Off-road, hand-powered wheelchairs used in developing nations

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A new-look wheelchair is helping to change lives in East Africa -- where one in every two hundred disabled people has no access to mobility. SafariSeat wheelchairs are made from bicycle parts, which means they're easy to repair. And they have a car-like suspension, making any journey smooth for people in developing nations. Uche Okoronkwo tells us more.
  1. CGTN Africa
  2. Africa
  3. News
  4. CCTVAFRICA
  5. wheelchair
  6. East Africa
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Is there a way "change gears" on this wheelchair, even more than just changing your hands' position on the lever? so that one could get farther with less strokes/cranks of the lever even if one had to put more force into a stroke? I'd imagine, that it would be less tiring in flat terrain. Just like on a bicycle.

znerolz