While the entire video is fun, the link is cued up to a place where there's a lot going on, but it's slow enough that you can kind of see what he's doing. Watch his knees to see what he's doing with pedals. Notice that his hands seem to be going in cycles, but there are subtle variations in the cycles.
At 8:54, strobe lights start up - that can't make it simpler to keep this focus. What he's doing looks essentially impossible to me, but I'm well aware that I don't know enough to understand just how insanely difficult it really is.