Trunk support can be achieved with the Rifton Pacer gait trainer by using the rotational chest prompt support. It is not just another walker. With trunk support the Pacer becomes a device that can assist even the most involved clients by securing their balance and placing them into a gently forward-leaning position that can encourage stepping. Basic use and adjustment of the chest prompt support is covered in this video. A transcript is provided below for viewers with hearing disabilities.
[00:00:01.00] Caption: The Chest Prompt
[00:00:04.00] Narrator: One of the best things about the pacer is the rotational chest prompt. Rifton makes three sizes of chest prompt for trunk support and, when tilted, forward leaning. This is the medium one.
[00:00:17.00] Narrator: Here we have it attached directly behind the main frame uprights. The clamps can be on the inside or outside of the frame, depending on the width of user. The containment strap goes in the front and helps hold the pads together. The back opens for easy transfer.
[00:00:45.00] Narrator: Loosen these two knobs for both the tilt and width adjustments. Although they work separately, the two sides should be adjusted equally. Tighten to secure it in its new position. To adjust the width, first loosen the front straps, then the knobs.
[00:01:17.00] Narrator: Tighten the straps for full support. To make it even wider, move the clamps to the outside of the top bar.
[00:01:29.00] Narrator: Before tightening the knob, slide the clamp to the right position.
[00:01:38.00] Narrator: You can adjust the height with the push of a button.
[00:01:44.00] Bud Hossenlop, PT: We were working with, Peter, who has really too much extensor tone and in the past, you know, when we've tried putting him in any gait trainer, he would tend to pick up the front of the walker and the extensor tone would pull him over backwards which made it very difficult to even attempt walking with him. Now with the Pacer, with the new trunk support, we're able to inhibit some of that extension by tilting it forward This allows him to start utilizing some more flexors in his legs so he can bring the legs forward, bring the weight forward onto his arms, as opposed to just throwing himself backwards into extension. We can get him forward and keep good pelvic alignment, and then he's able to start walking.