There are obvious benefits to adaptive bicycles, including increased opportunity for exercise. Children of all abilities benefit from exercise, as it increases cardiovascular health, muscle tone, bone/joint health, stamina, balance and coordination. For children with disabilities (who may have differential requirements such as postural support), commercial bikes from big-box stores may be inaccessible for reasons of low muscle tone, poor coordination or cognitive disabilities. Adaptive bikes may have heavy-duty training wheels, extra-wide frames, trunk reinforcements, head support, leg or hand straps, and steering assistance to help these children engage with physical movement.