PT/OT Choosing Between Adaptive Standers July 01, 2014 by Elena Noble, MPT
Many people with compromised musculoskeletal systems can benefit from adapted standing programs. Ranging from diagnosis of cerebral palsy to spinal cord injury or muscular dystrophy, research shows that standing can help improve pulmonary function, musculoskeletal development, postural control, intestinal motility and reduce tone. Rifton produces a line of adaptive standers which are known for their...
PT/OT Rifton’s TRAM Competency Checklists May 27, 2014 by Clare Stober
Safe Patient Handling and Movement (SPHM) is becoming a byword for safety in nursing and rehab. Healthcare organizations are increasingly recognizing the crucial importance of developing and implementing programs that maintain the well-being of both caregivers and clients. This is because nurses and therapists are repeatedly involved in assisting patients in transfers or ambulation tasks that, because of...
PT/OT Stabilizing the Pelvis with the Rifton Pelvic Harness April 29, 2014 by Lori Potts, PT
Why do we need to stabilize the pelvis when sitting? To answer this, we need to understand hip and pelvis anatomy and the involved kinesiology. First, given the ball and socket nature of the hip joint, significant degrees of motion are available. The hip joint can move from being in a position of entire stability or “closed-packed” positioning to one of mobility, called the...
PT/OT Amyotrophic Lateral Sclerosis and Exercise April 22, 2014 by Elena Noble, MPT
Amyotrophic Lateral Sclerosis (ALS), more commonly known as Lou Gehrig’s disease, is a devastating neurodegenerative disease involving the progressive loss of upper and lower motor neurons. The increasing muscle atrophy and spasticity caused by the disease leads to weakness and fatigue which eventually affects a person’s ability to ambulate, complete self-care tasks and ultimately breathe. As...
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...
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