There main difference between a manual and an automatic treadmill is that on a manual treadmill it is a persons own running activity that powers the belt and makes it move and on an automatic treadmill a motor and electricity to make the belt move. Treadmills are effective exercise equipment for people looking to loose weight or just stay in shape and the best way to decide between an automatic or manual treadmill depends on preference or if a person is on a budget due to the fact that automatic treadmills use electricity.
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Electric treadmills take up more room and cost more, but are quieter and smoother and are customizable. Manual ones are cheaper, but can be difficult to use.