Set-up: You can utilize time, speed, or METs (metabolic equivalents that measures your workload) for this exercise. Suggested starting point is 9 METs for a light aerobic workout and up to 15 METs for a max, anaerobic workout mostly achieved through interval training. Make sure to stay on the higher steps for safety, you do not want to get too close to the back of the machine. Use handrails for balance but try to encourage force through the legs and not your arms.
Emphasis: Make sure to maintain upright posture by focusing on co-contraction of your abdominals and glutes. Keep your head up/eyes forward and use handrails for balance, try not to put much force through the handrails in order to allow for maximum muscle work in your legs. Make sure to step up and put pressure through your entire foot, not just the toes or heel. As you put weight through your foot, squeeze your butt to encourage neutral hip positioning.