The instructions talk about stretching, warming up, and cooling down, but there is very little information about actually using the device. However, use seems pretty straight forward. There is a lever you use to adjust the resistance and it goes from easy to difficult by sliding it up. In the photos, they show the model using this device standing up. I don’t think the elliptical motion has enough range (the circular pattern is too small) for it to be useful when standing up. I can’t stand up, use the device and use the resistance bands at the same time. It feels very awkward. I am 6’5, so I have a longer stride than most, but I can’t see this as being very good exercise for most people. I had a 5 foot 7 inch person test it and they had the same issues I had while standing. The instructions say this should be placed 24 inches from walls or other objects, but if you go that route, you won’t have anything to grab onto if you lose your balance. I tested it next to a heavy bookshelf and it made it easier to get and stay upright.
One other thing to consider is the weight. The stepper weighs 37 pounds, so if you put it under a desk, you may not want to move it out when you aren’t using it. That means you will be giving up a lot of leg and feet room when you aren’t using the device. While the manual recommends that you utilize two people to move it, I found it manageable to move by myself because it has a handle built into the top of the unit. However, I still wish they had included rollers on one end so you could just lift up one end and roll it from pace to place.