Elena Noble, MPT

Blog Editor

elena noble authorI 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, conducting educational workshops, 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 the mother of three beautiful daughters and a proud graduate of West Virginia University. Go Mountaineers!

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 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...
PT/OT Tilt and Recline in Pediatric Mobility March 06, 2017 by Elena Noble, MPT
We know that there are over fifteen body functions and body structures affected by the orientation of an adaptive seating system. So needless to say, when setting up such a seating system for a child with disabilities, it’s important to get it right. That task falls on the child’s therapist or ATP. Successful positioning and functional results depends on thoroughly understanding the...
PT/OT Out in Front with Mechanical Lifts in Schools February 27, 2017 by Elena Noble, MPT
Last week I attended the Combined Section Meeting of the American Physical Therapy Association. It was held in San Antonio (great choice, especially in February!) and included some excellent programming. I’d like to share highlights from one of the workshops which focused on using lift and transfer devices in schools. It was presented by therapists from four large school districts. Each district...
Tips & Advice Medicaid Funding for Adaptive Tricycles February 22, 2017 by Elena Noble, MPT
As most of you undoubtedly know, for children with disabilities exercise such as cycling with a special needs tricycle can be therapeutic as well as fun. Cycling may provide a variety of health benefits unavailable through other medical interventions. For example, children with severe mobility limitations may have few, if any, other options for strengthening their cardiovascular system. In fact, cycling...
Tips & Advice Using Slip Sheets to Position the TRAM Walking Saddle February 13, 2017 by Elena Noble, MPT
Therapists are always looking for ways to accomplish patient transfers as simply and quickly as possible without excessive repositioning of the patient. Today we’re sharing a great hack from Jamie Haines, PT, DScPT, NCS at Central Michigan University for getting the TRAM Walking Saddle in place under the client without the extra seated transfer.   .embed-container { position: relative; padding...
PT/OT Benefits of Early Mobility January 23, 2017 by Elena Noble, MPT
Early Gait Training: Positive Outcomes for the Long Term Think about it. The more you practice, the better you get – at anything. As author Malcolm Gladwell explains in his book “Outliers,” the one point that distinguishes a violinist from a virtuoso is practice- at least 10,000 hours of it. This applies to any field regardless of nature or nurture. So with early gait training, a child...
Tips & Advice Using the TRAM Swivel Locks to Help with Steering January 17, 2017 by Elena Noble, MPT
One key function of the Rifton TRAM is gait training. As a client progresses and gait control improves the clinician eventually steps away to let the client guide the TRAM solo. But some people have difficulty controlling lateral movements, especially if all TRAM wheels are free to swivel. For these people, here are two TRAM tips that have made all the difference for many. Setting the TRAM to Track in a...
Evidence Based Practice Evidence Update: Task-Specific Gait Training Improves Gait Speed January 05, 2017 by Elena Noble, MPT
Improving gait parameters is a primary goal of therapy intervention. One of these parameters is gait speed because we know there is a link between how fast we walk and how well we interact with our surroundings. (Just notice how frustrated your aging parents become as their gait slows them down.) Simply put, refining gait through therapy ultimately improves speed and boosts quality of life. There are a...
PT/OT Are Good Body Mechanics Enough? December 13, 2016 by Elena Noble, MPT
Whether assisting someone from a wheelchair to a mat table or the parallel bars, patient transfers are a routine part of all therapy interventions. But did you know that these transfers place a therapist at an extraordinary risk for work-related injury? Statistics show that caregivers engaging in manual patient lifting, transferring and repositioning activities beyond the 35-lb patient lifting maximum set...
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