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: New Research Suggests Increasing Pediatric Intervention Frequency January 02, 2019 by Elena Noble, MPT
A caregiver steers a child in a blue Rifton Adaptive Tricycle.
Existing evidence on pediatric therapy dosing is scanty and conflicting, though motor learning theory has long associated increased frequency and repetition of movement and skills with improved outcomes. A new study now appears to bolster this view in the context of school-based intervention. The study comes out of Norway, where almost all children with cerebral palsy are registered in CP-specific follow...
PT/OT Intervening Early for Better Mobility in CP March 06, 2018 by Elena Noble, MPT
A young girl with cerebral palsy receives early intervention gait training services while walking in a pink Pacer.
I recently attended the annual American Physical Therapy Association Combined Sections Meeting (APTA CSM) in New Orleans. Among the wealth of great programming, I chose a course looking at early intervention for children with cerebral palsy (CP), and I’d like to share a few points I took away. For therapy purposes, early intervention means providing services to a child before two years of age...
PT/OT Six Features To Love About the Support Station December 19, 2017 by Elena Noble, MPT
A therapists assists a young man in a sit to stand transfer for toileting at the Support Station.
When we’re talking about activities of daily living, it doesn’t get more basic—and more personal—than toileting. But the process of toileting is also a valuable opportunity to teach transfer, standing and hygiene skills—all essential to building independence in self-care. A successful and thoroughly dignified approach to incorporating these skills into the toileting routine is...
News Birthday Party Caption Contest December 12, 2017 by Elena Noble, MPT
A young boy watches his apple pie being made at Rifton's birthday party.
The apple pie making booth was a favorite at Rifton’s 40th birthday party and our photographer captured this moment. Write a caption and submit it in the comment section below. We’ll pick a winner on January 2nd. The winner will receive a Rifton bag.  Announcing the Winners Thank you for the great captions! It was next to impossible to choose a winner, but we finally reached agreement on...
Evidence Based Practice Evidence Update: Adding Resistance to BWSTT November 27, 2017 by Elena Noble, MPT
A close up of the legs of a young girl with cerebral palsy as she practices bwstt in the dynamic Pacer gait trainer.
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
A glamour shot of the Rifton TRAM as it is seen in the crt fundin guide.
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
A child with sci in a blue dynamic gait trainer smiles at his caregiver as he walks through the school hallway.
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
A therapist smiles at a young man standing in the Rifton TRAM patient lift acquired with a workers compensation grant.
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
A young girl uses the treadmill base and pink Rifton Pacer to gait train over a treadmill while assisted by her therapist.
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: Inverting Forearm Mounts for Larger Clients September 12, 2017 by Elena Noble, MPT
A young woman smiles as she is positioned for seat to seat transfer in the Rifton TRAM.
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...
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