When the Chest Prompt is Too High - Pacer Positioning In Depth

Cathy Ripmaster, MSPT discusses a common positioning problem with the Rifton Pacer and how to fix it. Signs that the chest prompt is too high: • Less than 3 fingers space between top of chest pad and axilla • Fingers and hands cold or discolored • User looks uncomfortable and is “hanging” on the chest prompt • Frame is as high as it can go and user still has some knee flexion • User is having difficulty walking Ways to fix poor positioning: • Adjust the pelvic positioner, saddle or MPS to decrease the space between the seat and the bottom of the chest prompt • Lower the chest prompt • Invert the chest prompt • Adjust the height of the frame (typically need to lower the frame and raise the seat)