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: Stretching and Resistance Exercise in Children with CP August 12, 2019 by Elena Noble, MPT
Improved joint range of motion (ROM) and strength certainly contribute to better functional outcomes in children with cerebral palsy (CP), but is stretching and progressive resistance exercise an adequate intervention to achieve the end? Previous research shows that children with CP have shorter hamstring muscles than their peers. A short or spastic hamstring muscle contributes to gait deviations, and...
Tips & Advice What To Do About Gait Trainer Seat Sitters June 10, 2019 by Elena Noble, MPT
Do you work with children whose hips won’t stay forward during gait training? Or those kids who sit on the seat of a gait trainer when you want them upright? Whether from hypotonia or decreased core stabilization, here is a great idea to help cue those hips forward in the Rifton gait trainer. 1. Position the handholds of the Rifton Pacer upside down and towards the back of the top bar. 2. After...
News Unlikely Funding Source for Adaptive Equipment in Ohio May 14, 2019 by Elena Noble, MPT
Employer work-place injury within schools may sound unlikely, but for those health professionals routinely assisting students with disabilities in school, it is not uncommon. In fact, the injury rate of health professionals engaging in lifts, transfers and re-positioning of patients ranks equally with those working in heavy construction settings.1,2 For this reason, in June of 2018, when the Ohio Bureau of...
Evidence Based Practice Evidence Update: New Research Suggests Increasing Pediatric Intervention Frequency January 02, 2019 by Elena Noble, MPT
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
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
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
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
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...
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