
How is the GHS DIfferent?
Solution focused. Client-centered.
How is the GHS DIfferent?
The options can seem overwhelming. We’ll make it simple for you.
The Gait Harness System provides superior comfort, features, safety, and ease of use.
Product Comparison | Second Step Gait Harness System | Rifton Gait Trainer with Bike/Groin Saddle | LiteGait Overhead Suspension with Groin Sling/Straps |
How is client supported within frame? | Padded Gait Harness thoracic & pelvic/hip support | Groin “bike seat” saddle between legs | Overhead with between legs, fabric groin sling, and straps |
Horizontal suspension support through trunk | Chest positioner option | Vertical suspension up through lower abdomen, hip, and groin | |
Additional support through thigh cuffs | Knee prompt option | Hands grip handles | |
Arms and hands rest on forearm support top | Hands grip arm/hand prompt | ||
No pelvic or groin pressure | ✔ | ||
Offers S, M, and L standard sizes | ✔ | ✔ | ✔ |
Offers special sizes | ✔ | ||
Requires positioners | ✔ | ||
Max client weight | 375 lb | 250 lb. | 300 lb. |
Max client height | 6’7″ – 6’8″ | 6’0″ – 6’1″ | 6’6″ |
Forearm support | ✔ | Optional | |
Transport in SUV | ✔ | ✔ | |
Max equipment width | 31″ | 31.5″ | 35″ – 39″ |
Stainless steel frame | ✔ | Aluminum | Unknown |
Commercial grade | ✔ | ✔ | ✔ |
FDA registered | ✔ | Unknown | Unknown |
100% Made in USA | ✔ | ✔ | |
Warranty on defect | Lifetime | 1 Year | 1 Year |
Overground training | ✔ | ✔ | |
Treadmill training | ✔ | ✔ | |
Client can face open, closed, or sideways | ✔ | ||
Primarily for adult clients | ✔ | ✔ | |
Client-controlled and activated safety brakes | ✔ | ||
Foot-actuated casters | ✔ | ✔ | |
Inline and 360 movement | ✔ | ✔ | |
Indoor and Outdoor use | ✔ | ✔ | Unknown |
Works with FES and leg bracing | ✔ | Unknown | Unknown |
Ships fully assembled | ✔ | ||
All padding removable for laundering | ✔ | Unknown |
Solution focused. Client-centered.
The Gait Harness System (GHS) was created as a solution to the problem of helping a client comfortably and safely learn to stand again and walk again after experiencing disabling illness or injury.
The GHS is unlike any ambulatory aid. It combines the features of a standing frame, standing walker, stander, walking frame, walker, and gait trainer into a single efficient, functional, streamlined, and modern design.
No other system provides the same combination of therapeutic advantages, features, safety, and ease of use.
We have a track record. Clients are finding greater success working toward their standing and walking again recovery goals using the Gait Harness System (GHS).
You have a choice
You, your loved one, or your client didn’t choose to have a stroke, become ill, or get injured.
However, you can choose what therapy equipment to acquire, and what action plan to make to move your standing and walking again rehabilitation forward.
Studies show that patients perceive ambulatory devices as extensions of their own bodies. Patients favor equipment which is aesthetically and tastefully designed.
- The full support Gait Harness is designed to support the user in a more natural, well-fitted and streamlined way
- The Second Step Gait Harness System for Practitioners and the Gait Harness System for Home Users are attractive, modern designs, with comfortable finishes
- No other equipment provides the full, stable support of the Second Step GHS.
Support from Researchers & Practitioners
We share more testimonials, more videos, and more case studies than any other standing frame, walking frame, standing walker or gait trainer product company.
Practitioners and researchers are happy to share their experiences with us, which can be read to the right.
Accessible engineering design
The Gait Harness System is designed for the client who wants a real-world surface, progressive over-ground training (OGT). It is not comparable to any other standing frame, walking frame, standing walker, stander, body weight-supported treadmill training (BWSTT), overhead ceiling track system or gait trainer product. Those products may serve different (or more limited) purposes in therapy, and/or be intended for a different recovery tier level or patient audience.
Body positioning should promote proper posture and maximum outcomes for the patient. Devices which limit the client’s range of motion with permanently attached seats, slings, narrow frames and extra hardware can limit a patient’s effectiveness in ambulation therapy. Such devices can also cause injury to the patient in the case of a stumble or fall.
Our clients report the GHS is far easier, and more comfortable to use, than therapy equipment products which support the client via over-head suspension slings, groin straps, groin high leg cuffs, a bicycle/saddle or a firm seated surface.
- Note how the GHS frame encircles the client, and a sturdy harness stabilizes the client within the frame. The client is supported in the Gait Harness, a thoracic support combined with pelvic and hip support, via four adjustable support straps
- The forearm support frame adjusts vertically for patients of different heights, providing the client a comfortable place to rest their arms in a relaxed position
- The front padded bumper prevents damage to walls and furniture and provides the client a place to rest their feet
- The GHS is the only System which has an additional security feature of a client-controlled, automatic weight-activated braking system, bringing the client to a complete halt if they stumble or need a rest break
- The Gait Harness can be donned while the client is supine, standing, or seated
- The GHS accommodates client transfers to and from hospital bedside, mat table, wheelchair, powerchair, or seated surface
The Second Step Gait Harness: at the center of it all
Practitioners, caregivers, and clients come to us looking for a harness, and a support system, which is less intrusive, more comfortable, and encourages proper body movement over ground.
Our clients tell us the Gait Harness support is the most comfortable harness on the market. More comfort increases therapy time and encourages patient compliance, leading to better functional outcomes.
Ask yourself: is the harness you are considering comfortable, safe, and versatile? Where are the contact areas and pressure points?
Do your research
Research concludes body weight-supported treadmill training (BWSTT) and robotic assistive step training (RAST) do not replicate the lower extremity biomechanics of walking over ground, have not proven superior to exercise and progressive over-ground training (OGT), and offer no greater opportunity for motor learning than thoughtful OGT.
Frequently, practitioners, caregivers, and clients come to us after they have used BWSTT in a clinic, where they have been dissatisfied with the results. They report the client tends to slump forward when removed from BWSTT, and that walking over a treadmill, or being suspended from overhead sling, is unnatural and/or confining.
Slings have been shown to increase skin pressure on a patient’s sensitive areas and can create pressure ulcers. Clients may complain that the slings used in BWSTT are uncomfortable in the client’s groin area, and that the slings have generated skin tears. Straps or strips of fabric suspended beneath the client’s groin pose the potential for injury in case of a slip or a fall.
Because BWSTT allows the client to remain in more fixed, passive orientation, muscles which are weakened, but which are critical to core strengthening and posture, may be ignored. The weakness becomes evident when the client is put into a real-world environment which requires dynamic, non-robotic assistive movement.
Research shows that trainers of patients involved with BWSTT and robotics cannot easily judge how engaged each patient remains during practice sessions. The belt or robotic keeps moving and the hands of therapists or the motors of devices keep churning, even when the patient does not concentrate, self-assess, and put themselves into a state to learn. Inattention may be easier to spot with OGT.
Challenges with overhead suspension safety harnesses
Over-head aluminum track and trolleys, mounted to the ceiling, may not be ideal for the patient. Over-head track systems are designed for restricted environments and do not transition well to home use. The patient’s movement is limited to how far they can walk on the track leash, constricting practical use, with compromised weight bearing and restricted movement.
The safety harness design typical of over-head suspension systems typically supports the client through high groin straps which can cause injury. Suspension trauma can occur if the patient is left suspended in an upright posture with legs dangling.
Research shows that when a person is suspended upright with legs dangling, safety harness straps exert pressure on leg veins, compressing them and reducing blood flow back to the heart, which can lead to life-threatening loss of consciousness.
Challenges with bicycle/saddle and firm seat support
When using bicycle/saddle seat support, the client is prevented from standing in a normal body posture and vertical orientation. The saddle creates an obstacle between the client’s legs, which can discourage free, natural movement.
Bicycle/saddle seats can also put increased pressure on the tailbone and into the sensitive groin area, causing discomfort to the client and shortening therapy time.
Prolonged high pressure and mechanical forces over the client’s bony prominences, as the client sits on a firm seated surface/saddle seat, can cause localized tissue breakdown in the skin and adjacent tissues, leading to pressure ulcers over time.
Should Body Weight–Supported Treadmill Training and Robotic-Assistive Steppers for Locomotor Training Trot Back to the Starting Gate?
Bruce H. Dobkin MD, Pamela W. Duncan, PT, PhD
https://secondstepinc.com/wp-content/uploads/2019/08/00c642_b2c14e6f51d240d4abb73078ae20b1da.pdf
http://journals.sagepub.com/doi/abs/10.1177/1545968312439687
Conclusion: BWSTT and robotic assistive step training (RAST) do not replicate the lower extremity biomechanics of walking over ground, have not proven superior to exercise and progressive OGT, and offer no greater opportunity for motor learning than thoughtful over-ground physical therapy. BWSTT and RAST should not be provided routinely to disabled, vulnerable persons in place of OGT outside of a scientifically conducted efficacy trial.
Pressure ulcer risk of patient handling sling use.
Matthew J. Peterson, PhD; Julie A. Kahn, MS; Michael V. Kerrigan, MS; Joseph M. Gutmann, MD; Jeffrey J. Harrow, MD, PhD
Department of Veterans Affairs Health Services Research and Development Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans’ Hospital, Tampa, FL; Department of Chemical and Biomedical Engineering, University of South Florida, Tampa, FL; U.S. Patent and Trademark Office, Alexandria, VA; Audie L. Murphy Memorial Veterans Hospital, San Antonio, TX
https://secondstepinc.com/wp-content/uploads/2019/08/jrrd-2014-06-0140.pdf
https://www.ncbi.nlm.nih.gov/pubmed/26237005
Conclusion: The anatomical areas most at risk while participants were suspended in seated slings were the posterior upper and lower thighs. For supine slings, the perisacral area, ischial tuberosities, and greater trochanters were most at risk. The duration of time spent in slings, especially while suspended, should be limited.
Do Lift Slings Significantly Change the Efficacy of Therapeutic Support Surfaces? A National Pressure Ulcer Advisory Panel White Paper
David Brienza, Michelle Deppisch, Carroll Gillespie, Margaret Goldberg, Paula Gruccio, Rosalyn Jordan, Charles Lachenbruch, Susan Logan, Dianne Mackey, Cynthia Sylvia, Kristen Thurman
http://www.npuap.org/wp-content/uploads/2012/01/NPUAP-Lift-Sling-White-Paper-March-2015.pdf
Conclusion: Healthcare clinicians for each individual patient must critically review the impact, both the risk and the benefit, of leaving a sling beneath a patient.
References
Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nurse Outlook. 2009 Jan-Feb; 57(1):3-9.
Kalisch, BJ and Lee, KH. Missed nursing care: Magnet versus non-Magnet hospitals. Nursing Outlook 2012 Sep-Oct; 60(5): e32-9 Retrieved from http://www.nursingoutlook.org
Will Your Safety Harness Kill You?
Bill Weems, Phil Bishop, University of Alabama. Occupational Health & Safety magazine
http://www.elcosh.org/document/1662/d000568/Will%2BYour%2BSafety%2BHarness%2BKill%2BYou%253F.html?show_text=1
Summary: Explains the dangers of staying in a safety harness after a fall and discusses procedures to avoid injury or death from this situation.
References
Seddon, Paul. Harness Suspension: review and evaluation of existing information. Health and Safety Executive. Research Report 451/2002. 104 pp.
Research concludes body weight-supported treadmill training (BWSTT) and robotic assistive step training (RAST) do not replicate the lower extremity biomechanics of walking over ground, have not proven superior to exercise and progressive over-ground training (OGT), and offer no greater opportunity for motor learning than thoughtful OGT.
Effects of different seat cushions on interface pressure distribution: a pilot study
Sang-Heon Lee, OT, PhD, Ji-Su Park, OT, BSc, Bong-Keun Jung, OTR, OTD, and Sung-A Lee, OT, PhD
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756009/
Conclusion: Both the mean pressure and the peak pressure were higher when sitting on a firm surface.
Why choose the Gait Harness and Gait Harness System?
We have a safety record
When wearing the Gait Harness and supported within the GHS frame, the client cannot fall.
We have never had a report of injury to a client, caregiver, or practitioner using the GHS.
Lightweight metal frames, PVC frames, narrow equipment width, and client height and weight limitations mean other standing frames, walking frames, gait trainers, and standing walker equipment may not meet the safety needs of clients, particularly taller and heavier adults.
Comfort & Ease of Use
Ease of Use
Gait Harness System configuration is simple and straightforward, with no complex or delicate mechanical assemblies, or fragile parts to break.
With the GHS, there is no complex set up, and no exhausting transfers. Transfers in are completed in a straight-forward manner in matter of minutes from supine, standing, or seated positions. No gadgetry or product components block ease of access to the frame.
The GHS does not have hydraulic lifts or motorized components and is not reliant upon electricity or an external power source. Hydraulics and motors increase product weight, making it hard for the client to maneuver, and making it less suitable for home use.
The GHS is shipped fully assembled, ready for immediate use. The client can face the closed side, sideways, or the open side.
Comfort
The client can rest comfortably in the harness, as needed. When the client is ready to stand and go again, there is no difficulty in repositioning their feet for standing and walking again.
The harness is specifically designed to have no impingement in the groin or peri area, unlike harnesses which have a bucket or sling design, or equipment which may have a solid or rigid bicycle-seat type saddle structure built in the groin area.
Equipment that suspends the client from over-head, and/or has a sling, firm seat or saddle support can be uncomfortable.
The GHS client is supported through the thoracic area, with additional support through the thick of the thigh muscle. This is very different than having the client dangle from an over-head suspension device.
In the GHS, the client’s view of the horizon is open, clear from visual intrusion of the equipment itself.
Combined therapy options with bracing and FES
The GHS works exceptionally well with electrical stimulation, orthotics, prosthetics, and AFOs and KAFOs, especially bracing built with stance control knees. The conjoined use of simultaneous multiple therapies with the GHS distinguishes it from other, less adaptable equipment.
Within the GHS, the options for combination therapies (sit to stands, endurance work, resistive work, gait and balance training, ADL with upper and lower extremity involvement) are many, limited only by the creativity of the practitioner and ability of the client.
The diversity of combined use of therapies (if needed by the client) also creates a higher likelihood of increased functioning for many who were told they would never walk again, setting GHS value apart from any other equipment piece.
Commercial grade, FDA registered
GHS products are protected by 4 patents. The GHS is 100% USA made.
The GHS is a clinical quality, durable, commercial grade physical therapy equipment tool , and is registered with the FDA. As superior commercial grade equipment, the GHS is designed to last over 20 years. The System is constructed for heavy-duty performance and comes with lifetime warranties on defective parts and workmanship.
Many of our practitioners report they have been using their GHS in the clinic, daily, for 20+ years. The GHS is built to last.
The GHS is priced on the lower end of the commercial therapy equipment market. The System has greater versatility at a lower price point than treadmill-based or robotic devices, making it more accessible to the consumer market.
Contact Us Today
We are here to help you
For personalized attention, please call or email us today. We will take the time to answer all your questions about how the Gait Harness System is helping people walk again, and whether it could be right for you.
We will do our best to respond to your request within 24 hours, or on the next business day. All information you provide is strictly confidential and will never be sold or shared with any other person, entity or organization. See our Privacy Policy.
Office hours
Monday – Thursday
9:00 am – 5:00 pm ET
Friday
9:00 am – 3:00 pm ET
Sales Office and Support
P.O. Box 565
Anna Maria, FL 34216-0565
Phone: 941.567.4200
Toll Free: 877.299.STEP (7837)
Fax: 877.299.5428