The Stamina InStride Total Body Cycle has earned the Ease-of Use Commendation. The Arthritis Foundation"s Ease-of-Use Commendation recognizes products proven to make life easier for people who have arthritis and other physical limitations. Independently tested by experts and evaluated by people with arthritis, Ease-of-Use products are easy to use by everyone. The Stamina InStride Total Body Cycle doesn"t need a table or desk top. The pedals are supported by its sturdy steel frame, so you pedal with your feet while seated for a lower body workout, or simply switch the pedals from bottom to top and pedal with your hands for an upper body workout. The weighted pedals stay in an easy- to-use position to effortlessly place your hands or feet to get your workout started. The Velcro straps secure tightly with a quick adjustment to help keep your feet in place. Handlebars keep you balanced with correct body position. Lightweight, portable and easy to store. Quotes from people with arthritis who tested the machine: "You can exercise both your arms and legs and it"s smaller than most typical exercise machines." "Adjustments were very easy." "I like how it flips for both upper and lower (body workouts).".