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E-bikes can be a useful part of cardiac rehabilitation programmes, since health professionals will often recommend a stationary bike be used in the early stages of these. Exercise-based cardiac rehabilitation programmes can reduce deaths in people with coronary heart disease by around 27%; and a patient may feel safer progressing from stationary bikes to e-bikes. They require less cardiac exertion for those who have experienced heart problems.
Mountain bikes have come a long way since the 80s. Rock Shox showed up and eventually everyone had a hardtail bike. Then came dual-suspension bikes for all sorts of riding styles. My choice was a cross-country bike so I could climb fast and descend fast without the need for big air. Brakes have gone from simple calipers, to grippy Shimano V-Brakes, to bomber hydraulic disk brakes. While all this was going on street-focused eBikes were evolving too. It should be no shock that the technologies would merge to create eMTBs. A lot of people who were part of the mountain biking revolution in the 80s are getting older and eBikes allow them to continue the sport they love later in life. Whether it’s riders dealing with health issues or injuries, or simply just getting older, the emergence of eMTBs makes total sense.