Nine TRAM Success Stories from the Public School Setting
Three years ago, because of significant work-place injury among the region’s educational staff, I along with other physical therapists from High Desert Education Service District’s (HDESD) proposed a safe patient handling and mobility (SPHM) policy which the region’s special education directors endorsed. This involved obtaining and teaching school staff how to use mechanical devices to...
Benefits of Early Mobility
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...
Are Good Body Mechanics Enough?
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...
The Clinical Progression: Treadmill to Overground Ambulation
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...
The New WAVE Bathing & Transfer System vs. Blue Wave Bath Chair
What have we done to improve our old bath chair? Here are the key features that distinguish our new Rifton WAVE Bathing & Transfer System:
Larger and Wider
The WAVE bathing system still comes in three sizes, but there are some important differences. The seat on the small and medium is now wider--a full 15”--with open sides so the seat is comfortable for all sizes. And the large has a 17-1/2&rdquo...
Rifton Wave Letter of Medical Necessity
In response to requests from the field we’re happy to offer a sample letter of medical necessity for the newly up-graded and redesigned Rifton Wave, a bathing and transfer system.
Good hygiene is paramount to good health, and this particular product has the solutions for bathing and showering as an activity of daily living. The Rifton Wave is a medical device, not intended as a self-help convenience...
Making Better Use of Arm Supports
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...
Survey Results: Building a Case for Dynamic Seating
Occupational therapist Michelle Lange recently conducted a survey on dynamic seating. Her questions focused on wheelchairs that have dynamic components integrated into or added to the design. Over 100 clinicians and suppliers responded and it’s clear that we’re seeing an increased appreciation for dynamic adaptive equipment for children and clients with unique positioning needs.
Positioning Checklist for the Rifton TRAM
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.
Gait Training and Dynamic Movement
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...