Tips & Advice
Using the TRAM Swivel Locks to Help with Steering
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...
Evidence Based Practice
Evidence Update: Task-Specific Gait Training Improves Gait Speed
Improving gait parameters is a primary goal of therapy intervention. One of these parameters is gait speed because we know there is a link between how fast we walk and how well we interact with our surroundings. (Just notice how frustrated your aging parents become as their gait slows them down.) Simply put, refining gait through therapy ultimately improves speed and boosts quality of life.
There are a...
The Clinical Progression: Treadmill to Overground Ambulation
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...
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...
Getting to Know the MPS Adjustments: New Rifton Pacer video 1
The Multi-Position Saddle (MPS) is the ultimate positioning accessory for seated transfers and gait training. This short video demonstrates the five separate adjustments to the MPS that allow you to accommodate each client’s posture.
Watch more videos in this series:
Getting to Know the MPS Adjustments
New Pacer Transfer Using the MPS
Good Positioning for Optimal Gait Training
The Advantage of...
Spotlight on SCI Rehab
By an act of Congress, September is Spinal Cord Injury Awareness Month. And well it should be: one person becomes paralyzed every 48 seconds—in the U.S. alone. Advancements in treatment continue today but we have a long way to go. To draw attention to the needs of SCI victims (and before September is gone) I’d like to tell about a recent visit I made to a fabulous clinic in Tampa.
Evidence Based Practice
Evidence Update: Quicker Recovery with Early Movement
A recent study at Cleveland Clinic, a leading rehabilitation provider, found that patients participating in early mobility routines after neurological injury recovered quicker and went home earlier than those receiving standard care.
NPR recently ran an excellent segment on this study providing good detail and anecdotes from the researchers illustrating how early mobilization is improving the...
Improved Rehab Intervention with the TRAM
The Rifton TRAM is a great addition to our skilled rehabilitation department, especially for those patients with neurological deficits. One therapist can safely assist a patient in the TRAM through a functional mobility progression starting with sitting balance on the edge of the bed, standing tolerance, posture and then gait normalization. In the past, many of these therapeutic activities needed multiple...
The Rifton TRAM vs the Standard Four-Wheeled Walker
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...
TRAM Still Turning Heads
In a profile published this month in the influential trade publication Mobility Management, staff writer Laurie Watanabe highlights the multi-tasking capabilities of the Rifton TRAM, citing its role as a gait trainer, a lift, and a transfer device. She quotes therapist Margaret Arnold on how the TRAM is helping people with a multitude of disorders or conditions, and tells the story of a brain injury...