The maximum overload with triceps extensions typically occurs when the forearms are parallel to the floor. Doing them, however, on a slight incline with cable resistance helps to maintain constant tension throughout the entire movement. In particular, the cable provides a greater amount of tension in the contracted position compared to other versions, so make sure to emphasize that portion by pausing for a second or two with your arms extended.
The issue with this exercise, though, is getting into the start position. It’s difficult to do unless you have a partner handing you the implement. A simple way to do it on your own is to use a resistance band or tube as demonstrated in the video. Give it a shot!