Your hands control the tension in your upper body, while your arm swing works in conjunction with your leg stride to drive you forward.

But for people with zero or reduced mobility in any of their upper or lower limbs, keeping both hands on the steering wheel and feet ready at the pedals can present some difficult challenges.

The foundation of the pose is the hands; the rib cage hangs from the upper arms and shoulders; the spine and pelvis hang from the rib cage; and the legs hang from the spine and pelvis.