Dr. Stacie Whinnery, Ed.D, and Terri Goebel, PT, MHS, discuss the therapeutic benefits of using the Rifton SoloLift. Aside from enabling zero-lifting with only one caregiver and eliminating staff and client injury, the SoloLift has many other therapeutic benefits. It can become a teaching tool for developing new skills and participation by giving even non-weight-bearing adults the opportunity for sit-to-stand practice with controlled weight-bearing. This strengthens muscles, improves bone health, and encourages interaction. Learn about further benefits through this video. A transcript is provided below for viewers with hearing disabilities.
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[00:00:00.00] Caption: SoloLift. For PT's Only: An interview with Dr. Stacie Whinnery & Terri Goebel, PT, MHS
[00:00:11.19] Caption: The five-person transfer.
[00:00:15.00] Dr. Stacie Whinnery: In the work that we've been doing with larger individuals, we've seen a lot of different transfers; taking someone from a wheel chair into a Pacer, and some I think are a little more strenuous than others. We actually did see a transfer that took five people one time. It took one person standing in front of the Pacer, and two on the sides. The two on the sides would support the individual, typically under the arms. They would bring the person up to the Pacer, the person in front would give the bear-hug and the other two; their job was to hold the hip-prompt and have it ready and as soon as the person was brought up, they would bring it up and hook it to help take the weight. So, the people that were doing this had such a strong desire to get these larger adults into the Pacer because they knew that it was going to be so beneficial, but it was just such a strenuous transfer.
[00:01:15.00] Dr. Stacie Whinnery: We saw some sites then try to use gait-belts to help, but again it was it was still a lot of strain on everyone. And so, the difference with the SoloLift is, that that's a non-issue, it absolutely isn't a problem anymore. And the exciting thing is, that the learner is in control; the person's in control while they're being assisted. They can have their feet on the ground and the SoloLift will help them actually come in that "nose-over-toes", standing-up position and learn how to do a transition; learn how to go from sit-to-stand, as opposed to being picked up and moved as if they, you know just were a stationary object.
[00:01:56.00] Terri Goebel, PT, MHS: They're learning new skills, they're getting the benefits of weight-bearing, so we're improving bone health and they're strengthening the muscles as they move through sit-to-stand. So it's much more beyond just a transfer device; it's really rehabilitating and teaching skills.
[00:02:11.11] Dr. Stacie Whinnery: And there really isn't anything else out there that offers this opportunity.
[00:02:17.03] Caption: Another side of zero lifting.
[00:02:22.02] Terri Goebel, PT, MHS: Another implication, of this new zero lift policy is that individuals aren't going to be lifted at all. They're going to become more sedentary. Left in certain areas of the building, their world's going to shrink; it's not going to be as easy for them to be moved from one place to another. So, not just the caregivers, but the fact that the individuals are going to be left in one area, or in one position, or in a wheelchair, or on a mat.
[00:02:53.17] Dr. Stacie Whinnery: Even the equipment that's out there; the lifts that are out there that are being used with the zero-lift policy, take effort from the caregiver. They are still having to really use some strength to support the person, even when they are being hoisted in a different lift and so this could really be a reason for people to think that maybe the individual shouldn't be moved at all. But that can't be the option; we can't have that as the answer, because what then is the possibility? So we really have to look at a new way of doing things, we have to look at new possibilities.
[00:03:31.28] Terri Goebel, PT, MHS: So, we have to make sure that zero lifting to protect the caregiver, doesn't have a negative impact upon the client. I think that's where the SoloLift can come in with the zero lift policy.
[00:03:46.06] Dr. Stacie Whinnery: Because it really can address that. It can address the zero lift because it's so easy for the caregiver to use. We've seen a lot of people use it by themselves. Sometimes with a larger individual, they might want one other person standing there just for security. But one person can actually help an individual do a transfer, it can even be an individual who is not able to take any weight on their feet, because the SoloLift will allow you to help someone transfer in a more sitting position. Ideally, it would be great to have the person put their feet to the floor and learn the skills of transitioning, because I think that the only other option is for the individual to get weaker, gain more weight, lose more skills and then be transferred less and less. So going to a zero lift policy really has to be something that we look at from both the perspective of the caregiver, as well as from the client.
[00:04:45.18] Caption: More than a lift.
[00:04:49.04] Dr. Stacie Whinnery: As excited as I am about the SoloLift, I really think that maybe the word "lift" isn't really the right word for that, because it's really more than lifting, its more than a lift. It really is, I think, a teaching tool. It's something that you can actually use; not only to help transition or transfer a person, but it's something that you can use to actually teach them new skills. We have seen that happen, we have seen people, when they have the opportunity to get their feet on the floor, begin to take their weight and then have the chance to get into some of the other equipment, like a Pacer, they really begin to develop skills. It really becomes a tool to reach new skills.
[00:05:33.12] Terri Goebel, PT, MHS: It does, and things that we weren't able to address before without this type of a product like sitting to standing transitions. Individuals were placed in position without participating in that natural nose-over-toes, sit-to-stand transition, and the opposite movement that's just as important, a stand-to-sit., pivoting, taking steps backward. Most lifting happens with individuals when you're moving them backwards into their wheelchair again. So the fact that they can learn to take steps back to actively seat themselves is another major breakthrough using the SoloLift.
[00:06:10.16] Dr. Stacie Whinnery: We have seen individuals who have foot deformities that make it very difficult for them. They can't put their feet on the ground and take their weight, but they really do benefit from being upright and supported in a Pacer, they begin to stretch their legs out. We've seen individuals become more actively engaged in what's going on. They're more excited about being upright, people are interacting better with them, but it's hard to get them into the Pacer. You see, with the SoloLift even if an individual cannot take any weight on their feet they can be transferred into a Pacer. This is the only device that's out there that I think can really allow you to put someone into a front-loading piece of equipment into a Pacer, in that way.
[00:06:57.09] Caption: A business argument.
[00:07:00.23] Terri Goebel, PT, MHS: It's easily adjustable to use with multiple clients, so that's a cost saver right there.
[00:07:07.23] Dr. Stacie Whinnery: And you're only using it for a few minutes with the person, and then it's free and available to go to the next individual.
[00:07:13.09] Terri Goebel, PT, MHS: Right, and the fact that you're going to make better use of your other pieces of equipment. It's going to be easier to get individuals in and out of your Pacers. It's certainly going to be more efficient use of staff time; where it's taken three, four or five individuals. To wait until you have that many people together to transfer someone, versus having the SoloLift and one person.
[00:07:37.23] Dr. Stacie Whinnery: And then imagine the cost saving when you're not having to deal with worker injury and you're not having to look at the cost of insurance and then just simply don't have the concern that your staff is being injured on the job. We certainly don't want to be creating a new population of individuals that have physical challenges because they've been caregivers. So this is something that really is worth every penny.
[00:08:03.07] Caption: What PT's need to know.
[00:08:07.12] Terri Goebel, PT, MHS: I think that what physical therapists need to know about the SoloLift is: first of all the comfort and the security of the SoloVest; how that just facilitates so many other movements. So you start with that comfortable, secure vest and then you move towards skills and participation and those are those transition and weight-bearing movements. Those are probably the two biggest things that are very meaningful to physical therapists. Not only am I getting my patient in weight-bearing beneficial positions, but it is comfortable for them.
[00:08:49.12] Dr. Stacie Whinnery: And safe.
[00:08:51.25] Terri Goebel, PT, MHS: And safe.
[00:08:54.18] Caption: SoloLift. Transfer. Transformed.
[00:09:07.12] Rifton Information and orders: 800.571.8198