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@Trunkie
I've seen him before but yesterday was the first time I've managed to get a close look. He's fully able and rides as normal, then when he's up to speed he uses the hand spinners.
I tried to ask him about it but he wasn't the chatty type. I think he just uses it as a double workout type affair. Didn't seem hugely optimal but fair play for trying something different.
Today my ds crank became so lose I had to ride the last mile or so to work one legged - could have done with such a setup.