Evidence Based Practice Evidence Update August 29, 2016 by Elena Noble, MPT
Young children with disabilities respond well to early therapeutic intervention. Literature regarding cortical plasticity in the developing brain points to encouraging therapy results as well. Not surprisingly then, initial research on treadmill training in this population is positive, indicating quicker and more competent acquisition of gait skills. However, for children, access to treadmills and a...
PT/OT Making Better Use of Arm Supports August 10, 2016 by Elena Noble, MPT
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...
Tips & Advice Ingenious Solutions from the Field: Creating a Pacer Hip Corral August 01, 2016 by Lori Potts, PT
A creative concept that came to us from the field is to use the Pacer Chest Prompt as a guide for hip positioning often referred to as a hip corral. This is achieved by flipping the chest prompt upside-down, so that the longer portion of the prompt faces downward. Having the chest prompt low around the hips can be an effective way to provide positioning for the student who has good trunk control but...
PT/OT Survey Results: Building a Case for Dynamic Seating July 26, 2016 by Lori Potts, PT
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. Michelle...
PT/OT Positioning Checklist for the Rifton TRAM July 15, 2016 by Elena Noble, MPT
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. We are...
Tips & Advice Ingenious Solutions from the Field: Using the Rifton TRAM to Transfer onto a Tricycle June 07, 2016 by Jill Barrett, MS, PT
1. Position student at corner of mat table and bring TRAM in from the back. 2. Fasten trunk support and using leg straps, lift student. 3. Roll TRAM with student in it to the back of the tricycle. ...
PT/OT Which Should I Use For Gait Training? May 17, 2016 by Lori Potts, PT
Since our newest items, the Rifton TRAM and the New Pacer both have the capacity to support walking practice and have similar prompts, including arm prompts, trunk support, and walking saddle, therapists often wonder which to choose for ambulation or gait training. Because the TRAM does a lot more than gait training – it’s a three-in-one device that combines sit-to-sit...
Evidence Based Practice Evidence Update: Positioning for Cognition May 10, 2016 by Elena Noble, MPT
Motor development in children is closely connected to cognitive development. As children learn new postures and mobility skills they’re increasingly able to explore their environment. This, in turn, helps improve cognition. In order to nurture these same motor and cognitive gains in children with disabilities, therapists use supported positioning techniques to facilitate age-appropriate skills and...
Tips & Advice Ingenious Solutions from the Field: Adding a Communication Tray to the Activity Chair May 02, 2016 by Elena Noble, MPT
For those who would like to use a communication device while in the Rifton Activity Chair, here is a creative solution from a school-based therapist. 1. Replace an armrest on the Activity Chair with the metal forearm prompt base (without the arm prompts attached). 2. Attach the clamp that comes with the Dynamic Pacer communication tray to the forearm prompt base. 3. Insert the communication tray post into...
PT/OT Giving the Gift of Mobility April 25, 2016 by Denise Swensen, PT, DPT
Typically developing children reach most motor milestones in a fairly predictable manner. By six months babies are rolling; by eight months they are creeping on all fours and sitting on their own and by ten-twelve months they are standing and getting ready to take their first steps. During this part of the first year of life, typically developing babies are exploring their environment, interacting with...
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