Which Should I Use for Gait Training?

How to Choose Between the Rifton TRAM or the New Pacer

May 17, 2016 by Lori Potts, PT

A therapist helps guide a client down a hallway to practice ambulation and gait training in a Rifton TRAMSince our newest items, the Rifton TRAM and the New Pacer both have the capacity to support walking practice and have similar prompts, including arm prompts, trunk support, and walking saddle, therapists often wonder which to choose for ambulation or gait training.

Because the TRAM does a lot more than gait training – it’s a three-in-one device that combines sit-to-sit transfer, sit-to-stand lift, and ambulation – it tends to be a first choice especially for individuals who are heavy and difficult to transfer onto a toilet or into an upright position. But for pure gait training the New Pacer offers more prompts and more functionality. It all comes down to the particular needs and abilities of the client.

Side view of a patient being supported by prompts in a dynamic gait training deviceThe more involved the user, the more support needed for gait practice. Some prompts are found on both the TRAM and the New Pacer, such as the arm prompts and the pelvic positioner (called a walking saddle on the TRAM). Other prompts are available on one, but not on the other, such as the New Pacer thigh prompts and ankle prompts. Yet other prompts have differences, like the trunk support. And there are further accessories that are unique to the New Pacer, such as the Multi-Position Saddle.

Comparison Chart

Below is a chart showing the similarities and differences of features and functions of the TRAM and New Pacer to help choose which adaptive device best fits the users needs.

TRAM Body Support

Body support system height can be effortlessly adjusted and finely tuned with the client in the device.

Body support system is rigid, providing postural support.
NEW PACER Trunk Support

Chest prompt is height-adjustable. It is more effectively positionedbeforeclient is in device.

Chest prompt is flexible allowing for anterior and posterior tilt adjustments for users with extensor or flexion trunk patterns during gait.
TRAM Frame

The TRAM upper frame has no built-in dynamic movement.

NEW PACER Upper Frame

The New Pacer offers an upper frame, which has optional dynamic vertical and horizontal movement to accommodate natural movement in gait.

TRAM Transfer from Sit-to-Stand

TRAM has a caregiver-operated up/down switch and battery-powered lift column to transition client from sitting to upright position with no lifting by the caregiver.
NEW PACER Transfer from Sit-to-Stand

With the multi-position saddle, the transition from sitting to standing is now substantially easier, but still requires physical assistance from caregiver(s).

TRAM Footprint

Footprint is compact for greater maneuverability in confined spaces such as the home or bathrooms.

Standard configuration: 27-1/2" W x 45-1/2" L

Base legs expanded: 40" W x 45-1/2" L

NEW PACER Footprint

Larger footprint available with utility base to provide maximum stability and stride length during gait.

Standard base: 28" W x 36" L

Utility base: 32" W x 40-1/2" L

TRAM Lower Extremity Control

No options at present to provide for lower extremity control.

NEW PACER Thigh and Ankle Prompts

Option of thigh and ankle prompts to control adducted (scissor) gait, foot placement, and stride length.

TRAM Weight-Bearing Components

Walking saddle provides weight-bearing support during gait and standing.

NEW PACER Weight-Bearing Components

Flexible pelvic positioner provides weight-bearing support during gait and standing.

Semi-rigid hip positioner with optional hip positioner pad provides weight-bearing support as well as pelvic control during gait.

Solid seat multi-position saddle provides maximal weight-bearing support, plus specificity in pelvic positioning and improved ease of transfer into gait trainer.

TRAM Walking Saddle Dimensions

The key user dimension for the Pelvic Support is half of the thigh circumference.(Sizing larger with TRAM)

Small: 6"-10"

Medium: 8"-14"

Large: 10"-18"

NEW PACER Pelvic Support Dimensions

The key user dimension for the Pelvic Support is half of the thigh circumference. (Sizing is smaller with the New Pacer)

Small: 4"-8"

Medium: 6"-10"

Large: 8"-14"

TRAM Scale

TRAM has a scale that can be used to measure client's weight-bearing abilities (off-weighting).

No scale with New Pacer.

TRAM Casters

Full wheel locks available on two of the casters, and and optional swivel locks.


Standard base: Full wheel locks on all four casters, plus a drag, swivel locks and optional directional locks.

Utility base: Full wheel locks on the rear wheels plus a drag, swivel locks and optional directional locks.

Odometer optional on front caster for recording distance during ambulation practice.

So ultimately, your choice comes down to the particular needs of your client. Familiarity with all the functions of both devices is key. Then let your own assessment be your guide.

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Alan Kossoff | June 23, 2016
I am a 65 year old T12 Incomplete who is unable to stand without my leg braces......BUT......I am able to walk with my leg braces and a walker with my therapist. My hip flexors get the job done. I keep working on stability and balance as much as I can.....but with a traditional walker I have not been able to walk much on my own. And unfortunately I have Osteo Arthritic shoulders which makes it tough for me to stand up from my wheel chair. Leaving me with a common dilemma - I NEED A WALKER THAT WILL HELP ME STAND AND GIVE ME GREATER STABILITY I have been going to rehab since my injury 3 years ago.....and I am in great health. Not just wanting to walk into a geriatric lifestyle.....but get back to as active a lifestyle as i can. The TRAM looks like a great device......will get it all done......but the Pacer with it's indoor and outdoor base seem where I would love to end up. But the Pacer does not have the ability to help get up - what to do?
Elena | June 27, 2016

Hi Alan, The Rifton Pacer which has the indoor and outdoor base does have a built in sit-to-stand transfer assist. Here is a link to a video of the sit-to-stand assist in action:

The white lever at the top of the front Pacer column, allows the device to be lowered so an individual can slide from their wheelchair onto the Pacer saddle. From there, the white button is engaged again to raise the Pacer back up to the desired height.

If you have further questions about this mechanism, do not hesitate to call Rifton: 1-800-571-8198.