The TherapyTrainer Total Cycle is the answer for anyone who wants an upper AND lower body workout with one machine! The TherapyTrainer Total cycle comes with a TherapyTrainer Cycle, Multi-Grip Ergo Handles, VELCRO foot pedals, and a Quick Release Adaptor. The Quick Release Adaptor allows you to switch from the VELCRO foot pedals to the Multi-Grip Erco Handles in SECONDS!The TherapyTrainer Cycle is the highest-quality mini exercise bike available. The magnetic resistance is smooth and silent. The vast majority of mini cycles use friction resistance. This often leads to jerky pedal motion that can be hard on your joints and tendons. Our bikes use magnetic resistance for ultra-smooth bi-directional pedal motion. The TherapyTrainer Cycle pedal resistance adjusts from nearly nothing to about 170 Watts. We spend more money to make our bikes more durable and stable. The TherapyTrainer cycle is also made with a wider and length expandable base so that you won"t have the tipping issues that users have with some mini cycles.Multi-Grip Ergo Handes turns the TherapyTrainer Cycle into the perfect upper-body trainer. The Multi-Grip Ergo Handles provide users with the ability to target multiple upper body muscles groups during workouts, simply by changing the position of their hands on the handles. Because the Multi-Grip Ergo Handles fit the natural grasp pattern of a hand it provides the user comfort while pedaling, including users with grasping issues. These handles come highly recommended by Physical and Occupational Therapists, Sports and Athletic Trainers, and Orthopedic Surgeons.Patent Pending