I searched for months to try an elliptical I could use. As an above knee amputee I could not find a machine that had a stride that would let me use it. Most especially the cheaper models stride was too vertical. I finally gave up and decided to get an exercise bike. When I went into a fitness store to get a bike my wife saw the Octane Q35e and tried it and said I should try it as well. I tried it and it was exactly what I was looking for. Very smooth, quiet and, most important, the stride fit the capabilities of my artificial leg. Since purchasing it Octane’s customer support has helped me to make some adjustments to even make it easier. An excellent company to work with and very consumer oriented.