1. Step1: Attached handle clamp to Metal L Bar (included).
a. Insert the handle clamp in to the Metal L Bar and push the bar as far into the handle clamp as possible.
b. Lock the assembly by hand tightening the thumb screw.
c. Repeat for the second handle clamp.
2. Step 2: Attach PushBar to wheelchair hand grips.
a. Slightly loosen the thumb screw on the PushBar so that the Metal L Bar slides easily in and out.
b. Attach the handle clamp to on hand grip of the wheelchair.
c. Adjust the width of the PushBar to fit the wheelchair by sliding the Metal L Bar in and out of the PushBar (expands from 15.5" to 24").
d. Tighten both handle clamps using the turn knobs.
e. Center the PushBar and then lock in place by hand tightening the two thumb screws on the PushBar.