Elena Noble, MPT

Blog Editor

Elena Horning, MPTI didn’t know what to expect when I first joined Rifton in 2007, but I was looking for a challenge.  

I found that challenge and enjoy the work. It involves a little of everything—marketing, clinical pediatrics and orthopedics, watering the office plants. I absolutely love the interaction with people who use our equipment and I occasionally make it down to the factory floor to help with the production of Rifton products. 

And you guessed it. Being a PT I value good health and exercise. Playing cards does rank pretty high along with fellowship and plenty of good laughs. And most importantly I am a proud graduate of West Virginia University. Go Mountaineers!

PT/OT The Importance of Head Positioning with Adaptive Seating April 08, 2014 by Elena Noble, MPT
Positioning a person with severe disabilities in a seated posture for functional activities requires matching body functions and structures with available seating and positioning technology. With the wide variety of adaptive equipment available today, positioning for function has been made easier. This type of technology allows us to position a child in space for pressure relief, create a stable pelvis...
News The Accessible Icon March 18, 2014 by Elena Noble, MPT
The Accessible Icon Project developed over the last few years is an attempt to visually demonstrate society’s changing perspectives on disability. The founders of the project saw the old International Symbol of Access as representing passivity - a mechanically seated stick figure which draws more attention to the wheelchair than the person in it. Traditionally, individuals with special needs have...
Tips & Advice Meeting the Hygiene and Toileting Challenge with the Rifton HTS March 04, 2014 by Elena Noble, MPT
Last month, in advance of the launch of the new Rifton Hygiene and Toileting System (HTS), we published some research-based white papers on toilet training and toilet positioning for children and individuals with disabilities. This supplemented the work of Claire Keeler, RN CPNP, CDE, who wrote Toilet Training a Child with Special Needs. Positioning a child with disabilities comfortably on the toilet is...
PT/OT Correct Positioning in the Rifton Activity Chair February 25, 2014 by Elena Noble, MPT
The Rifton Activity Chair was designed to encourage functional and active sitting postures for children with cognitive and physical disabilities. Because such children can present with a wide variety of diagnoses and positioning requirements, helping them participate in classroom or family activities can be tough, but with the right chair it’s possible. The Rifton Activity Chair, because of its...
PT/OT Achieving Optimal Toilet Positioning February 11, 2014 by Elena Noble, MPT
For a child with multiple physical challenges, toileting has often been regarded as a nuisance, an interruption, an added burden. New thinking about health and disability, however, has recast toileting as a critical intervention and an opportunity to teach meaningful skills. These skills, happily, are within reach for nearly every child with special needs. Provided with the right environmental...
PT/OT Using Prompts to Improve Toilet Training for Children with Physical Disabilities February 04, 2014 by Elena Noble, MPT
Toilet training is complex for every child. It requires maturity in motor and cognitive areas as well as emotional readiness. It combines the organization and understanding of bodily sensations with communication, motor planning, and timely task performance. As a result, parents are often anxious about toilet training. Fortunately, the scope of toileting methods is broad and there is lots of good advice...
PT/OT Sample Letter of Medical Necessity for the Rifton Hygiene and Toileting System January 28, 2014 by Elena Noble, MPT
Our most recent offering, the Rifton Hygiene and Toileting System (HTS), facilitates toileting for people with disabilities while at the same time making the task of hygiene care easier for caregivers. Effective toileting not only maintains a healthy bowel and bladder, it makes an enormous difference on a child’s quality of life (as any parent can tell you). In the past, many toileting routines...
Stories Prima Ballerina January 06, 2014 by Elena Noble, MPT
A Dance Video Like No Other Madi is a dancer. Dressed in her tutu and glowing smile, she dances her heart out alongside other little girls her age in the dance class she attends regularly. Madi is five, and at birth she had the diagnosis of L2 Spina Bifida. This means she has no movement below the hips. But being the creative and fun-loving child that she is, Madi finds a way to do anything she sets...
Evidence Based Practice Dynamic Standing versus Passive Standing Interventions October 15, 2013 by Elena Noble, MPT
For children with developmental disabilities who are non-ambulatory or have minimal capabilities to move, passive standing in an adaptive stander is an important intervention with resulting benefits in many of the body’s systems including the musculoskeletal system. However, research is now leading us to believe that opportunities for dynamic standing can be even more beneficial especially for...
Stories An Exceptional Matriculation October 08, 2013 by Elena Noble, MPT
Patrick O’Connell turned six in June, so along with three other classmates he was ready to enter first grade in his rural community school in Australia last month. Diagnosed with a rare unnamed chromosomal disorder, Patrick’s start in life was difficult and he still battles through periods of sickness and seizures, but he continues to surprise his parents and neighbors with steady progress....
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