Sit on seat, place feet on pedal platforms and grasp lever bars.
Push left foot lever down allowing right foot lever to raise up while pulling left handle and pushing right handle. Move in opposite pattern and continue alternating between sides.
The seat swivels and the arm rest lifts up to allow easier access. Adjust seat so knees are short of full extension. Adjust length lever bars to allow elbow to extend yet opposite arm to remain just in front of the body. Intensity can be altered by resistance and speed (steps per minute). To increase resistance push lever forward and down. To decrease resistance pull lever backward and up.