Education Center Authors Elena Noble
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Elena Noble, MPT

Since graduating from West Virginia University in 2006, Elena has worked as a private practice physical therapist at Oak Valley Medical, PC and as a consultant for Rifton Equipment. She became a certified MOVE Provider in 2008 and a certified MOVE international trainer in 2021 and works to implement the activity-based concepts in her practice and promote the curriculum nation-wide. She provides product design and positioning consultation and assists with consumer education for Rifton Equipment. Additionally, Elena edits the Rifton newsletter and the Rifton Education Center and routinely presents CEU and educational courses in adaptive mobility and seating and the MOVE program.


Articles written by this author

A Size 2 Rifton Stander shown with legs at different angles.
Article
Evidence Update: Position Paper on Supported Standing Devices
A recently published position paper provides a comprehensive review of the current literature around supported standing, serving as a valuable resource for clinicians and third party payers.
A boy stands in a Rifton Stander with the help of two therapists.
Article
Evidence Update: Postural Interventions for Cerebral Palsy – A Systematic Review
Postural control is the basis for all complex movement, positioning, and function. It involves the subconscious stabilization, alignment, and dynamic adjustment of the body in respect to gravity and the environment to complete a task.
A girl stands in a Rifton Stander and talks with her therapist.
Article
The School-Based Team: Fostering Therapist-Teacher Collaboration
A collaborative team approach is best practice in a school-based setting for students with disabilities. Educators, classroom staff, related service providers like speech, OT, and PT, families and the students themselves are all valuable…
A boy walks in a Rifton Pacer Gait Trainer and smiles at his caretaker.
Article
Evidence Update: Overground Supported Stepping in Individuals with Non-Ambulant Cerebral Palsy
A newly published scoping systematic review highlights the use of gait trainers in children, adolescents and adults with non-ambulant cerebral palsy.
Article
Adaptive Standing in Early Intervention for Children with CP
The first few years of a child’s life are a critical time of cognitive, emotional and physical development. Early active movement and environmental exploration drive development through the building of cortical connections and physical…
A little boy walks in a Rifton Pacer gait trainer while his caretaker assists him.
Article
The On Time Mobility Framework
“On Time Mobility” is a term coined to reflect best practices towards providing hours of daily active mobility opportunities to young children with disabilities, to foster exploration, motor development and socialization.
A young girl sits on a Rifton HTS (Hygiene & Toileting System) while her therapist helps her position.
Article
Using Prompts to Improve Toilet Training for Children with Physical Disabilities
For children with multiple disabilities, toilet training is a challenging process. This whitepaper describes the effective use of prompts to shape behaviors and function during the toileting process for successful outcomes in children with…
A therapist positioning a girl in a Rifton HTS (Hygiene & Toileting System)
Article
Achieving Optimal Toilet Positioning
For a child with multiple physical challenges, toileting is often regarded as an interruption to daily activities and an added burden. Continuing initiatives around health and disability, however, recast toileting as a critical…
A girl stands in a Rifton Mobile Stander and reads a book with her caretaker.
Article
Evidence Update: Shining a Spotlight on Supported Standing for Children and Young Adults with Non-Ambulatory CP
A recent scoping review on supported standing describes the evidence, outcomes and lived experience of adaptive standing intervention in children and young adults with cerebral palsy.
A boy pedals a blue Rifton Adaptive Tricycle, while his therapist walking beside him.
Article
Evidence Update: Maintenance of Functional Gains Following an Adaptive Cycling Program
Current evidence endorses adaptive cycling as an effective and promising intervention to improve motor and social outcomes for children with cerebral palsy.
A girl rides on a red Rifton Adaptive Tricycle.
Article
Adaptive Tricycles in Schools
For a child with a disability such as cerebral palsy, the primary goal for the school-based therapist is to improve access to education.
Cathy Ripmaster, MSPT
Article
Pacer Positioning In Depth
In this video series, Cathy Ripmaster, MSPT presents positioning tips and guidance for the different features of the Pacer gait trainer to address a variety of support needs.