When the Ruckstell is in "high" gear, it is direct drive-meaning it is locked as a unit. When the Ruckstell is in "low" it is an underdrive. Many people install high speed (3:1 or 3.25:1) ring and pinion gears in the Ruckstell. This really splits the gearing options well giving you a taller direct drive and a more usefull underdrive range.
There were other period overdrives made for the Model T such as Warford, Muncie, etc. They are additional transmissions and mount behind the standard T transmission-and require shortening the driveshaft and radius rods.