Evidence Based Practice

Improving Gait in Chronic TBI with Motor Learning Strategies

Evidence Update

July 25, 2017 by Elena Noble, MPT
tbi gait rehab

Long-term disability is a frequent sequel of traumatic brain injury (TBI) and takes the form of persisting motor impairments that impact walking and autonomous movement. So to improve environmental negotiation and basic care skills, independent gait is an essential therapy goal for TBI patients.    Literature shows that the best time for independent gait recovery occurs within the first few...

PT/OT Busting that Persistent Myth about Adaptive Bikes and Recreation July 18, 2017 by Codi Andersen, DPT
I love the adaptive tricycle and the opportunities it affords many of my students. But how often have insurance companies denied requests for adaptive tricycles because they only see the recreational purpose? For my students with the most severe disabilities, the tricycle is a life-saver, and often the only piece of adaptive equipment that will help them achieve functional gains and participation. I&rsquo...
Tips & Advice Five Fabulous Features of the New Pacer Caster July 11, 2017 by Lori Potts, PT
While redesigning the new and dynamic Pacer we took the opportunity not only to improve the existing functions, but to add an odometer to encourage data collection and record progress. For gait training, there’s nothing else like our caster. These are the five key functions on the new caster:           1. Brake       ...
PT/OT Creative Mobility Technology for Improved Outcomes July 03, 2017 by Elena Noble, MPT
I recently attended the APTA Next Conference in Boston. A new component to this conference is the experience zone—an education space in the exhibit hall allowing presenters to draw on resources from the show floor as part of their presentations. A great idea. I attended a course called “Creative Mobility Technology for Improved Outcomes” in the zone. Here we learned to get the most...
Evidence Based Practice Evidence Update: Rehab Gait Training with BWS June 27, 2017 by Elena Noble, MPT
Gait rehabilitation uses both body weight supported treadmill training and over-ground training to help a client reach their maximum walking potential. With no established clinical indications, choosing between the approaches is a research-based and experience-based decision which factors in the nature of a client’s injury, timing and scope of intervention and projected outcomes. Here are two recent...
PT/OT Weight-bearing Assistance and Pelvic Positioning with the New Pacer Gait Trainer June 20, 2017 by Lori Potts, PT
Rifton’s new Pacer gait trainer has three options for weight-bearing assistance and positioning of the hip girdle:   1. the multi-positioning saddle   2. the hip positioner,  and   3. the pelvic support Here’s a brief description of each with our recommendations to help you choose the right one for your clients. Multi-Positioning Saddle The multi...
News Write a Caption, Win a Prize! June 13, 2017 by Elena Noble, MPT
Our photographer captured this moment during a photo shoot of the new E-Pacer at a local facility. Write a caption and submit it in the comment box below. We’ll pick a winner on July 1st. The winner will receive a free Rifton bag. Announcing the Winners  Thanks everyone for the great captions. In a contest like this selecting two winners is entirely subjective and our judges all came up with...
News The Pacer Family Has Grown June 06, 2017 by Ray Mommsen, Creative Director at Rifton Marketing
You asked for an extra-large Pacer gait trainer. Today we’re happy to announce the arrival of not one but two new versions, the XL Pacer and the E-Pacer, to help you train your larger clients—and save your backs! The XL Pacer We’ve been making gait trainers for nearly thirty years, and lately we’ve seen increased demand for bigger models for adults and even large children. Our new...
Evidence Based Practice Evidence Update: Dynamic Seating for Children with Autism May 30, 2017 by Elena Noble, MPT
Teachers and therapists working in inclusive classrooms continue to work to improve academic outcomes for students with autism spectrum disorder (ASD).  One fascinating area of inquiry is seating modification to improve in-seat performance, as students may need to sit for five hours during a normal school day. In one recent article on the topic, researchers examined how dynamic seating options...
Tips & Advice Lifespan Care for People with Disabilities May 23, 2017 by Elena Noble, MPT
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...
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