Tips & Advice

Using the TRAM Swivel Locks to Help with Steering

For Your Client with Trouble Controlling Lateral Movement

January 17, 2017 by Elena Noble, MPT

One key function of the Rifton TRAM is gait training. As a client progresses and gait control improves the clinician eventually steps away to let the client guide the TRAM solo. But some people have difficulty controlling lateral movements, especially if all TRAM wheels are free to swivel. For these people, here are two TRAM tips that have made all the difference for many.

Setting the TRAM to Track in a Straight Line

Close-up of the TRAM showing the swivel locks in position for optimizing lateral movement in gait training(perfect for gait training in a long hallway)

Use the leg expander to make sure the base legs are in the closed position. Then, using two swivel locks, place one on each base leg, but at opposite ends. Now the TRAM will only travel in a straight line and your client can focus solely on forward gait.

 

Setting the TRAM to Track in a Large (25-Foot) Fixed Circle

A close-up of the swivel locks on the TRAM wheels that allow for control over steering in gait training(perfect for gait training in a gym or large room)

Keep the two swivel locks installed as before, one on each base leg but at opposite ends of the legs.  Next, using the leg expander, spread the legs to the fully open position. Now when your clients walk they will track in a big circle, free of any unintentional (and distracting) lateral movements.A diagram showing the TRAM swivel locks set for gait control going in a large circle

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Reply by Sally on January 17, 2017 at 2:12 PM
Thank you, again, for a useful tip.