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[–] 1 pt

Would it be practical to make a steering/pedal device for your arms? Only thing I could find in a search was this: https://image.tigermedical.com/Products/LargeImages/FEI10-0722.jpg

[–] 0 pt

I would think the traditional way of rolling the wheels by hand is more ergonomic. Its impractical to have your arms raised like that for extended periods of time.