Sit on seat, place feet on pedal platforms and grasp lever bars.
Push left foot lever forward allowing right foot lever rotate back while pulling left handle and pushing right handle. Move in opposite pattern so pedals continues to rotate forward, alternating movement between sides.
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).