Adaptive ambulation

Evidence Based Practice Evidence Update 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 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...
PT/OT Gait Training and Dynamic Movement July 07, 2016 by Elena Noble, MPT
Building off the foundational concepts of neuroplasticity and motor learning, clinical gait training is an advancing intervention. With the aim to provide independence in gait and a full recovery for those with developmental or acquired disabilities, this discipline continues to incorporate new research and approaches into existing intervention protocols. In the last few years we’ve seen increased...
Stories Treadmill Gait Training with the New Pacer June 21, 2016 by Elena Noble, MPT
Partial weight-supported treadmill training (PBWSTT) has widespread application particularly among patients who are not yet able to practice over-ground gait training. Unfortunately the equipment required can run into the tens of thousands of dollars. Until now. One of the valuable new features of the New Pacer is a base designed for treadmill use. The upper frame of the New Pacer clips easily into the...
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...
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...
Evidence Based Practice Evidence Update: Early Intervention Stepping Practice April 04, 2016 by Elena Noble, MPT
Because bone is dynamic and responds to positive stresses and forces placed on it through weight-bearing activity, the authors of a recent study set out to examine the effects of early upright supported stepping on bone mineral content in a population of infants (1-18 months) with a form of spina bifida called myelomeningocele (MMC). They chose patients with MMC because this condition presents with...
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