PT/OT The Importance of Head Positioning with Adaptive Seating April 08, 2014 by Elena Noble, MPT
Positioning a person with severe disabilities in a seated posture for functional activities requires matching body functions and structures with available seating and positioning technology. With the wide variety of adaptive equipment available today, positioning for function has been made easier. This type of technology allows us to position a child in space for pressure relief, create a stable pelvis...
PT/OT Correct Positioning in the Rifton Activity Chair February 25, 2014 by Elena Noble, MPT
The Rifton Activity Chair was designed to encourage functional and active sitting postures for children with cognitive and physical disabilities. Because such children can present with a wide variety of diagnoses and positioning requirements, helping them participate in classroom or family activities can be tough, but with the right chair it’s possible. The Rifton Activity Chair, because of its...
PT/OT Achieving Optimal Toilet Positioning February 11, 2014 by Elena Noble, MPT
For a child with multiple physical challenges, toileting has often been regarded as a nuisance, an interruption, an added burden. New thinking about health and disability, however, has recast toileting as a critical intervention and an opportunity to teach meaningful skills. These skills, happily, are within reach for nearly every child with special needs. Provided with the right environmental...
PT/OT Using Prompts to Improve Toilet Training for Children with Physical Disabilities February 04, 2014 by Elena Noble, MPT
Toilet training is complex for every child. It requires maturity in motor and cognitive areas as well as emotional readiness. It combines the organization and understanding of bodily sensations with communication, motor planning, and timely task performance. As a result, parents are often anxious about toilet training. Fortunately, the scope of toileting methods is broad and there is lots of good advice...
PT/OT Sample Letter of Medical Necessity for the Rifton Hygiene and Toileting System January 28, 2014 by Elena Noble, MPT
Our most recent offering, the Rifton Hygiene and Toileting System (HTS), facilitates toileting for people with disabilities while at the same time making the task of hygiene care easier for caregivers. Effective toileting not only maintains a healthy bowel and bladder, it makes an enormous difference on a child’s quality of life (as any parent can tell you). In the past, many toileting routines...
PT/OT Using the Rifton TRAM for Molding Custom Seat Cushions December 17, 2013 by Barbara Crume, PT, ATP, C/NDT
An Unexpected Benefit I work in a seating clinic in Asheville, North Carolina, and for years I’ve struggled with an intractable hurdle. For my patients with spinal cord injury or other neurological conditions I frequently use the custom seat cushions made by Ride Designs which involves the use of a seat simulator made of very soft crushable foam, similar to what a florist uses for flower...
PT/OT Early Intervention: Assistive Technology for Motor Intervention November 12, 2013 by Lori Potts, PT
Assistive technology (AT) is defined as any device which increases, maintains, or improves the functional capabilities of an individual with special needs. Providing AT for young children with disabilities makes a significant difference towards their long-term independence goals. In the early intervention setting, AT enables children to more fully integrate into their home, school, and community...
PT/OT Improved Hygiene Care and Toileting September 25, 2013 by Elena Noble, MPT
A Therapists Perspective Hygiene care—particularly horizontal diapering—for people with severe disabilities can be time-consuming and taxing for the caregiver especially if it involves the traditional changing-table transfers. While changing tables are commonly used for young children and seldom pose problems, as children grow older (and heavier) the process becomes increasingly demanding....
PT/OT Hygiene and Self Care for Your Patients September 17, 2013 by Lauri Cohen OTR/L
As an occupational therapist, one of my main goals has been to foster independence in my patients. For one, Randy, this independence centered on the area of hygiene and self-care. When I first met Randy he presented with developmental delays and underlying musculoskeletal impairments that affected his ability to move independently and perform age-appropriate transfers and functional activities. In...
PT/OT Prone Standers: Positioning for Health and Independence September 10, 2013 by Lori Potts, PT
Prolonged immobility in a seated or supine position can result in contractures, skeletal deformity, skin ulcers and decreased bone mineral density. It can cause deficits in the digestive, respiratory, and circulatory systems. This is especially true for children with special needs who have decreased muscle strength, balance and tone issues. Because they cannot move or stand independently, these children...
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