcycle; researchers assumed the reason therefore to be the declining muscle strength that comes with ageing.

Figure 2: distribution of handcycle users

Lesion level

The majority of the handcycle users (58%) had a complete paraplegia (see figure 3). For this form of paraplegia the handcycle is especially suitable since the persons concerned are dependent on a wheelchair but – unlike many persons with a complete paraplegia – they are able to use their arm-, shoulder- and partially their torso strength.

In case of an incomplete lesion a remainder of motor skills and/or sensitivity is still present. Persons with this kind of lesion are the smallest group of handcycle users since they can still partially walk or are not completely dependent on a wheelchair.

Figure 3: lesion level of handcycle users


The handcycle users in comparison with the non-users tended to have a higher household income: 63% of the handcycle users indicated a medium (CHF 3,500 or more) or a high (CHF 4,643 or more) income, unlike the non-users with only 49% indicating a medium or high income.

Distribution according to language regions

The study data showed that the highest portion of handcycle users lived in German-speaking Switzerland: of all German-speaking study participants, 27% were using a handcycle. In French-speaking Switzerland they were only 13% (see figure 4).

Figure 4: distribution of handcycles according to language regions in Switzerland

Reasons for not using a handcycle

Within the group of non-users, 26% indicated that they were not interested in handcycles, 19% did not know it existed and for 14% the purchase price was too high.

Various handcycle categories

Handcycles can be divided into various categories: all-round cycles for everyday use can be attached to the own wheelchair using various systems. Persons who want to get around faster in their own wheelchair may want to use a sports cycle. Like an all-round cycle, it is attached to the wheelchair but by means of geometry, components and selection of materials used it allows for a speedy ride. Finally there are race cycles that are solely intended for sports activities and cannot be attached to the wheelchair (Deutscher Rollstuhlsportverband e.V.: Ein Sport für alle. URL: http://www.myhandicap.ch/sport-behinderung/sportarten/handbike-nicht-nur-fuer-menschen-im-rollstuhl/ (in German), accessed on August 11, 2015). Persons with limited arm strength may even equip their handcycle with a supporting electric motor.

Race cycle

Comments (0)

There are no comments on this topic yet.
Be the first to comment!

Rate this post

Most Recent Answers
5287 odyssita
Explaining what life with a chronic disability is like
Hi cAro, all the best for your research! I am very curious to hear about the results once they are being published. Thank you for researching this...
6 odyssita 2018-05-02
5205 Wheelie
Good news for all who would like to try out the Scewo by themselves: according the Scewo constructors, the feedback on their invention was so...
5 Johannes 2018-03-12
Ask the Expert
Most Recent Answers
3 Dr._Hans_old 2015-07-20
3 Dr._Hans_old 2015-05-07

Most Recent Blog Posts
Wheelchair chefs: the success stories
Disabilities matter but ambition rules
lorenzo.deluigi 2020-07-22 In News
Make to Care, a competition promoting innovations
Which one of these four innovative projects convinces you the most?
kitwan 2020-07-02 In Society
Wheelchair users’ game of thorns
The fight for personal space, safety and independence
Most Read
Anatomy and physiology of respiration
Breathing is the most normal thing in the world for us. We hardly think about it, even though we breathe in and out about 20,000 times per day. We breathe more when we are active and exerting ourselves, and we breathe less when we are...
Social skills increase quality of life
Today strawberry yogurt is on Anna’s* grocery list. In front of the dairy section she notices that she cannot reach the yogurt sitting in a wheelchair. Many stressed people are rushing through the crowded store during rush hour and she does not...
Mobilisation / Transferring
What do I need to consider with regard to the shoulders? The shoulder is the most heavily-strained joint with regard to mobilisation – that applies to sitting up and transferring. It is therefore important to protect the shoulders whenever it is...

About the Community
Most Recent Topics
2020-08-04 In Latest
An unconventional book on ignoring disability
"A picture is worth a thousand words." How about blank pages? Recently, a blank book has been released to express the absurdity people with disabilities are experiencing every day, as there is...
2020-07-16 In Latest
Free masks for high-risk patients with SCI
People with high-level tetraplegia, paraplegics of higher age and those with pre-existing health conditions are more susceptible to a severe development of COVID-19. For this reason, the European...
2020-07-03 In Latest
A COVID inspiration porn?
Over three months since the COVID-19 declared pandemic, many countries are still debating whether to make wearing face masks compulsory to help prevent the spread of the disease. Noam Gershony, an...


Swiss Paraplegic Research
Guido A. Zäch Strasse 4
6207 Nottwil

This email address is being protected from spambots. You need JavaScript enabled to view it.
T 0800 727 236 (from Switzerland, free of charge)
T +41 41 939 65 55 (from other countries, charges apply)

Be part of the Community – sign up now!