Clients notice that this is not true when they are standing up right. The RGO uses mechanical advantages to help SCI or paralyzed pediatric and adult clients to ambulate. With very little motion, lateral and posterior lean, will drive the contra lateral leg forward. It was first designed for Spina Bifida clients who have disabilities similar to the SCI patient. There are several mechanical designs of RGO's but the end result is very similar.
Some designs work better for pediatric clients while others are better and for adults.
The original cable designs have been replaced with more efficient designs that eliminate cable drag. The RGO's can stabilize various levels of the spine by design. All RGO's stabilize the foot, ankle, knee, hips, and pelvic. The higher the lesion or SCI the more spinal support one needs. The adult RGO is much more challenging.