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!

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...
Tips & Advice Toileting Transfer Tips for Individuals with Muscular Dystrophy December 02, 2016 by Elena Noble, MPT
Transferring someone with low tone and little or no weight bearing to and from the toilet is challenging. Along with a dependent lift, a therapist must guard against the individual slipping down or sagging during the seat-to-seat transfer in addition to managing clothing. Even with lifting devices it is difficult to execute a smooth, dignified, safe transfer with an individual unable to maintain any...
PT/OT The Clinical Progression: Treadmill to Overground Ambulation November 15, 2016 by Elena Noble, MPT
Gait training is central in the rehabilitation of individuals with neuromotor disabilities. In clinical circles, there is considerable debate over whether gait training is best performed over a treadmill or over ground. Is one intervention more effective than the other? The research on this topic is inconclusive at best. What we do know, however, is that studies comparing the two gait training approaches...
Tips & Advice Ingenious Solutions from the Field: Increasing Abduction Range on the Small Prone Stander November 01, 2016 by Elena Noble, MPT
Supported standing for children with disabilities has many health benefits, among them maintaining hip integrity for the prevention of hip dislocations. To achieve optimal hip stability through adapted standing routines, lower extremity abduction is important. A recent literature review indicated that standing to improve hip  stability should be in 30 to 60 degrees abduction for 60 minutes daily...
Tips & Advice Adaptive Tricycle Funding Resources October 20, 2016 by Elena Noble, MPT
A bike is the quintessence of childhood happiness. But for a child with disabilities, we think it’s a medical necessity. Beyond the joy and exhilaration of free-wheeling movement, the opportunity for reciprocal lower extremity exercise is crucial to the well-being of someone with fragile health. While the therapy community is unanimous on this point, sadly medical insurance companies underestimate...
Evidence Based Practice Evidence Update: Stretch Effectiveness in Children with Disabilities October 17, 2016 by Elena Noble, MPT
In therapy, children with neuromuscular disabilities receive routine stretching interventions for contracture management and the alignment of the hip and spine. Depending on a child’s clinical presentation, stretch interventions range from short-term passive and active stretching to prolonged stretches using adaptive standers, serial casts or orthoses. However, according to four therapists published...
Evidence Based Practice Evidence Update: Selecting Gait Trainer Features 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.
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