March 4, 1968

A Bicycle Built for Two

Author Affiliations

Winnimanni, Canada

JAMA. 1968;203(10):893. doi:10.1001/jama.1968.03140100075028

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To the Editor:—

Must we put up with the indignity of the Master-step-test which reduces the patient-doctor relationship to that of master and slave? The sight of a respectable citizen stumbling over wires while climbing the wobbly steps, evokes the image of Sisyphus pushing his rock up a mountain.

In our office we have replaced the "step-test" with a much more dignified bicycle dynamometer. With the exception of some members of our esteemed Canadian mounted police, who, because of their equestrian background are awkward with bicycles and for whom we have devised an electric horse dynamometer, our patients have taken well to the bicycle. More recently we have sharpened diagnostic accuracy with a two-seater, which accommodates not only the patient but also a matched control.