TherapyTrainer HandCycle - Mini Exerciser - Upper Body Ergometer Multi-Grip Ergo Hand Pedals offer multiple hand positions  allows a user to specifically target multiple muscle groups Multi-Grip Ergo Handles fit the natural grasp pattern of the hand  a more comfortable and less strain on the hand and wrist Physical and Occupational therapists recommend this Hand Cycle for anyone with grasping issues Perfect for day to day exercise and upper body rehab - Commercial Grade Smooth and silent highest quality magnetic resistance with more than twice the magnetic resistance commonly - Magnetic resistance both forward and reverse pedal motion