Rehabilitation and gait training

PT/OT The Clinical Progression 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...
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 The New Rifton Dynamic Pacer Gait Trainer, So Much More Than a Walker November 24, 2015 by Lori Potts, PT
Often parents of children with disabilities – and adults who have incurred serious injuries – seek out walkers to enable better mobility and walking practice. While walkers have their place in rehabilitation, these very basic support devices offer very little when compared to gait trainers – and even less when compared to the new Dynamic Rifton Pacer gait trainer. What’s so...
PT/OT Six New Features of Rifton’s Dynamic Pacer November 10, 2015 by Elena Noble, MPT
The 1980’s, a tumultuous decade by any measure, was also the period we first introduced the Rifton gait trainer. Aside from its original purpose—to provide a means of upright mobility for individuals with severe disabilities—much about the product has changed, largely as a result of the steady, rich flow of design feedback we get from therapists around the world. And that change...
PT/OT Why Dynamic Gait Training? October 28, 2015 by Elena Noble, MPT
Walking is a complex function and dynamic mobility features are important in gait training equipment as they assist in creating natural and more typical gait patterns. When we talk about dynamic gait training, we are appreciating the often unobserved but significant shifts of the body (as indicated by its center of gravity) particularly in the vertical and lateral directions for energy efficient and...
PT/OT Great Outcomes for Adults Who Need Gait Assistance September 14, 2015 by Elena Noble, MPT
For children with complex disabilities the transition from school to adult services can be brutal: therapy and equipment that is considered standard in the school suddenly disappears, funding evaporates, and families struggle to bridge the gap. But this is slowly changing. Many healthcare facilities now try to provide a seamless transition into this new stage of life with specialized and comprehensive...
PT/OT Improved Rehab Intervention with the TRAM May 26, 2015 by Jackie Honeyfield, PT
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...
Evidence Based Practice Evidence Update: Children's Perspectives on Robotic Gait Training April 27, 2015 by Elena Noble, MPT
Gait training is a fundamental intervention in pediatric rehabilitation. At present, over-ground assistive devices and treadmills dominate the field, but we’re now seeing emerging robotic technologies that offer solutions to normalize and enhance the quality of gait mainly through the application of motor learning principles and the use of dynamic weight-bearing systems. We need to learn more about...
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