Elena Noble, MPT

Blog Editor

Elena Horning, MPTSince 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 Adaptive Mobility and Positioning Blog and routinely presents CEU and educational courses in adaptive mobility and seating and the MOVE program.

Evidence Based Practice Evidence Update: Overground Supported Stepping in Individuals with Non-Ambulant Cerebral Palsy October 09, 2023 by Elena Noble, MPT
A boy walks in a Rifton Pacer while his caretaker talks with him.
A newly published scoping systematic review highlights the use of gait trainers in children, adolescents and adults with non-ambulant cerebral palsy.
Evidence Based Practice Adaptive Standing in Early Intervention for Children with CP August 10, 2023 by Elena Noble, MPT
A girl stands in a Rifton Stander and talks with her therapist.
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 adaptation in response to the movement.
PT/OT The On Time Mobility Framework May 29, 2023 by Elena Noble, MPT
A little boy walks in a Rifton Pacer gait trainer while his caretaker assists him.
“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.
Evidence Based Practice Using Prompts to Improve Toilet Training for Children with Physical Disabilities March 30, 2023 by Elena Noble, MPT
A young girl sits on a Rifton HTS (Hygiene & Toileting System) while her therapist helps her position.
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 physical disabilities.
PT/OT Achieving Optimal Toilet Positioning March 07, 2023 by Elena Noble, MPT
A therapist positioning a girl in a Rifton HTS (Hygiene & Toileting System)
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 intervention.
Evidence Based Practice Evidence Update: Shining a Spotlight on Supported Standing for Children and Young Adults with Non-Ambulatory CP February 02, 2023 by Elena Noble, MPT
A girl stands in a Rifton Mobile Stander and reads a book with her caretaker.
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.
Evidence Based Practice Evidence Update: Maintenance of Functional Gains Following an Adaptive Cycling Program November 02, 2022 by Elena Noble, MPT
A boy pedals a blue Rifton Adaptive Tricycle, while his therapist walking beside him.
Current evidence endorses adaptive cycling as an effective and promising intervention to improve motor and social outcomes for children with cerebral palsy.
PT/OT Adaptive Tricycles in Schools September 29, 2022 by Elena Noble, MPT
A girl rides on a red Rifton Adaptive Tricycle.
For a child with a disability such as cerebral palsy, the primary goal for the school-based therapist is to improve access to education.
PT/OT Pacer Positioning In Depth June 10, 2022 by Elena Noble, MPT
Cathy Ripmaster, MSPT
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.
Evidence Based Practice A New Clinical Practice Guideline for Functional Interventions for Children with CP November 09, 2021 by Elena Noble, MPT
A girl walking in a Rifton E-Pacer, with the help of a therapist
This excellent new study provides clinical practice guidelines at the activities and participation level of the ICF to families and therapists, addressing which interventions are effective and evidence-based.
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