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!

Evidence Based Practice Evidence Update September 23, 2016 by Elena Noble, MPT
Once again Ginny Paleg, DScPT, MPT and Roslyn Livingstone, MSc have delivered a valuable literature review, this one on the all-important topic of gait training. In the therapy community we’re well aware of the importance of mobility for the developing mind and body. Because children with cerebral palsy at GMFCS levels IV and V are not independently mobile, supportive gait trainers provide critical...
Tips & Advice Letter of Medical Necessity Resources September 14, 2016 by Elena Noble, MPT
As clinicians well know, writing an effective letter of medical necessity (LOMN) for a piece of adaptive equipment can be challenging and time-consuming. In response to questions about letters of medical necessity for Rifton products, we put together a resource page with tips, tools and sample letters to help facilitate the process. We are happy to make these LOMN resources available here.
Evidence Based Practice Evidence Update August 29, 2016 by Elena Noble, MPT
Young children with disabilities respond well to early therapeutic intervention. Literature regarding cortical plasticity in the developing brain points to encouraging therapy results as well. Not surprisingly then, initial research on treadmill training in this population is positive, indicating quicker and more competent acquisition of gait skills. However, for children, access to treadmills and a...
PT/OT Making Better Use of Arm Supports August 10, 2016 by Elena Noble, MPT
Adaptive gait devices come with a wide range of positioning accessories for supporting upright and ambulatory postures. Of these, arm supports are frequently used to provide basic upper extremity placement and positioning. But when understood and used correctly, arm supports can do so much more, particularly when it comes to positioning in gait. Here they can assist with weight-bearing, stepping, head...
News A Great Book for a New School Year August 05, 2016 by Elena Noble, MPT
Prince Noah is back in time for the start of a new school year. His second appearance on our blog heralds the sequel to the well-loved fairy tale The Prince Who Was Just Himself, a story about a child with Down syndrome unwittingly disarming a palace enemy through natural gifts of compassion and curiosity. In the delightfully written Prince Noah and the School Pirates, Noah continues to be himself...
PT/OT Positioning Checklist for the Rifton TRAM July 15, 2016 by Elena Noble, MPT
The Rifton TRAM offers unique recovery opportunities in rehab, homecare and school-based settings with its capacity for supported ambulation, seated and sit-to-stand transfers. As with any adaptive equipment, using the right supports and settings is important to achieving a desired outcome. This positioning checklist offers a way for clinicians to record in detail how they want each client treated. We are...
PT/OT Gait Training and Dynamic Movement July 07, 2016 by Elena Noble, MPT
Building off the foundational concepts of neuroplasticity and motor learning, clinical gait training is an advancing intervention. With the aim to provide independence in gait and a full recovery for those with developmental or acquired disabilities, this discipline continues to incorporate new research and approaches into existing intervention protocols. In the last few years we’ve seen increased...
Stories Treadmill Gait Training with the New Pacer June 21, 2016 by Elena Noble, MPT
Partial weight-supported treadmill training (PBWSTT) has widespread application particularly among patients who are not yet able to practice over-ground gait training. Unfortunately the equipment required can run into the tens of thousands of dollars. Until now. One of the valuable new features of the New Pacer is a base designed for treadmill use. The upper frame of the New Pacer clips easily into the...
Evidence Based Practice Evidence Update: Positioning for Cognition May 10, 2016 by Elena Noble, MPT
Motor development in children is closely connected to cognitive development. As children learn new postures and mobility skills they’re increasingly able to explore their environment. This, in turn, helps improve cognition. In order to nurture these same motor and cognitive gains in children with disabilities, therapists use supported positioning techniques to facilitate age-appropriate skills and...
Tips & Advice Ingenious Solutions from the Field: Adding a Communication Tray to the Activity Chair May 02, 2016 by Elena Noble, MPT
For those who would like to use a communication device while in the Rifton Activity Chair, here is a creative solution from a school-based therapist. 1. Replace an armrest on the Activity Chair with the metal forearm prompt base (without the arm prompts attached). 2. Attach the clamp that comes with the Dynamic Pacer communication tray to the forearm prompt base. 3. Insert the communication tray post into...
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