Tips & Advice

Lifespan Care for People with Disabilities

May 23, 2017 by Elena Noble, MPT
resources adults developmental disabilities

Providing activity and mobility interventions for young adults with disabilities after they leave the school system is important, particularly for maintaining quality of life. Unfortunately this outlook is not shared by everyone. A physical therapist working with young adults with developmental disabilities wrote this to me after her efforts to get adaptive equipment for her clients had been...

Tips & Advice Arm Prompt Adjustment Tutorial May 16, 2017 by Elena Noble, MPT
The arm supports of the Rifton Pacer are central to good positioning and gait control. When placed correctly, they assist with weight-bearing, weight-shifting, head control, upper extremity stability and steering. We find, however, that some users don’t make use of the full range of adjustments that are available on the arm prompts, hence this tutorial.   Clamp Placement ...
Evidence Based Practice Evidence Update: The Relationship of Trunk Support to Head Stability May 09, 2017 by Lori Potts, PT
Trunk and head control is a challenge for many children with cerebral palsy (CP). This fascinating recent study examines how providing varying levels of biomechanical trunk support affects neural control of head stability, specifically for children with CP in Gross Motor Function Classification System (GMFCS) Levels IV or V. By definition, GMFCS Level IV indicates children whose walking ability is severely...
PT/OT Body Weight Supported Treadmill Walking May 02, 2017 by Justin Gilligan, PTA
At our Therafit Rehab clinics in Maryland and New Jersey we specialize in treating children and adults with neurological disabilities such as cerebral palsy, stroke, TBI and Parkinson’s disease.  Time and again our patients tell us their number one goal for rehab is walking -- whether for the first time, relearning to walk or just walking better. And it’s no wonder. Walking is an integral...
PT/OT Boxing and Balance Exercise April 25, 2017 by Elena Noble, MPT
Although on the market for over five years, the TRAM continues to surprise us. Here are some great ideas for using the TRAM in rehab, focusing on balance support and activity, from Jamie Haines, PT, DScPT, NCS at Central Michigan University. High-Intensity Boxing This patient has Parkinson's disease, Stage III. He was afraid to participate in an exercise class until he used the Rifton TRAM. What a...
Evidence Based Practice Evidence Update: Improving Services for Youth with Disabilities April 13, 2017 by Elena Noble, MPT
For a child with disabilities, few transitions are as fraught as the passage from youth to adult, usually around age 21. While the Individuals with Disabilities Education Act (IDEA) makes some provision for transitional services for youth as they prepare to move out of the school system for “further education, employment or independent living,” these services are often poorly defined and...
Tips & Advice Four Field-Tested Approaches For Toileting with the TRAM April 11, 2017 by Lori Potts, PT
The Rifton TRAM is a remarkably simple solution for toilet transfers, ensuring safety and dignity for both clients and caregivers. Here are four approaches developed by clinicians in the field to accommodate different body types and impairments. Download the pdf Method 1 For client with good trunk tone and weak lower extremities View Slideshow   Method 2 For clients with moderate weight bearing...
Tips & Advice Rifton TRAM FAQ April 04, 2017 by Lori Potts, PT
Questions about the Rifton TRAM? This new resource offers answers to the questions we’ve heard the most along with tips and guidelines to help you get the most out of your transfer and mobility device. Rifton TRAM FAQ
Tips & Advice Spring Trike Tune-Up March 28, 2017
With spring in the air, it’s time to bring out those tricycles and hit the sidewalks. But first, some yearly maintenance may be in order. Use these quick and simple Rifton tricycle tune-up guidelines to get your adaptive bike into top condition for a summer of fun. Download Trike Tune-Up pdf View in Spanish
PT/OT Toileting Initiative Produces Great Results March 20, 2017 by Ashley Rogers, DPT
It all started when therapists from the three special day schools of Baltimore County Public Schools sat down to talk at one of our yearly meetings. The discussion turned from the mundane to the visionary, how to provide more functional, purposeful activities for our kiddos throughout the day. And, of all things, we talked about toileting. As a vital part of the student’s day, we wanted the toileting...
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