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Acera is a robust and cost effective choice as an upper derailleur for handcycles.
Shimano Altus 24x34x42t 6/7/8spd 170mm Square Crankset w/ Guard; Bottom Bracket Not Included
Disc brakes are a must for handcycles. Almost all of the stopping power of a handcycle comes from the front wheel. Disc brakes are the only type of brake that can provide the power and reliability for this type of high demand braking; even in wet conditions.
Tektro R730 Road Caliper Brake Set
Tektro 313A Right Flat Bar Brake Lever is designed for BMX riding and features adjustable reach.
Curb Dog Universal Locking brake lever for handcycle