Gait Trainer™ 3

Because you believe in better patient outcomes, Biodex created the Gait Trainer 3.

The only treadmill with an instrumented deck that monitors and records step length, step speed and step symmetry, the Gait Trainer 3 lets you prove patients are getting better, faster – and documents results.

More than a treadmill, the Biodex Gait Trainer 3 puts evidence-based techniques at your fingertips. By combining audio cueing, visual biofeedback and music-assisted therapy integration, the Gait Trainer 3 helps promote neuroplasticity… creating new pathways to movement.

Biofeedback Improves Patient Outcomes

The addition of real-time visual biofeedback has been shown to motivate patients, prompting them into proper gait patterns.1 Only the Biodex Gait Trainer 3 provides a comparison of actual footfall to target step length. This real-time biofeedback helps patients stay on target in each phase of rehabilitation.

Neurologic Music Promotes Correct Movement

Music-based therapy is well researched for its powerful effects in treating movement disorders. By integrating rhythmic auditory cueing (RAC) and a library of neurologic music compositions, Biodex takes gait training to a whole new level. Learn More.

GAIT TRAINER 3 + UNWEIGHING

The Biodex Gait Training System
Allow every patient the opportunity to get an early start on rehabilitation. Combine the Gait Trainer and NxStep Unweighing System for body weight-supported treadmill training (BWSTT) with unobstructed view and access to the patient.

• Intuitive Software and Large Display – 15.6″ touchscreen display for enhanced user experience.
• Open Platform – Enables patient access for therapist interaction; easily accommodates BWSTT with the Biodex Unweighing System.
• Instrumented Deck – Platform monitors and records step length, step speed and right-to-left time distribution (step symmetry).
• Audio Cueing and Visual Biofeedback – Motivates patients with real-time biofeedback, prompting proper gait patterns. Biofeedback helps patients stay on target in each phase of rehabilitation.
• Music-Assisted Therapy Package – Optional library of neurologic music. Specific musical components and correct beats per minute help promote neuroplasticity and facilitate desired gait patterns.
• Microsoft SQL Database – Allows clinician to easily store and retrieve patient data, multiple tests per patient. Export to Excel® for reporting and analytics.
• Objective Documentation – Lets you quantify patient progress and demonstrate the benefits of treatment. Biodex technology helps accelerate positive patient outcomes, and then lets you prove it.
• Normative Data – Robust database of healthy population by age and gender for comparative patient assessment.
• Heart Rate Monitoring – Polar® contact handgrips (telemetry compatible) ensures proper training intensity.
• Connect & Engage – Allows connection to external keyboard, mouse, large monitors and projectors to enhance interaction for visually impaired patients

Goal: Develop symmetrical gait by improving step length, step speed and right to left time distribution.

• Older Adult Patients
• Orthopedic Patients
• Stroke/Traumatic Brain Injury
• Spinal Cord Injury
• Amputation of a Lower Extremity
• Parkinson’s Disease
• Patients with Neurological Involvement
• Vestibular Patients

• Audio cueing and visual biofeedback prompts patients into a proper gait pattern
• Develops balance and coordination
• Develops strength and range of motion
• Increases cardiovascular capacity and endurance
• Provides a safe environment for patients and therapists
• Documents important gait parameters

Older Adult Patients

Method:
Have the patient walk at a comfortable step speed concentrating on symmetry of step length and step time. Once the patient has developed symmetry and cardiovascular gains, begin to work towards normative gait parameters. As an option, support the patient in the Biodex Unweighing System to provide a no-fall environment.

Results and Benefits:

• Improved patient confidence with associated improvements of strength, balance and endurance.
• Excellent for older adults to perform physical conditioning exercises associated with rehabilitation or fall prevention program.
• Reduction in disuse atrophy effective
• Efficient and safe use of clinician time.

When combined with the Unweighing System:

Allows concentration on treatment, not physically supporting the patient.

Reference:
American Geriatrics Society, British Geriatrics Society and American Academy of Orthopedic Surgeons Panel on Falls Prevention, Guideline for the Prevention of Falls in Older Persons, April 5, 2001.
Cress ME, Buchner DM, Questad KA, Essel PC, daLateur BJ, Schwartz RS. Continuous-scale physical functional performance in healthy older adults: a validation study. Arch Phys Med Rehabil 1996; 77:1234-50
Simpson JM, Harrington R, Marsh N., Guidelines for Managing Falls Among Elderly People. Physiotherapy, 84:4;173-177 April 1998.
Wolfson L. Whipple R, Amerman P, Tobin JN. Gait Assessment in the Elderly: A Gait Abnormality Rating Scale and its Relation to Falls. J of Gerontology 1990; 45:M12-19 

Orthopedic Patients

Method:
Utilize audio cues and biofeedback to develop step length symmetry and right to left time distribution. Initially support patient’s body weight using the Biodex Unweighing System. Set treadmill belt in reverse direction (retro-walking) to assist with gains in range of motion. Forward direction of belt works on symmetry of step length and step time.

Results and Benefits:

• Initiate rehabilitation earlier following joint sprains, surgical repair or replacement.
• Gains in range of motion, gait parameters, strength and endurance.
• Treadmill training effects are readily transferred to improved over ground walking speed and endurance
• Effective, efficient and safe use of clinician time.

When combined with the Unweighing System:

• Rehabilitation can commence earlier as the Unweighing System provides a safe environment for both the patient and the clinician
• Open access design of the Unweighing System allows hands-on interaction with the patient during gait training.
  
• Improved proprioception and acceptance for weight bearing activity.
• Allows concentration on treatment, not physically supporting the patient.

Reference:
American Geriatrics Society, British Geriatrics Society and American Academy of Orthopedic Surgeons Panel on Falls Prevention, Guideline for the Prevention of Falls in Older Persons, April 5, 2001.
Cress ME, Buchner DM, Questad KA, Essel PC, daLateur BJ, Schwartz RS. Continuous-scale physical functional performance in healthy older adults: a validation study. Arch Phys Med Rehabil 1996; 77:1234-50

Stroke/Traumatic Brain Injury

Method:
Progressively address step speed and right to left time distribution. Use a slow initial belt speed (.10 cycles/sec – .50 cycles/sec). Clinician may assist with paretic limb placement to initiate step length. Visual cues are used initially to reinforce step length. Once step symmetry is reached, gait speed can be addressed.

Results and Benefits:

• The Gait Trainer forces the patient to focus on foot placement, which is reinforced through visual cues on the display.
• Improved right to left time distribution and increased step time during ambulation is achieved in an upright and fully supported position through repetitive and rhythmic movements.
• Treadmill training effects are readily transferred to improved over ground walking speed and endurance.

When combined with the Unweighing System:

• Rehabilitation can commence earlier as the Unweighing System provides a safe environment for both the patient and the clinician.
• Open access design of the Unweighing System allows hands-on interaction with the patient during gait training.
• Allows concentration on treatment, not physically supporting the patient.

Reference:
Barbeau, et al., Walking After Spinal Cord Injury: Control and Recovery
Gardner et al., Partial Body Weight Support with Treadmill Locomotion
Visintin et al., A New Approach to Retrain Gait in Stroke Patients Through Body Weight Support and Treadmill Stimulation
Suzuki et al., Determinants and predictors of the maximum walking speed during computer assisted gait training in hemiparetic stroke patients.
Suzuki et al., Relationship between stride length and walking rate in gait training for hemiparetic stroke patients.

Spinal Cord Injury

Method:
Initially, concentrate on developing step length symmetry. Once symmetry is achieved, increase speed of the treadmill for progression towards normative gait parameters specific to the age, gender and leg length of the patient.

Results and Benefits:

• The Gait Trainer forces the patient to focus on foot placement, which is reinforced through visual cues on the display.
• Sensory input from the rhythmic treadmill belt movement assists with patterning of the central nervous system.

When combined with the Unweighing System:

• Rehabilitation can commence earlier as the Unweighing System provides a safe environment for both the patient and the clinician.
• Improved right to left time distribution and increased step cycles/sec during ambulation is achieved in an upright and fully supported position through repetitive and rhythmic movements.
• Open access design of the Unweighing System allows hands-on interaction with the patient during gait training.
• Allows concentration on treatment, not physically supporting the patient.

Reference:
Barbeau et al., Walking After Spinal Cord Injury: Control and Recovery
Gardner et al., Partial Body Weight Support With Treadmill Locomotion….
Visintin et al., A New Approach to Retrain Gait In Stroke Patients Through Body Weight Support and Treadmill Stimulation
Suzuki et al., Determinants and predictors of the maximum walking speed during computer assisted gait training in hemi paretic stroke patients. Suzuki et al., Relationship between stride length and walking rate in gait training for hemi paretic stroke patients.

Amputation of a Lower Extremity

Method:
Using audio and visual cues, initially concentrate on developing step length symmetry with focus on right to left time distribution. Once symmetry is achieved, increase speed of the treadmill for progression towards normative gait parameters specific of the age, gender and leg length of the patient.

Results and Benefits:

• The Gait Trainer forces the patient to focus on foot placement symmetry, which is reinforced through visual cues on the display.
• Efficient gait pattern with step length symmetry and improve right to left time distribution will reduce the metabolic demands associated with prosthetic gait.
• Open access design of the Unweighing System allows hands-on interaction with the patient during gait training.
• Goals can be set through comparison of the uninvolved and involved limbs performance measures.

Reference:
Peterson et al., Physiological responses during unweighted ambulation of three patients with below the knee amputation: A pilot study.

Parkinson’s Disease

Method:
Utilize audio and visual cues to assist the retraining of the temporal and spatial deficits associated with Parkinsonian Gait. The patient focuses on the visual and audio cues, which help to regulate step length.

Results and Benefits:

• The Gait Trainer forces the patient to focus on foot placement symmetry, which is reinforced through visual cues on the display.
• Improvement of step length and step time.
• Improvement of muscular strength and endurance and overall cardiovascular tolerance for physical activity.
• Improved step symmetry and increased step time during ambulation is achieved in an upright and fully supported position through repetitive and rhythmic movements.
• Treadmill training effects are readily transferred to improved overground walking speed and endurance.

When combined with the Unweighing System:

• Rehabilitation can commence earlier as the Unweighing System provides a safe environment for both the patient and the clinician
• Open access design of the Unweighing System allows hands-on interaction with the patient during gait training.
• Allows concentration on treatment, not physically supporting the patient.
  

Reference:
Morris et al., Stride Length Regulation in Parkinson’s Disease 

Specifications

• Dimensions: 86″ l x 27″ w (218 x 69 cm)
  Walking Area: 64″ l x 20″ w (160 x 51 cm)
  Printer Stand: 24″ l x 24″ w (61 x 61 cm)
• All-In-One Flat Panel PC: 15.6″ Color Touchscreen, Windows Operating System, Ethernet, USB, Video/Audio Out, Built-In Speakers and Color Printer. Bolsters connectivity options to other devices, enabling remote operation for data transfer and software upgrades.
• Deck: 1″ thick (2.5 cm) reversible Teflon™ impregnated
  high-density composite fiber
• Motor: 2 HP with 2Q-Pulse Width Modulation Control
• Treadmill Speed Range:
  – Forward: 0-10 mph (0-16 km/h)
  – Reverse: 0-3 mph (0-4.8 km/h) in 0.1 mph (.16 km/h) increments
• Gait Trainer Speed Range: .3 – 4.5 mph (.48 – 7.2 km/h)
• Elevation: 0-15% Grade
• Heart Rate Monitoring: Polar® contact handgrips (telemetry compatible)
• Printer: HP DeskJet
• Power: 115 VAC, 50/60 Hz, 20 AMP dedicated line, or 230 VAC, 50/60 Hz, 20 AMP dedicated line.
  Includes hospital grade plug with 12′ (3.7 m) power cord.
• User Capacity: 60-400 lb (27 – 182 kg)*
• Weight: 395 lb (179 kg)
• Standards:
  IEC 60601-1:2005 (Third Edition) + CORR. 1:2006 + CORR. 2:2007 + A1:2012 (or IEC 60601-1: 2012 reprint)
  ANSI/AAMI ES60601-1:2005 + A1:2012 + C1:2009 and A2:2010
  CAN/CSA-C22.2 No. 60601-1:2014
  IEC 60601-1-2:2014
  EN 60601-1-2:2015
• Warranty: Two-years parts; one-year labor

*Does not accommodate less than 60 lb in gait trainer mode.

Manuals

• Gait Trainer 3 (v3.X Software) – Instructions for Use – Rev D
• Addendum, Gait Trainer 3 with Spotify
• Gait Trainer 3 (v3.X Software) – CSV File Export
• Gait Trainer 3 (v3.X Software) – Music Therapy
• Gait Trainer 3 (v3.X Software) – Parts and Assembly Illustrations
• Gait Trainer 3 (v3.X Software) – References and Bibliography
• Handrail Installation Procedure for Gait Trainer 3 – Installation and Assembly

Translated Manuals

• Instructions for Use, Gait Trainer 3 Software v3.X (Italian)
• Translation Certificate: Instructions for Use, Gait Trainer 3 Software v3.X (Italian)
• Instructions for Use, Gait Trainer 3 Software v3.X (French)
• Translation Certificate: Instructions for Use, Gait Trainer 3 Software v3.X (French)
• Instructions for Use, Gait Trainer 3 Software v3.X (German)
• Translation Certificate: Instructions for Use, Gait Trainer 3 Software v3.X (German)
• Instructions for Use, Gait Trainer 3 Software v3.X (Spanish)
• Translation Certificate: Instructions for Use, Gait Trainer 3 Software v3.X (Spanish)
• Addendum, Gait Trainer 3 with Spotify (Italian)
• Translation Certificate: Addendum, Gait Trainer 3 with Spotify (Italian)
• Addendum, Gait Trainer 3 with Spotify (French)
• Translation Certificate: Addendum, Gait Trainer 3 with Spotify (French)
• Addendum, Gait Trainer 3 with Spotify (German)
• Translation Certificate: Addendum, Gait Trainer 3 with Spotify (German)

To order, call 1-800-224-6339

* Includes printer and printer stand. Export models available. US Patent 6,645,126 B1

Optional: