So why the confusing approach? By pulling on a wheelchair’s wheels’ rims instead of pushing, the rider employs a more natural rowing motion which takes advantage of beefier muscles in their shoulders and upper back. As a result, the creators of the RoChair claims it takes somewhere around 25 percent less effort to propel their wheelchair forward, which in turn reduces the risk of strain and injury.

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The improved design of the RoChair also means that its special wheels, which use a clever planetary gear system in the hub to translate pulling motions into forward momentum, can be retrofitted to almost any existing wheelchair. But at $2,100, it’s a pricey upgrade if you can’t get your medical insurance to cover the cost.

[Rowheels via New Atlas]