Evidence Based Practice
Evidence Update: Selecting Gait Trainer Features
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...
Making Better Use of Arm Supports
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
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...
Positioning Checklist for the Rifton TRAM
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.
Treadmill Gait Training with the New Pacer
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...
Which Should I Use For Gait Training?
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...
Giving the Gift of Mobility
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...
Activity-Based Curriculum in Action
Students at Woodland Developmental Center are on the move all day. The hallways are busy, the classrooms noisy and full of activity as the children practice important life skills that have been incorporated into their curriculum. And that’s what’s different about Woodland. Where students with disabilities in other schools may be seen two or three times a week in the therapy department, Woodland...
Hear It from the Only One Who Counts
Usually we run blog posts from or for clinicians. It’s rare that we have the chance to share the user’s experience, so when we received a product review from a sixth-grade student we knew we had to run it. Jenny Cashion, Ana’s therapist, writes:
One of my students, Ana, hadn’t had much success with previous trials on adaptive tricycles. When I introduced her to the large Rifton...