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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 wayThe Second Step Gait Harness System II for Practitioners and the Gait Harness System II for Home Users are attractive, modern designs, with comfortable finishesNo other equipment provides the full, stable support of the Second Step GHS
Support from researchers
Visit our research page.
Support from 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.
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 user audience.
Body positioning should promote proper posture and maximum outcomes for the patient. Devices which limit the users’ 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 user, and a sturdy harness stabilizes the user within the frame. The client is supported in the Gait Harness, a thoracic support combined with pelvic and hip support, via four adjustable support strapsThe forearm support frame adjusts vertically for patients of different heights, providing the client a comfortable place to rest their arms in a relaxed positionThe front padded bumper prevents damage to walls and furniture and provides the client a place to rest their feetThe GHS is the only System which has an additional security feature of a user-controlled, automatic weight-activated braking system, bringing the user to a complete halt if they stumble or need a rest breakThe Gait Harness can be donned while the client is supine, standing, or seatedThe 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 users 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 users come to us after they have used BWSTT in a clinic, where they have been dissatisfied with the results. They report the user 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. Users may complain that the slings used in BWSTT are uncomfortable in the user’s groin area, and that the slings have generated skin tears. Straps or strips of fabric suspended beneath the user’s groin pose the potential for injury in case of a slip or a fall.
Because BWSTT allows the user 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 user 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.
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
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
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
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.
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
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.
Will Your Safety Harness Kill You?
Bill Weems, Phil Bishop, University of Alabama. Occupational Health & Safety magazine
Summary: Explains the dangers of staying in a safety harness after a fall and discusses procedures to avoid injury or death from this situation.
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.
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.
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
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 II?
We have a safety record
When wearing the Gait Harness and supported within the GHS frame, the user cannot fallWe have never had a report of injury to a user, caregiver, or practitioner using the GHSLightweight metal frames, PVC frames, narrow equipment width, and user height and weight limitations mean other standing frames, walking frames, gait trainers, and standing walker equipment may not meet the safety needs of users, particularly taller and heavier adults
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 mannerin 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 user to maneuver, and making it less suitable for home use.
The GHS is shipped fully assembled, ready for immediate use. The user can face the closed side, sideways, or the open side.

The user 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 user is supported through the thoracic area, with additional support through the thick of the thigh muscle. This is very different than having the user 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 user.
The diversity of combined use of therapies (if needed by the user) 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.
Easy to order

The GHSII for Home Users and the GHSII for Practitioners are sold as bundled packages, with all necessary components included in quoted pricing . The Hand Hold Set Accessory is sold separately.
Ordering processes which require the purchaser to choose between multiple product attachments and accessories “a la carte” may be too complicated, confuse buyer’s perception of final purchase price, and can be prone to buyer purchase, assembly, and installation error.
The Gait Harness System purchaser simply completes the Product Order Form and submits as instructed. The GHS has a single, indoor/outdoor support base frame. The home user client provides sizing measurements to order their special Gait Harness. The choice between two forearm support top options is determined based upon user sizing measurements provided.
Practitioners receive the same base frame with a set of small, medium, and large standard size Gait Harnesses and the standard forearm support top.
The GHS is shipped fully assembled, ready for immediate use. The purchaser is provided a training manual, online training link, and training DVD. Feel free to call us at 877-299-STEP (7837) with measurement and ordering questions, or email us at
Who invests in the GHS?
Purchasing a GHS is an investment in health. If you’re concerned about cost, remember that an investment in fall prevention and walking safety is an investment in the independence of you, your loved one, or your patient.
Our clients look for a commitment which will pay off. A typical client who purchases the GHS does so after completing thorough research and comparing many pieces of equipment.
Based upon the combination of features and the quality of construction, the GHS offers specific benefits unavailable from any other device and methods.
Additionally, utilizing the System is profitable for hospitals and nursing homes by creating an environment that reduces the number of staff necessary and allows patients to ambulate safely and rehabilitate earlier in their therapy.
Our clients conclude that the GHS is the right choice for them after considering the values of ease of use for the practitioner, caregiver, and user; safety; comfort; product durability; versatility; portability; indoor and outdoor use; and easy maneuverability.
Our clients place a high value on creating greater independence for the practitioner, caregiver, and user; promoting healthy recovery; getting efficient recovery results; and having options for diverse utilizations as the user progresses through individual levels of rehab and recovery.
Because the GHS offers new opportunities to recover and may help users who have been unable to progress in therapy programs, it presents a new energy and purpose in doing therapy for those learning to stand again and walk again.
We believe the GHSII provides greater versatility than any standing frame, walking frame, standing walker or gait trainer. Visit our Product Demonstration Gallery

to see how the System works.

If you are ready to step forward and learn to walk again in a more natural way, we stand ready to help.
Contact usto request a free quote
Questions about the Second Step Gait Harness System? Call us at 877.299.STEP (7837), visit our website ator Contact us Today at
Now people can get the help they need to stand and walk again. Visit to find out more about the results oriented, clinically proven Second Step Ga

it Harness System (GHS) and NEW Gait Harness System II (GHSII).

Since 1989 the Second Step GHS has been the durable standard of excellence in commercial grade rehab standing frame and walking frame equipment.
The System provides new therapy opportunities to walk again, even for those who have not walked in years, helping people regain healthy functioning after stroke, brain injury, cerebellar degeneration, spinal cord injury, orthopedic, neurological, lower extremity amputation, Parkinson’s, Alzheimer’s, and other ambulation, gait and balance rehabilitation issues. The GHS is more than just a standing frame, walking frame, gait trainer or walker.
The GHS is used world-wide not only in outpatient and inpatient clinics, but also in the home, with both indoor and outdoor applications.
Discover how Second Step is “Helping People Walk Again” by keeping users, caregivers and practitioners safe, and simultaneously facilitating healthy, functional therapy outcomes.
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