The PhysioMill Rehabilitation Treadmill has a heavy duty 4 HP Hi-Torque DC Servo motor specifically designed to offer a true zero start with .10 mph increments for patients up to 500 lbs. The extremely versatile PhysioMill Rehabilitation Treadmill has a reverse belt mode with 15 percent elevation allowing for downhill negative walking. Its forward motion speeds can be programmed to 12 mph while its backward speeds can be programmed to 3 mph. The large 21" x 63" walking belt allows the PhysioMill to be used in a variety of clinical settings such as Neurological, Orthopedic, Sports Medicine, Cardiac Rehab, Bariatrics and Pediatrics. This treadmill is built with high-quality materials, designed to last for years. It comes standard with short handrails, dual emergency stop buttons, hand held remote start/stop/pause, orthopedic walking belt and contact heart rate monitor.