Step
'n Go works well for many disabilities, but not necessarily for the same reason
for each.
Below
is a brief explanation of the relationship between Step 'n Go and the
condition.
·
Arthritis
·
Arthrogryposis
(AMC)
Step 'n Go provides the power stroke on the downward push of the treadle,
automatically raising the opposing leg so that the rider does not have to. The
footpads are only 4” off the ground for ease of mounting and the open access
frame is easy to step through. A wide range of handlebar and brake combinations
can accommodate AMC in the upper extremities. (See Eric’s story)
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·
Cardiovascular Conditions
Riders that may be involved in a weight reduction or
cardiac rehabilitation plan appreciate the aerobic benefits of the weight
bearing exercise the Step 'n Go provides as well as the seat for resting if
required. The exercise is a low impact cardiovascular workout involving many of
the major muscle groups in the legs. Clinically obese riders have preferred the
standing position as opposed to sitting and balancing on a conventional bicycle.
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· Cerebral
Palsy (CP)
The up and down motion of the treadle system automatically accommodates the
riders’ natural range of motion. Quick adjusting foot straps are available to
prevent the feet from wandering, mainly on the upstroke. It is some PT’s
belief that proprioception develops language, which has been anecdotally
reported to us by parents and professionals who use the Step 'n Go. Step 'n Go
is being successfully ridden by riders with spastic diplegia hemiplegia and
quadriplegia, as well as athetoid CP. (see Jennifer’s &
Rick’s story)
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·
Cognitive Disabilities
The reciprocal motion of the Step 'n Go treadle system has
been described as stimulating the primitive neural pathways. The Step 'n Go is
in use in Special Education facilities for developmental delays, where it is a
valuable exercise solution for many riders. An attendant can easily walk
alongside for assistance and encouragement. For many riders, after an initial
period of instruction, it is a welcome and enjoyable activity.
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·
Down Syndrome
From our experience at offering the Step 'n Go at numerous
Special Olympics, many riders with Down syndrome have found it a fun and easy
accomplished activity. Many riders have learned the basics of biking including
balance, steering, braking and shifting, and then transitioned to a conventional
bicycle. For some, it is all they desire in a biking experience, providing hours
of fun and exercise. One young adult participates every year in his hometown
July 4th Parade riding his Step 'n Go!
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·
Larsen’s Syndrome
Larsen’s syndrome is a rare congenital disorder involving
multiple joint dislocation (usually at the ankle, knee, hips and elbows) and
scoliosis. We have had 3 or 4 riders with Larsen’s to date. It is difficult
for a person with Larsen’s to walk up and down stairs; however, the treadle
height of the Step 'n Go can be adjusted to accommodate the rider’s individual
range of motion. The variable resistance selector bar can be set to an easy
position for the beginning rider and, as they gain endurance, adjusted for more
vigorous exercise. (see Emily’s story)
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·
Orthopedic / Neuromuscular
Conditions
For riders with Osteogenesis Imperfecta, PFFD, dysmelia,
lower limb amputation and other conditions, the Step 'n Go Cycle automatically
accommodates the riders range of motion, allowing a short, long or uneven stoke.
The ability to individually adjust the mechanical advantage of each treadle
enables riders to set the pedal resistance to meet their needs. (See Matt’s
story)
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·
Spina Bifida
The mechanical advantage of each treadle can be adjusted to accommodate
differing leg strengths or the need for more leverage. A wide variety of seating
options can position the seat where it’s most comfortable and the 2-position
steering column, with adjustable handlebar stem, can be adjusted rearwards to be
more comfortable in a semi-seated position. Footstraps can be adjusted to
maintain the feet in the correct position.
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·
Stroke or Hemiplegia
The dependent treadle system automatically lifts the
opposing leg on the power stroke, helping the rider to transcend the paralysis
of the stroke. A Velcro glove has been used to hold the affected hand in place
on the grip for greater steering control. When riding, the Step 'n Go provides a
proprioceptive activity, helping to restore dynamic balance. The weight bearing
cardiovascular exercise helps to increase endurance. The seat is available for
resting without losing balance or dismounting. A caregiver can walk alongside
for assistance.
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·
Traumatic Brain Injuries
The Step 'n Go has been an important tool for David and
others to perform a weight bearing exercise and to reinforce their vestibular
balance. The pedals can be adjusted to provide minimal excursion and the cycle
can be mounted on the Quickstand stationary stand for use by riders in early
recovery. A caregiver can easily walk alongside for assistance. (See David’s
story)
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·
Vestibular Balance Disorders
The Step 'n Go provides a dynamic tool for working with
clients experiencing various balance disorders. Consistent use by deconditioned
users appears to strengthen many of the major muscle groups in the lower
extremities, improving the sit to stand motion. Step 'n Go is being successfully
used to help riders with gross motor delays, who present a fear of gravity or
falling, to achieve better proprioception skills. It is also under review in a
Veterans Hospital for patients who are in early recovery from strokes and
traumatic brain injuries.
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