Hi Rachel @rwinney, I'm not sure what the Mayo pain rehab center has for equipment but I'm sure it's the top of the line $$ stuff. They had one that is similar in function at the small Mayo Family Health Clinic where I went for my PT sessions for helping with my lower back and posture problems. I believe it was a NuStep similar to this one - https://www.usmedrehab.com/products/nustep-t4r-recumbent-cross-trainer. The Teeter has basically the same motions and you can turn the settings down where it's very easy to move with your arms and legs...and it's much cheaper 🙂