Several rowing bicycles are available aiming to improve upper body training. However, they are expensive, it is difficult to find local distributors and most of them are not really suitable for everyday use. This one is cheap, easy to drive and fulfils all traffic regulations that I’m aware of.
I open a blog for Spanish and other languages speakers: http://lamarianette.blogspot.com/
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For handicap tricycles are available http://bike-on.com/ using rotation movement. With a push-pull movement it is easier to keep equilibrium and driving a real bicycle would be possible.
But those models, I don't see some Blacksmith on Africa making such complex devices, very worthwhile that they are.
A Tricycle, on the other hand, is a more realistic transport solution, but for kids to feel like kids, again, even for a short while, the bicycle is irreplaceable.
http://www.myspace.com/robbobike