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...
PT/OT Toileting Initiative Produces Great Results March 20, 2017 by Ashley Rogers, DPT
It all started when therapists from the three special day schools of Baltimore County Public Schools sat down to talk at one of our yearly meetings. The discussion turned from the mundane to the visionary, how to provide more functional, purposeful activities for our kiddos throughout the day. And, of all things, we talked about toileting. As a vital part of the student’s day, we wanted the toileting...
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...
PT/OT Nine TRAM Success Stories from the Public School Setting January 26, 2017 by Jill Barrett, MS, PT
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...
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...
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...
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...
PT/OT The New WAVE Bathing & Transfer System vs. Blue Wave Bath Chair November 08, 2016 by Gilbert Thomson, PT
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...
PT/OT Rifton Wave Letter of Medical Necessity October 10, 2016 by Lori Potts, PT
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...
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