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After searching for months for a reasonably priced adaptive 3-wheel bicycle for my 9-year-old son with Autism, I took a chance on this bike from Walmart. For $289 plus another $32 for a three year warranty, this was the most affordable option. Our son's Occupational Therapist had him "fitted" twice for an adaptive bicycle with a special-needs bike vendor, although we couldn't afford and or find enough funding to pay the $3200 price tag. Yes $3,200. We opted for (faster) Site to Store Free shipping, and was pleasantly surprised when our local Walmart offered to assemble the bike for free in just 48 hours. So we rode all day Saturday & Sunday, probably about 5 miles total. My son is 4' 8" tall and about 115 lbs. I'm glad we bought him the 24" and not the 26" (even though the 26" was $20 cheaper online). The bike works great so far. He seems to love it. Occasionally the cheap aluminum chain guard has bent into the chain, you know it's happened again by the rubbing-noise, it's just a matter of bending it back an inch. I suspect his foot keeps hitting it getting on & off the bike. I love the fact that we can ride as a family now, and he is able to demonstrate his ability. The first few times we went downhill he was happily shouting "wheeee...wheeee" and laughing. Life is often hard, though not as hard as in the past. Our son is becoming more independent and communicating more. This bike gives him something to do, increases his activity (as his meds contribute to his weight), and gives him a way to play & have fun with us, and he's really loving it. I have to coach him though and remind him to pedal harder, or tell him "hand brake" to stop or slow down. I don't think he realizes yet that the bike is wider than it feels, so sometimes he gets close to parked cars on my street - and I cringe. LOL. The bike fits & rides well on a standard sidewalk, though I allow him to alternate to the road a lot when we ride as a group. He's doing great for just two days experience. He hasn't been able to ride anything for two years when his size became too much to utilize training wheels. I can't recommend this bike more for someone with issues with balance and coordination. It's a Schwinn. I hope that still means what it did when I was a kid 30-40 years ago. If you can afford an adaptive bike, that's great, and since they are made specifically to "fit" the rider, they may be the better option. In our case, we opted for the most affordable route, and so far it's been a great decision.