Traumatic brain injury

Evidence Based Practice Evidence Update: Clinical Practice Guideline to Improve Locomotor Function in Neurorehab February 25, 2020 by Elena Noble, MPT
man walking in the Rifton E-Pacer
New evidence in neurorehab points to the importance of intensive overground walking opportunities for individuals recovering from chronic stroke, TBI and SCI.
Tips & Advice Facilitating Stepping in Inpatient Rehabilitation August 13, 2018 by Linda Rusiecki PT, DPT, CBIS
A physical therapist wraps a Theraband around the leg of a client in a Rifton E-Pacer to assist with unweighted gait training.
We have used Rifton products in our facility for the last two years with our adult neuro patients, primarily with stroke, brain injury, and brain tumor resection, though they have also been useful with patients with incomplete spinal cord injury and demyelinating diseases.
PT/OT New Webinar on Motor Learning April 17, 2018 by Lori Potts, PT
A young teenager standing in a Rifton Pacer Gait Trainer doing and activity with a caregiver.
On April 12, we hosted a webinar, Progressive Gait Training: Motor Learning Strategies and the Research, discussing motor skill acquisition through practice, feedback and prompt reduction. It concluded with a demonstration of the Rifton Pacer and tips for therapeutic and functional use of the Pacer emphasizing the benefits of dynamic support and the reduction of physical assistance to increase...
Evidence Based Practice Don’t Be Afraid of Early Mobilization in Acute Brain Injury February 20, 2018 by Mary Beth Osborne, PT, DPT, NCS
A therapist helps a patient with brain injury in an early mobilization exercise in the ICU.
This article was originally written for Medbridge and is shared here with permission. People who suffer brain injuries require extensive medical care to preserve vital organ functions and prevent secondary injury. Physical therapists are in a unique position to positively influence the ultimate outcome for these individuals by simply providing early mobilization. Two studies provide support for early...
Evidence Based Practice Don’t Skimp on Good Design and Quality January 30, 2018 by Lori Potts, PT
A young physical therapist guides the walking of a TBI patient in a Rifton TRAM.
Does the quality of an individual’s mobility device influence their participation? Common sense tells us it would, but do we find research to back that up? Thankfully, yes. Today’s post highlights the work of a research team that implemented a two-day assessment with 604 community-dwelling adults with spinal cord injury, traumatic brain injury, and stroke. Of these, 250 people (41%) self...
Evidence Based Practice Improving Gait in Chronic TBI with Motor Learning Strategies July 25, 2017 by Elena Noble, MPT
tbi gait rehab
Long-term disability is a frequent sequel of traumatic brain injury (TBI) and takes the form of persisting motor impairments that impact walking and autonomous movement. So to improve environmental negotiation and basic care skills, independent gait is an essential therapy goal for TBI patients.    Literature shows that the best time for independent gait recovery occurs within the first few...
PT/OT Creative Mobility Technology for Improved Outcomes July 03, 2017 by Elena Noble, MPT
A man with disabilities sits on a red therapy ball while PT students demonstrate a creative mobility technique.
I recently attended the APTA Next Conference in Boston. A new component to this conference is the experience zone—an education space in the exhibit hall allowing presenters to draw on resources from the show floor as part of their presentations. A great idea. I attended a course called “Creative Mobility Technology for Improved Outcomes” in the zone. Here we learned to get the most...
PT/OT Evidence Update: Supported Standing Protocols December 07, 2015 by Elena Noble, MPT
A therapist talks to an adult patient with a neurological condition during a therapeutic standing protocol
For decades already we’ve seen standing programs used as a therapeutic intervention for adults with neurological conditions. We’ve known that without such intervention, patients with spinal cord injuries, strokes, traumatic brain injuries or multiple sclerosis spend hours and hours each day in sedentary postures—with devastating results. Sitting for upwards of eight hours a day leads to...
Stories Great Strides with the Rifton TRAM March 12, 2015 by Cathy Ripmaster, MSPT
A young man with TBI smiles as he pushes a communication button while standing in the Rifton TRAM
A few years ago we welcomed a non-traditional student – we’ll call him Jay – at Lincoln Developmental Center (LDC) where we work. Most of our students have had a development disorder since birth; most are undersized and fit well into traditional equipment, but Jay sustained a traumatic brain injury at the age of 14 and arrived at LDC at the age of 17, fully grown, with limited positioning...
PT/OT The Rifton TRAM vs. the Standard Four-Wheeled Walker December 02, 2014 by Elena Noble, MPT
A therapist assists a CNS patient who is standing in a TRAM device practicing gait training during rehabilitation.
For those of us concerned with rehab following central nervous system lesions, the last ten years have been exciting. There has been extensive research focused on the brain and its neuroplastic properties, and it’s changing the way we think about treatment. Specifically, recent research has encouraged gait rehabilitation – task-specific and repetitive. We all recognize now that ambulation...
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