Adaptive ambulation

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...
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 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...
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...
Evidence Based Practice Evidence Update: Selecting Gait Trainer Features September 23, 2016 by Elena Noble, MPT
Once again Ginny Paleg, DScPT, MPT and Roslyn Livingstone, MSc have delivered a valuable literature review, this one on the all-important topic of gait training. In the therapy community we’re well aware of the importance of mobility for the developing mind and body. Because children with cerebral palsy at GMFCS levels IV and V are not independently mobile, supportive gait trainers provide critical...
Evidence Based Practice Evidence Update: Early Intervention with Treadmill Training 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 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...
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