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Interesting, I don't think I've seen one of those. Is it a standard upright position? Presumably the rider doesn't pedal, or is he/she using the handlebar motion as an extra form of exercise?
I think I vaguely remember hearing once about a bike you could use to train your arms/upper body as well as pedalling with your legs. I can't find it on-line now, though. If I haven't dreamed that, it was probably not a handcycle adapted for someone who couldn't use their legs.
Probably not hallucinating, there's a guy who rides one through Camberwell. Not your typical handcycle certainly.