Category Archives: Wheels for Wellbeing

Cycling with Crutches

I’ve resolved most of my crutches/sticks on bikes requirements using 22mm pipe clips and Brompton shock cords. In the case of my Brompton I attach two pipe clips to the seat tube with cable ties and loop a shock cord through the handle of a Brompton basket.

Crutches mounted on BromptonBecause I have no right leg there’s no chance of the crutches getting in the way – bipeds might want to get the crutches as central as possible to prevent them from interfering, but I can’t guarantee that they won’t. This version of the basket pictured with the handle is no longer available, however the new version has a webbing strap that you can loop the shock cord through and will probably help get the crutches slightly more central at the front.

When I use a prosthesis (note the crank shortener) I just need the one walking stick and I fit that along the crossbar in the case of this BSA Metro. (Unless I’m going on a longer trip and I need both crutches and stick.)

Walking stick mounted along crossbar of BSA Metro

The front pipe clip (which might be a 15mm rather than 22mm) is attached to the crossbar using a light or reflector mounting, and the rear 22mm one to the seat post/tube with cable ties. Not sure why I didn’t use the slot I’d cut for one of cable ties, but it works. (A bike stand is very useful too, if you can operate it.)

On our cargobike I’ve used the rear rack and the pushchair carrier to mount the pipe clips to. The top ones using light/reflector mounts onto the rack and the bottom ones just with nut, bolt and washers to the carrier frame. This is probably the best solution for keeping the sticks right out of the way when using a step-through frame. Might be easier to bolt the clips to a piece of plywood and cable tie the plywood to the carrier, drilling holes in the plywood to match the carrier frame.

On my recumbent trike I’ve mounted a couple of water bottle holders behind the seat which I drop the ferrules of the crutches into. I filed a slot in the pipe clips for the cable ties and I’ve found I need the shock cord to keep the crutches in place else they can pop out on rough roads.

 

If you only need a temporary fix I’ve found some pipe lagging around each crutch protects the frame of the bike and along with Brompton shock cords works tolerably well. If you’ve got a pair hanging around in the shed then toe straps are a handy way of securing them too – I used those to begin with. Over the long term though, wrapping the shock cord or tightening the toe strap round the crutches and getting it secure becomes a chore compared to just snapping them in and out of pipe clips.

Sometimes shortening the crutches helps, but again, you soon get fed up with that extra time spent adjusting the length at the beginning and the end of every journey, and there’s a small risk you’ll make a mistake and not get the pin home correctly.

Alternatively, there are commercially available solutions designed specifically for the purpose (I might get a couple of these hockey stick clamps to try) and I’ve seen a length of drainpipe used to drop the sticks/crutches into, but they’re all just variations on a theme. Anything simple, quick, reliable and preferably cheap will do – sometimes easier said than done depending on your own requirements/constraints – but always doable I think.

Stumps and Cranks – Sonia Sanghani

A review on behalf of Wheels for Wellbeing.

Every time I pick this book up I linger over the cover, looking at the variety of cycles and the people riding them. It’s rare to see a publication on cycling give equal billing to handcycles and trikes, and possibly rarer still to show the people riding them on an equal footing with other cyclists, making this a unique and lovely example of how to represent people in general and disabled people in particular.

Billed as an ‘Introduction to Amputee Cycling’, Stumps & Cranks is comprehensive in its scope covering just about every aspect of cycling from scratch. Beginning with why an amputee should cycle at all, through all the various types of cycles, adaptions and prosthetics, and finishing with the paralympics, cyclocross and some of the challenges that stretch the more adventurous amputees, including the daily exploits of Wheels for Wellbeing’s very own Jim Bush in Croydon. Just cycling around South London can be challenging at times and I like the kind of variety covered here in people’s personal goals and achievements. An arm amputee being able to cycle to the market in Vietnam and carry 50 kilos of vegetables is a challenge to begin with, and the sense of independence and self-worth in getting the shopping home is just as rewarding as riding across a continent. Not that there’s anything wrong with endurance rides – a touchstone throughout the book is how a cycling goal can serve as a useful proxy for mental and physical recovery whatever the route or destination.

These personal experiences of amputees are a major feature, the author having cast her net far and wide to include people from all over the world with a variety of amputations. I particularly enjoyed the contributions from places I’ve never cycled – who knew there was a Disabled Cycle Messenger Service in Afghanistan? And although I’m no beginner, as a cyclist or an amputee, I discovered things that were new to me like the ‘bum brake’ – slide bottom backwards to stop – and GlideWear patches for skin protection. Along with suggestions of further reading and things to try, each chapter comes with a short “Did you know?” section. One of the things I didn’t know is that a disabled German clockmaker invented what we would recognise today as a handcycle all the way back in 1655! If he invented a time machine too expect to see him gatecrashing this year’s “200 Years of the Bicycle” celebrations.

I was tempted to skip the chapter on nutrition – no mention of cake – but I’m glad I didn’t because I would have missed the story of a Swiss farmer who lost both arms to a baling machine and now rides an adapted recumbent trike. There wasn’t enough detail about the adaptions enabling him to steer and brake to satisfy my curiosity, however, because a web address is listed for many of the contributors it’s possible to get in touch and ask questions directly.

The list of contributors concludes with a request for more amputee cyclists to get in touch through the website, suggesting this is still a work in progress. I spotted a couple of things that slipped through the net if there should be a future edition – the swinging crank adaption and an amputee who cycles following a hemipelvectomy. Also, I couldn’t help noticing the use of ’bicycle’ to mean any type of cycle; it’s quite a common usage, particularly in International English and although within these pages it’s clear that things other than bicycles do exist, I would suggest the more inclusive term ‘cycle’ is preferable.

Possibly because it is so comprehensive, with sections on how to fix bikes and how to read maps as well as how to eat, I came away feeling that the book hadn’t quite reached its destination. Something was missing, something that eventually becomes part of cycling life for many who take it up – how to make cycling better. Riding in heavy traffic is covered in the final pages; a fact of cycling life that most people find stressful and unpleasant if not frightening and life-threatening. For many disabled cyclists, and some amputees, getting off and walking isn’t an option when things get too difficult or barriers make it impossible to continue, and that shouldn’t be a part of the challenge. For those situations changing the environment is the only option, so I think pointing people towards campaign organisations working to make cycling better, and in particular working to make cycling as inclusive as it is on the cover, would put the cherry on the cake.

Nevertheless, this plugs a large gap in contemporary cycling literature and I imagine it’s been quite a journey for the author – to go from non-cycling amputee to curator and writer of an authoritative book on the subject in the space of a couple of years is remarkable in itself. I hope the cycling is going as well. It also raises questions about gaps that may still exist. There’s an overlap between amputees and other types of disability – the same technical solution can work for similar capabilities  – but as far as I know, what works for other types of disability and the experiences of those disabled people has yet to be gathered, recorded and made accessible in a similar way.

Verdict: A great addition to the inclusive cycling book shelf and if the cover art isn’t already available as a print it should be!