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  • Sit on the machine seat with your back firmly against the backrest and your feet flat on the floor, about hip-width apart.
  • Adjust the seat height so that the handles are level with or just below the top of your shoulders.
  • Grasp the handles with a firm, comfortable grip, keeping your wrists straight and elbows slightly in front of your body (not flared directly out to the sides).
  • Brace your core gently to support your spine and maintain a neutral posture.
  • Press the handles upward in a smooth motion until your arms are nearly straight but not locked at the elbows.
  • Pause briefly at the top, feeling your shoulders and triceps working.
  • Lower the handles back down slowly and with control until your elbows are roughly level with your shoulders.
  • Complete repetitions as prescribed by your physiotherapist.