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Many manufacturers have designed and released hand-powered recumbent trikes, or handcycles. Handcycles are a regular sight at HPV meets and are beginning to be seen on the streets. These usually follow a delta design with front wheels driven by standard derailleur gearing powered by hand cranks. Brake levers are usually mounted on the handholds which are usually mounted in phase, unlike pedal cranks, which are usually 180° out of phase. This allows the rider to more easily use their torso to help propel the cycle. The entire crank assembly and the front wheel turn together, allowing the rider to steer and crank simultaneously.
Single-Hand-Drive-Tricycle come in a variety of styles, making them accessible to people with a wide variety of disabilities. There are also hybrids between a handcycle, a recumbent bike and a tricycle.
Fork steer handcycles represent the majority of handcycles sold. They work well for both low and high-level spinal injuries, and most have adjustable footrests, seat angle, and come with a variety of gearing, wheel and tire configurations depending on intended use: racing, recreation, or touring. Manufacturers of this type of handcycle include Invacare (Top End), Intrepid Equipment, Varna, Schmicking and Sunrise Medical.
Lean steer handcycles are another type of handcycle. In this type of handcycle the rider leans into the turn to steer. There is a longer learning curve with lean steer handcycles, and they are significantly less stable at high speed. The lean steer system feels similar to mono skiing: using your whole body to steer the handcycle. Lean steer handcycles can work well for lower-level inju