Just read an article about the new device and game "GameCycle" developed by Nintendo and Out-Front. It's about implementing the game and real physical activity specially designed for those who can not use their lower limb.
http://www.out-front.com/gamecycle_faq.php
The GameCycle simulates hand cycling, but with a twist: When you crank and steer the arm cranks, they serve as a controller for off-the-shelf Nintendo GameCube racing games. When you crank the handles forward, the speed of your cranking controls the speed of the game object (e.g., the speed of a car). To steer the object, you tilt the handles from side to side. If you slow your cranking, you slow the object. If you crank in reverse, the object moves in reverse. It's that simple.
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