This document outlines the senior design project carried out by a team of mechanical engineering students at California Polytechnic State University, San Luis Obispo. The task is to design adapted exercise equipment for the non-profit organization, Achievement House. The objective of this Final Design Review is to document the final design, manufacturing plan, design verification plan, and project management plan. In addition, this document includes previously presented information on the project background, objectives, and concept design. The background and objective sections document various forms of customer research and include the project goals developed by the athletes and fitness instructors of Achievement House. This section has been updated to reflect new data involving athlete height, arm span, and wheelchair dimensions. The concept design section has been updated to reflect a singular combined apparatus, as recommended by our sponsor. The final design section outlines the final design of our project, including material selection, drawings, cost analysis, and safety considerations. The manufacturing plan section includes the steps we will take to verify our design through prototyping. The project management section outlines the next steps that must be taken in order to complete the project in the future