Tips & Advice Medicaid Funding for Adaptive Tricycles February 22, 2017 by Elena Noble, MPT
As most of you undoubtedly know, for children with disabilities exercise such as cycling with a special needs tricycle can be therapeutic as well as fun. Cycling may provide a variety of health benefits unavailable through other medical interventions. For example, children with severe mobility limitations may have few, if any, other options for strengthening their cardiovascular system. In fact, cycling...
Tips & Advice Using Slip Sheets to Position the TRAM Walking Saddle February 13, 2017 by Elena Noble, MPT
Therapists are always looking for ways to accomplish patient transfers as simply and quickly as possible without excessive repositioning of the patient. Today we’re sharing a great hack from Jamie Haines, PT, DScPT, NCS at Central Michigan University for getting the TRAM Walking Saddle in place under the client without the extra seated transfer.   .embed-container { position: relative; padding...
Tips & Advice Using Rifton’s New Multi-Positioning Saddle for Easy Transfers into the Gait Trainer February 07, 2017 by Lori Potts, PT
The Rifton Pacer’s Multi-Positioning Saddle (MPS), in addition to providing weight-bearing support and excellent positioning for the pelvis, greatly simplifies transfer into the gait trainer. Here are the steps for a streamlined and safe transfer from a wheelchair into the Pacer. It is best performed with two caregivers. Preparing the Gait Trainer for a Transfer Lock the caster brakes. Undo...
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...
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...
Tips & Advice Reverse the New Pacer’s Multi-Positioning Saddle in Just 10 Seconds November 22, 2016 by Lori Potts, PT
Many of our customers love the versatility of the new Rifton Pacer, but not everyone knows the simple and quick trick to reverse the Multi Positioning Saddle (MPS) allowing an individual to benefit from the pelvic positioning and weight bearing assist while using the Pacer gait trainer as a posterior walker. Here are the simple steps to make this happen: .embed-container { position: relative; padding...
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...
Tips & Advice Step by Step Toileting with the TRAM October 05, 2016 by Lori Potts, PT
David Anderson is a senior physical therapist with the New York City public school system. His school obtained a Rifton TRAM to help with toileting a particular student. After some trials, he and the school OT determined the best methods for using the TRAM for this purpose and created a set of instructions for the paraprofessionals working with this student. David shared it with us and we found it so...
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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