Evidence Based Practice

Evidence Update: Standing Programs for Hip Flexibility

July 27, 2015 by Elena Noble, MPT
A young boy with spastic cerebral palsy smiles and claps his hand as while in a standing device

Secondary to the motor disorders which affect their physical development, children with spastic cerebral palsy tend to lose lower limb range of motion between infancy and adolescence. Researchers have measured hip abduction decreases of nine degrees in this population. Since loss of hip abduction makes balance and walking difficult, maintaining hip abduction becomes a crucial intervention. Because of the...

Evidence Based Practice Evidence Update: Quicker Recovery with Early Movement July 13, 2015 by Elena Noble, MPT
A recent study at Cleveland Clinic, a leading rehabilitation provider, found that patients participating in early mobility routines after neurological injury recovered quicker and went home earlier than those receiving standard care. NPR recently ran an excellent segment on this study providing good detail and anecdotes from the researchers illustrating how early mobilization is improving the healthcare...
News Cerebral Palsy and the NYC Ballet: In Praise of Dance July 06, 2015 by Carmen Hinkey
Albert Einstein said dancers are the athletes of God. And St. Augustine, “I praise the dance, for it frees people from the heaviness of matter and binds the isolated to community….O man, learn to dance, or else the angels in heaven will not know what to do with you.” NYC Ballet discovered that ancient wisdom is still true today, when they responded to a mother’s idea about a...
Stories Rifton HTS on the Road June 26, 2015 by Kristin Capone, PT, DPT, MEd
JJ is a 4th grade student at Southern Elementary School in New Castle, Delaware. Although he uses a wheelchair because of his dystonic cerebral palsy, JJ has great communication skills and is one of the happiest kids I know. Recently, his school program planned a field trip to Glasgow Park. But right away we ran up against a familiar problem: community outings such as these present unique challenges for...
PT/OT Adopting Safe Patient Handling Policy in School June 12, 2015 by Jill Barrett, MS, PT
Safe patient handling and mobility (SPHM) as a discipline is gaining momentum not only in hospitals and rehab facilities but in schools as well. High Desert Education Service District, based in Redmond, Oregon, serving multiple districts across a large area, recently implemented a new SPHM policy. Recently Rifton spoke with Jill Barrett about the importance of safe patient handling in schools. A tireless...
Stories Full Inclusion Summer Camp June 08, 2015 by Elena Noble, MPT
Inclusion is not easy. It takes commitment, creativity and time to help every student learn and participate. So congratulations to the wonderful teachers and staff at the Sacramento County Office of Education (SCOE) who realized that with summer just around the corner it was time to take inclusion outdoors as well. The result? A first ever inclusive Technology and Recreation camp at nearby Sly Park...
Stories Commencement and Triumph June 01, 2015 by Elena Noble, MPT
It’s that time of year, the season of commencement ceremonies, and each year we hear words of inspiration and hope from podiums all over the country. But here at Rifton, because we make a gait trainer, we hear remarkable stories of perseverance, of high school kids whose lives have been upended by injury but resolve to walk across the stage to receive their diploma. This year is no different,...
PT/OT Improved Rehab Intervention with the TRAM May 26, 2015 by Jackie Honeyfield, PT
The Rifton TRAM is a great addition to our skilled rehabilitation department, especially for those patients with neurological deficits. One therapist can safely assist a patient in the TRAM through a functional mobility progression starting with sitting balance on the edge of the bed, standing tolerance, posture and then gait normalization. In the past, many of these therapeutic activities needed...
Tips & Advice Six Tips for Writing a Strong Letter of Medical Necessity May 15, 2015 by Terri Oxender, OTR/L, ATP
All of us have struggled one time or another while trying to compose an effective letter of medical necessity for a piece of adaptive equipment. We have all tried to figure out better strategies with our colleagues at work, at continuing education conferences and through social media sites. Below are a few considerations I’ve found helpful. Make it Unique First, make sure the letter is...
PT/OT Top 6 Features of the HTS May 04, 2015 by Elena Noble, MPT
Since we launched the Hygiene and Toileting System (HTS) almost two years ago we’ve received an outpouring of success stories in the “first time toileting” category. In an informal survey we asked therapists and parents which features made the biggest difference for them. Here’s the top six: The load-bearing and flip-away footboard. “I have one child who uses the...
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