Adaptive Cycling Effective For Knee Rehabilitation

Adaptive cycling is a great way for seniors to rehabilitate their knees after surgery or better yet before surgery is even necessary.

Benefits of Adaptive Cycling for Seniors

Increases or restores range of motion
Increases or restores knee joint stability
Increases or restores muscle strength
Decreases or eliminates pain
Prevents re-occurrence of injury
Is non weight-bearing
Is low impact
Is an aerobic (cardiovascular) workout
Offers variable resistance
Keeps you in a stable position

Common Conditions

Also known as ‘stiff knee syndrome’ is said to be one of the most difficult orthopedic conditions to treat. It is an abnormality triggered by injury or trauma to the joint and is most common in the knee joint. In layman terms it is ‘excessive scar tissue that forms in the joint leading to limited range of motion’ despite rehabilitation efforts. Early recognition and proper treatment is critical for a best outcome. The Arthrofibrosis foundation is a great resource in helping understand this often frustrating condition.

Knee Injury
According to Ortho Info, there were 10.4 million visits to doctors offices in 2010 for knee injuries. Common knee injuries include: fractures, dislocations, sprains and ligament tears. Nonsurgical treatments include immobilization, non-steroidal anti-inflammatory medicines such as ibuprofen and physical therapy are often prescribed before exploring surgical options.

Knee Surgery
There are many types of knee surgery performed and one of the most common is meniscus cartilage repair or removal. This is usually performed arthroscopically as a minimum invasion technique. Meniscectomy is the official medical name. Other common knee surgeries are ACL repair or replacement and knee replacement.

Knee Replacement
Total Knee Replacement (TKR) or partial knee replacement have become some of the most common orthopedic surgeries performed with over 600,000 performed in the U.S. during 2016 alone, and various sources project over 3 million will be performed per year by 2030. Knee Arthritis is the root cause for many of these surgeries. Studies show that approximately 90% of people experience pain relief from knee replacement surgery but there are potential complications to be aware of from risk of infection to sometimes longer knee rehabilitation and challenges with regaining knee range of motion. Surgeons typically encourage patients to work to regain their range of motion early on in the knee rehabilitation process. Physical Therapy often includes the use of a stationary bike and later on, adaptive cycling can help patients gradually increase their knee range of motion during the knee replacement recovery process.

If you are an older adult that is trying to reduce or rehabilitate knee pain, you may want to consider outfitting your bike with a set of wheel stabilizers like FATWHEELS. These heavy duty “training wheels” retrofit to almost any bike on the market and they will provide you with the stability you need to enjoy the FUN, FREEDOM & HEALTH benefits of riding a bike.

Until next time,


International Women’s Day 2022

In honor of this year’s International Women’s Day, let’s talk about women, bicycles, and FREEDOM.

Recently, I was reading an article in Hour Detroit magazine that talked about this topic. In it, author George Bulanda points out that there was a huge social and cultural significance to women bicycling at the turn of the century. George writes that: “bicycling allowed women a degree of independence they hadn’t enjoyed before. No longer did they have to ask their husbands’ permission for a jaunt in a horse and carriage or a ticket for a train ride. Instead, they could go where and when they wanted on a two-wheeler. Bicycling also freed women from restrictive fashion; it was simply unpragmatic to wear constraining corsets or clunky bustles while riding. They now wore pantaloons and free-flowing skirts.”

Likewise, in a turn-of -the-century article for the Smithsonian Institution, author Hannah S, Ostroff quotes feminist Susan B. Anthony as saying: “Bicycling … has done more to emancipate women than anything else in the world. It gives women a feeling of freedom and self-reliance. I stand and rejoice every time I see a woman ride by on a wheel … the picture of free, untrammeled womanhood.”

Of course, the freedom that a bike provides is not limited to women. Here at FATWHEELS , we know firsthand how much FUN, FREEDOM & HEALTH benefits cycling can offer to people of all ages & abilities.

Recently, we received the following testimonial from Elizabeth in Orlando Florida: “I bought these for my son, who is 11 and has autism. These are SO stable, and he can now pedal the bike independently because it’s so secure. Made him feel so special, happy, and empowered to bike!”

To quote American psychiatrist, William Glasser, we as humans are driven by five genetic needs: survival, love, belonging, power, fun and freedom and I am inclined to agree. That is precisely why I am so grateful to be able to help so many amazing people get out and experience the FUN & FREEDOM of cycling.

Happy International Women’s Day ladies – keep calm and ride on!

Until next time,


Absolutely Beautiful

This is one of the most heartfelt, encouraging and amazing messages I have ever read. From this Special Needs parent to you, please know that I, and ALL of us here at FATWHEELS ,see you!

I See You

I see you taking your kid to therapy while your friends take their kids to football or ballet.

I see you sneak out of the conversation when all your friends boast about achievements and exam notes.

I see you juggle events and meetings.

I see you sitting on the computer for hours investigating what your child needs.

I see you make a bad face when people complain about what looks like nonsense.

I see you disappear little by little but you keep going beyond for your family.

I see you pull strength from weakness with a force you didn’t even dream you had.

I see you showing respect for teachers, therapists and medical professionals who help your child and help you.

Watching you wake up early in the morning to do it all again after another chaotic night.

I see you when you’re on the edge of the precipice struggling to live.

I know you feel invisible, like no one notices.

But I want you to know that I see you.

I see you push forward always. I see you choose to do everything you can to give your child the best care at home, school, therapy and the doctors.

What you do matters. It’s worth the struggle.

On those days when you wonder if you can make it one more minute, I want you to know I see you.

I want you to know that you are beautiful.

I want you to know it’s worth it. I want you to know that you are not alone. I want you to know that love is the most important thing, and that you are the best at it.

And in those days when you see an improvement, those moments when hard work has its reward, and you can taste success, I’ll see you then too.

And I’m proud of you.

Whatever day today…

…you’re doing it right.

And I see you. ❤

✒ Alethea Mshar

📷 John Walker / Flickr

Wasn’t that spectacular? Tell me what you think?

I am SO happy that we can “see each other” on this Beautiful Ride!

Until next time,


Show Us The Money!

Families that have a child with a disability often have one caregiver that is forced to scale back their participation in the work force.

The Statistics

It was reported recently in an article by Shaun Heasley of Disability Scoop that researchers have found that a significant number of caregivers of children with special needs reduce their work hours or leave jobs altogether. This costs their families an average of $18,000 per year in lost earnings.

The findings come from a study published recently in the journal Pediatrics that is based on an analysis of data from the federal government’s 2016-2017 National Survey of Children’s Health.

The study discovered that nearly 15% of families with children who have chronic health conditions including autism, epilepsy and cerebral palsy have scaled back their participation in the workforce. That figure jumps to more than 40% in families of children with an intellectual disability.

I know this to be true because it is exactly what happened to our family. When my oldest son was small, we had so many medical appointments, therapies, and school meetings that I decided to become a stay-at-home Mom to ensure he got the care and resources that he needed. Fortunately, we were able to live on one salary, but the decision did not come without sacrifices and trade-offs.

In 2013, our family purchased the FATWHEELS brand and we embarked on this amazing journey. The fact that we could supplement our income while also helping other families whose lives have been touched by disability, was a double blessing.

In the past 8 years, this business has really become a family affair. Both of our sons help my husband and I in the warehouse and with any other jobs that need to be done. Today, as I write this blog post, my youngest son is in the other part of the FATWHEELS building painting our supply room😊

We have found a way to make lemonade out of lemons and I know that there are many of you out there that have too. I would love it if you would share with me some of the things that you have done to make up some of that lost income.

And, if you have been able to work outside of the home, tell me how you are doing it!
Who helps you in your caregiving duties? Who are your Tribe? What are your workarounds and secrets?

Did your work status change during the Pandemic?

I hope you take the time to share with me – I would love to have some company on this beautiful ride.

Until next time,


And the Award Goes To….

1084Why is it that we all lose our minds when there is even a hint of celebrity in our midst?

“Wow! They are filming a movie downtown. Let’s go and see if we can get an autograph!”


 “My cousin’s friend’s girlfriend’s Mom once met John Travolta at an airport when they were on their way to Orlando…..”

Admit it.  You do it too.  There is something about famous people and the lure of celebrity that brings out the superfan in all of us.  Continue reading →

The Traps and Gaps of Special Needs Parenting

Recently, my husband had surgery for prostate cancer. Not to worry. All is well and the procedure was a success. However, the process was grueling. It was a long s-l-o-w recovery filled with pain, exhaustion and pills – and that was just me – he had a hard time too!

During the long weeks of his recovery we watched a lot of TV.  One afternoon a commercial for a cancer drug came on.  It portrayed a woman with metastatic breast cancer going about her daily routine and she didn’t look sick.  The weather was beautiful and she was out at the local farmer’s market buying organic fruits and vegetables.  As she pedaled up to her lovely home with fresh cut flowers and produce in her wicker bike basket, a faithful golden retriever trotted up to greet her.  When the commercial ended, my husband and I looked at each other like, REALLY?  We were in the midst of dealing with a cancer diagnosis and our experience did not look anything like that! Although, in all fairness to the drug company, it did closely resemble the end of the commercial where they listed all of the horrible side effects…

Traps & Gaps Parenting Blog - Copy


Have you ever felt this way in your experience as a special needs parent? Have you ever thought, ‘What a crock!’ I know I have. Let me set the scene. You are bone tired and emotionally exhausted from dealing with your child with <insert condition>.  You pour yourself a cup of coffee, grab your phone and plant yourself on the couch to catch your breath.  You login to social media and instead of feeling refreshed your heart sinks.  Your neighbor’s son, same age as yours, has just gotten an academic achievement award in middle school and you’re still trying to teach yours how to tie his shoes.  Your sister is off on a Disney vacation while your last attempt at a fun family outing resulted in your daughter melting down at McDonalds due to sensory overload.  You are genuinely happy for your friends and family.  They are good people. Supportive. Helpful. Loving. But all you want to do is unfollow their profiles because their ‘perfect’ life is painful to watch.  STOP!  Don’t fall into the comparison trap!

If I have learned anything on this special needs parenting journey it is this:

It is destructive and futile to compare our children to those of their typically developing peers.

That’s it. No other advice on the subject. No anecdotes. No inspirational quotes. Just a heartfelt plea for you to do yourself a favor and STOP! I cannot put it any clearer and I cannot stress it enough. If you can conquer this one temptation your special needs parenting journey will be 100 times easier. It will allow you to relax and enjoy your child for who he or she is.


There is a theory that states that the space between our expectations and our experiences is called the unhappiness gap.  In other words, how we think things should be and how they really are = our level of unhappiness in any particular situation.

So forget the shoulds. Don’t worry about what other people’s children are doing and when. And don’t get fooled by the commercials for shiny happy lives that people broadcast. Like those unrealistic advertisements on TV, the reality of their situation usually doesn’t match the hype.

Life is messy. Parenting is hard. And parenting a child with special needs is even harder. Keep your expectations realistic, accept your reality and remember that NONE of us ever gets away without experiencing some of the nasty side effects of life.

Until next time,


My Son Has a Speech Disorder and it Rocks!


My son Geordi has a speech disorder that is annoying, heartbreaking and funny at the same time. My patience wears thin when I listen to him s-l-o-w-l-y  work through what he is trying to say.  Other times, my heart goes out to him as he struggles to express his feelings.  But mostly he simply cracks me up with some of the stuff that comes out of his mouth.

Continue reading →

“Mom, Get Out of My Life But…”


I was in a bookstore the other day when I saw the title of a book that almost made me snort latte out of my nose.  It was called Get Out of My Life, but First Could You Drive Me and Cheryl To The Mall?   by Dr. Anthony E. Wolf PhD.

This title is a perfect description of my current reality with my son.

Continue reading →

Mom Discovers Priceless Art Collection In Her Own Home

mona lisa

Everyone has their favorite traditions.  One of mine is decorating the house for Christmas.  I love putting on holiday music, grabbing a cup of coffee and going through the boxes that my boys have brought up from the basement.  Then I spend the next couple of hours putting away my everyday decorations and putting up my Christmas ones.

This year, as I was going through the motions, I began to notice – really notice – all of the beautiful things in my home.  Everywhere I looked I saw flashes of creativity and joy!  There were bright colors, and a myriad of shapes.

Continue reading →

We All Need A Little Respite

Respite Image

“R-E-S-P-E-C-T find out what is means to me!…” 

As my plane slowly descended onto the runway at Detroit Airport, I found myself humming this Motown classic.  I was returning from a rare long weekend in Nashville with my husband and NO KIDS!

As I looked out the window of the plane, the song’s chorus kept repeating in my head. I closed my eyes—took a deep breath—and pictured myself on stage rocking a sequins dress and belting out the tunes.  And just like that, I was the Queen of Soul, but my version went something like this:


Find out what it means to me


Take care, TCB

Oh (sock it to me, sock it to me, sock it to me, sock it to me)….

I smiled to myself and pushed up my seat tray – it was no small feat, but I had done it. I had gone away with my husband for three whole days!

Continue reading →