Elena Noble, MPT

Blog Editor

elena noble authorI didn’t know what to expect when I first joined Rifton in 2007, but I was looking for a challenge.  

I found that challenge and enjoy the work. It involves a little of everything—marketing, clinical pediatrics and orthopedics, conducting educational workshops, watering the office plants. I absolutely love the interaction with people who use our equipment and I occasionally make it down to the factory floor to help with the production of Rifton products. 

And you guessed it. Being a PT I value good health and exercise. Playing cards does rank pretty high along with fellowship and plenty of good laughs. And most importantly I am the mother of three beautiful daughters and a proud graduate of West Virginia University. Go Mountaineers!

Evidence Based Practice Evidence Update November 27, 2017 by Elena Noble, MPT
Although integrated into pediatric clinical practice for the last decade, body weight supported treadmill training (BWSTT) continues to be an area of research interest and an evolving intervention. We can see this reflected in a recent study examining effective motor learning strategies for treadmill training. For children with disabilities, the treadmill is a safe place where they can organize their...
Tips & Advice Rifton TRAM Funding Guide November 20, 2017 by Elena Noble, MPT
As every clinician knows, when applying for funding for a complex rehab technology (CRT) device, detailed and thorough documentation of medical necessity is critical. As the Rifton TRAM combines a patient transfer system, a sit-to-stand device and a gait trainer in one compact unit, this places it in a unique position for funding. To help you clear the hurdles associated with DME funding, we’ve...
Evidence Based Practice Evidence Update: Dynamic Gait Training for Child with SCI October 17, 2017 by Elena Noble, MPT
Because good clinical evidence on the benefits of gait training is so scarce, we celebrate every contribution we find. Here’s one that specifically explores the effect of dynamic gait training on a child with a spinal cord injury. After sustaining a complete T10 spinal cord injury (SCI) at 23 months old, this child began a walking program six months later. She initially started with a posterior...
PT/OT Workers’ Compensation Providers and the Rifton TRAM October 03, 2017 by Elena Noble, MPT
Lifting and repositioning patients is a big part of healthcare, particularly for nurses and therapists. But how we do this is changing, based on the many studies that show how lifting patients manually without assistive equipment is causing staff injuries, lost days from work and decrease in care quality. The safe patient handling and mobility (SPHM) approach advocates for patient lifts and mobility...
Evidence Based Practice Evidence Update: Children with CP and Home-based Treadmill Programs September 25, 2017 by Elena Noble, MPT
Motor learning suggests that practice, repetition and task specificity are instrumental to task improvement. Sometimes extending the practice of therapeutic activities beyond the clinical environment and into the home is a great way to apply these principles and reinforce the gains made in the clinic. Knowing this, I was interested to read a recent study looking at children with cerebral palsy and the...
Tips & Advice TRAM Tip September 12, 2017 by Elena Noble, MPT
The Rifton TRAM is a versatile transfer and mobility device that can  safely support people of varying abilities and sizes. To do this effectively it’s important to position the body support low enough on the trunk, but for people with shorter trunks or larger thighs this may be made easier by reversing the arm support post mounts so they don’t dig into the thighs as the body support is...
Stories In Praise of the Athlete August 25, 2017 by Elena Noble, MPT
Johnny Agar never considered himself an athlete. Born with cerebral palsy, he used a wheelchair, depended on others to care for him and took his first steps—23 total—at 11 years old. But sports was always part of his life—after all his dad had been a pitcher for the Detroit Tigers. But father and son did not bond on the baseball diamond. Inspired by My Team Triumph, a program where able...
Tips & Advice Comparing Rifton’s Three Gait Training Devices August 09, 2017 by Elena Noble, MPT
Since gait training is a focal rehabilitation activity, we’ve done our best to design gait trainers that meet all needs. In addition to our pediatric line of gait trainers we have three devices that can be used by heavier, larger clients: the TRAM, the XL Pacer and the E-Pacer. While the TRAM is good for tight spaces or if you need a device that can double as a toileting or transfer aid, for full...
Evidence Based Practice Improving Gait in Chronic TBI with Motor Learning Strategies July 25, 2017 by Elena Noble, MPT
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
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...
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