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Testimonials
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Testimonial from Debbie Pitsch, PT
Palo Alto Polytrauma Rehabilitation Center
VA Palo Alto Health Care System
April 2008
Although I
have limited experience with the Gait Harness System (GHS) (2 patients), I have
experienced positive outcomes with using the device with the TBI population. The
device allows for early gait training which helped both patients feel successful
in working towards their goals of independent ambulation. The GHS is a safe way
to work on motor control/motor learning while the therapist can focus on
facilitating a more normal gait cycle. I have also found the GHS promotes a
faster gait velocity which is difficult to obtain with over the ground
ambulation (without the use of a treadmill). The benefits I have noticed are the
following:
-comfortable
harness that the patient can take sitting rest breaks in
-safe way to
provide early gait training
-allows the
therapist to focus on facilitation techniques vs. holding a patient upright
-encourages
independence
-can be used
outdoors to help people psychologically
-can ambulate
further distances and work on endurance (less therapist fatigue)
-can be used
to perform sporting activities to work on balance/strength
Many brain
injured patients have poor insight and are impulsive, therefore the GHS would be
a good option for a patient at high risk for falls to walk safely with trained
family/staff members. I can also see the potential benefits of using the GHS
with amputee patients who are fearful of falling and can promote less dependence
on the parallel bars.
The
most commonly reported goal that patients report is to be able to walk again and
the GHS allows for early gait training in a safe environment to progress
patients quickly out of the parallel bars and improve overall endurance. I would
also recommend a trial with the GHS to work on balance training if a patient is
having frequent falls at home.
In general, I
do not have enough experience to comment on the area of psychological benefits
with our active duty/veteran population, but the GHS may reduce
anxiety/fear of falling and improve motivation.
Sincerely,
Debbie Pitsch,
PT
Palo Alto Polytrauma Rehabilitation Center
VA Palo Alto Health Care System
3801 Miranda Avenue
Palo Alto
CA 94304
http://www.polytrauma.va.gov/facilities/Palo_Alto.asp
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“Thank you for the
comprehensive information you provided on the “Second Step” program. The
program is most creative. It should provide much needed rehabilitation support
for individuals with disabilities in long term care facilities. Wishing you
every success."
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Margaret Giannini, M.D., F.A.A.P, Director, Office on Disability, Health and
Human Services, Washington DC
“I
am suggesting patients to get a Second Step device to them, because we know that
overground gait training gives the best recovery results.”
-Dr. Carlos Lima, Hospital
Egas Moniz, Portugal
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Bob
Smith
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Spinal Cord Injury Client Testimonial
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“From my own
personal experience, I can tell you that the Second Step Gait Harness
System has helped me tremendously.
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Since
returning from China back in 2003, I have tried Body Weight Support
Treadmill Training, with both a standard overhead lift and with the Lokomat.
I've also tried the Litegait. I've also combined the Lokomat with the
Second Step and the latest therapy from the Rehab Institute of Michigan
(RIM), the Wave Machine, with the Second Step. Man, I think I've
tried them all!
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For those
that don't know, there are videos in the CareCure Gallery and CareCure
videos of me while using the Second Step.
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What the
Second Step allowed me to do is walk at my own pace, with or without
assistance. It allowed me to fully weight bear and with little to no
discomfort, unlike every other harness. And that's not even mentioning the
other obvious benefits, like endurance and cardio.
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Now they're
adding a crawling harness which a lot of research shows as being a natural
progression to walking. Check out Crawl2walk.com That's me in the picture.
They call me “guinea bob” in therapy. So, I guess you could say I like the
product.”
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Bob Smith
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C5 ASIA B Client
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Harrison Township, MI
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Dec. 11, 2006
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- Second Step Gait Harness System as Compared to
Body Weight Support Systems
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- The Second Step Gait Harness System (GHS) ambulatory has several
distinctions that make it unique when compared to body weight support
systems.
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- First, the GHS
does not directly off-load the individual’s weight. Weight reduction (if
needed) is performed actively by the individual in the System.
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- Second, the
harness used in the GHS directs supportive forces (or fall recovery forces)
through a much larger surface area on both thighs. Other over-head
harnesses direct these forces through the sensitive pubic area, which often
leads to decreased treatment time and intensity.
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- Lastly, the GHS
allows for reinforcement of newly learned gait patterns in a real world
situation. This is a very beneficial and much needed adjunct treatment
paradigm, and accentuates body weight support treadmill training. Body
weight support treadmill training, in general, has shown a benefit of
retraining central pattern generation and the ensuing stepping pattern. The
GHS allows you to safely transfer and reinforce this progression to various
land-based gait training activities. Reinforcement of the various qualities
of gait during land-based activities is a must for the activity to
become functional.
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- Bill Thornton
- Senior Physical Therapist
- Center for Spinal Cord Injury Recovery
- Rehabilitation Institute of Michigan
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September, 2006 product profiles
Harness
System
The Gait Harness System by Second Step Inc is used in a broad spectrum of
physical-therapy applications and provides a means of therapeutic intervention
with gait and balance training. The complete Gait Harness System is used by
caregivers and those working in occupational and physical therapy to help people
walk again after challenges due to patients’ or clients’ loss of balance;
nursing home falls; incomplete spinal cord injuries (SCI); Parkinson’s disease;
Alzheimer’s disease; lower-extremity amputations; orthotic use; traumatic brain
injuries (TBI); and other ambulation, gait, and balance- rehabilitation
challenges.
For more information, contact Second Step Inc, 1625 Hamlet
Lane, Eugene, OR 97402; (541) 337-5790;
www.secondstepinc.com.
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Second Step Testimonial
Grace Center for Adult Day
Services is an adult day health center located in Corvallis, Oregon. We
have been using the Second Step Gait Harness System (GHS) ambulator since
late 2005, and we have seen great results with several of our participants
(clients).
Of particular note is the
experience of our youngest participant, Knute M., who is now 35 years old.
When Knute was 11 years old, he had a traumatic brain injury from a MVA and
had never walked after that accident. In February 2006 Knute began walking
in the Gait Harness System twice a week at Grace Center. This was a “dream
come true” for this young man! Knute began walking only a few feet, had
worked his way up to 150-200 feet by October of 2007, and now routinely
walks 400-450 feet in the GHS. He has been focusing on improving his
technique in addition to distance, and he can now use the GHS with the
assistance of only one staff member who walks behind the ambulator. Knute’s
posture, balance, and gait have improved greatly with practice and
coaching. Staff members encourage him to bring his shoulders backward,
“tuck under your buns” (tilt hips & pelvis forward), and take smaller steps.
Knute’s thigh muscle strength and size have increased so much that he now
needs a larger size harness! His home caregiver says that his is much
stronger and better able to assist with transfers.
The Second Step GHS has also
allowed several of our other participants who had stopped walking to regain
their ambulatory ability. We have found it is especially useful for
hemiplegic participants who have very poor balance and are therefore at high
risk for falls. The GHS prevents injury not only to the participants but
also to the staff members who are walking with them.
The Second Step GHS has also
allowed Marlene M., a 50 year old participant with cerebellar degeneration
and severe balance disturbance, to walk at Grace Center. By mid-October
2007, she was walking about 100 feet in the GHS. Since then she has
increased her distance to 125-175 feet per day. This has greatly improved
her strength and stamina, making chair and wheelchair transfers much easier
for her. Marlene’s gait has also become more normal and her turns in the
ambulator are smoother. She feels much more confident doing independent
transfers both at the Center and in her home.
We love our two Second Step
Gait Harness Systems and highly recommend them to other health care
providers!
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Cheri Babb
- Cheri Babb, RN, Executive Director
- Grace Center for Adult Day Services
- 980 NW Spruce Ave
- Corvallis, OR 97330
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Testimonial from Bill
Thornton, MPT, Lead Therapist
Center for Spinal Cord Injury Recovery
Rehabilitation Institute of Michigan
- December 2005
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- I am the
Lead Physical Therapist with the Center for Spinal Cord Injury Recovery (CSCIR).
The CSCIR is part of the Detroit Medical Center and more specifically, the
Rehabilitation Institute of Michigan.
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- I use the
Gait Harness System 1000 daily with almost all of my patients. I have had
great success using the device with and without braces (generally Carbon
Fiber KAFO's with stance control knee) for static/dynamic balance
activities, trunk strength/coordination, and pre-gait/gait activities (this
is done with tetras and paras of all levels). The unique harness is
extremely comfortable, works very well with braces, and reduces the number
of seated rest breaks with any standing activity.
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- The System
has allowed our program to be very challenging, efficient, and safe at the
same time. Many of the higher level activities would require two or three
FTE if it were not for the GHS 1000. I can not say enough about the ease of
use and its ability to reduce the fear of falling.
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- Below is a
link to our web site from which you can access numerous new articles about
our program (many of the articles mention the GHS 1000).
Sincerely,
Bill
Thornton MPT
Lead Therapist
Center for Spinal Cord Injury Recovery
Rehabilitation Institute of Michigan
- Detroit Medical Center/Wayne State
University
- 361 Mack Avenue
- Detroit MI 48201-2417
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http://www.centerforscirecovery.org/
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“We received the GHS and
just this AM it was bringing some amazement and tears to some staff members as a
student used it successfully.”
-David Cacciatore, PT, Lane School, Houston TX
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“Due to the lack of nursing staff nationwide, there
is an inability for a skeleton staff to provide restorative nursing
care, i.e. walking programs. I think the Gait Harness System can help
provide a solution to this program by having the staff place patients in
the Gait Harness System and have them be free to ambulate on a daily
basis while they take care of other patients at the same time. Of
course this works well with the patients that require supervision or
contact guard assistance,”
- Nicole Prieto-Lewis, Director of the Gait and
Balance Laboratory, Gainesville VA
“Patients cannot fall using this system as the
harness is designed to support their full body weight if necessary. No
walker or cane can compare to the safety of this system.”
-Nicole Prieto-Lewis, Director of the Gait and
Balance Laboratory, Gainesville VA
“Increased mobility through walking programs would
supplement patient’s rehab program and potentially reduce length of stay
in the hospital.”
– Nicole Prieto-Lewis, Director of the Gait and
Balance Laboratory, Gainesville VA
“The best outcomes I have seen through using the
Gait Harness System is with the TBI population.”
– Kim Flore, Kinesthiotherapist
“I use the Gait Harness System with any low or high
level patient who requires improvement in gait, standing and balance.”
– Amy Humphries, PT, Baytree Nursing and
Rehabilitation
“We have treated patients with vestibular
disorders, gait abnormalities, CVA, post-op THR, TKR, post amputee, TBI,
and patients with a variety of lower extremity balance and coordination
problems. Patients with mental dysfunction such as Alzheimer’s Disease
can be safely and securely ambulated to provide important health
benefits while maintaining a minimal risk to the patient, attending
aide, or therapist.”
– Joe Millen, PT, MTC Program of Excellence
Coordinator SORS
“With the use of the GHS the clinician can advance
the therapy program by performing tasks that are above the current
functional level and yet not increase the risk of injury for the
caregiver or resident.”
– Ester Valazquez, MSPT, HealthSouth Rehabilitation
in Tampa, FL
“In 5 years of on-again/off-again rehabilitation,
one resident failed to develop independent ambulation to cover even
short distances. With integrating the GHS into the treatment regimen and
use of aggressive therapy and restorative gait training programs, this
resident made tremendous progress in independence, ambulating over
200-300 feet.”
- Ester Valazquez, MSPT, HealthSouth Rehabilitation
in Tampa, FL
“When properly secured in the GHS, the resident is
completely supported, without need for caregiver assistance. Mobility
activities can be performed relatively hands-free. The resident’s
confidence is restored, which can be a huge barrier. The therapist is
now able to fine-tune the resident’s mobility and address weakness and
other gait deviations.”
-Linda Horn, PT, NCS, Inpatient PT Coordinator, St.
Agnes Healthcare in Baltimore, MD
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