Tips & Advice
Pacer Prompt Reduction
See also: Part 2: Prompt Reduction Strategies.
Using the Rifton Pacer’s full range of adjustment possibilities will help you meet goals for mobility and activity. Individuals who cannot bear weight fully through their lower extremities, or need prompting for alignment need appropriately positioned prompts and supports. Motor skills acquisition and strength building are best achieved when an...
Evidence Based Practice
Prospective cohort studies can inform pediatric physical therapy practice
The field of pediatric physical therapy has long recognized the difficulty of conducting high level research with the cerebral palsy population. Meeting the qualifications of a randomized controlled trial while implementing interventions with children with multiple physical disabilities – with all their varied daily realities – is extraordinarily difficult.
In turn, the systematic review that...
Encouraging Participation-Based Goals in the School Setting
Physical therapy goals in the school-based practice setting can focus on a variety of areas, including: participation (student’s involvement in a life situation), activity (student’s execution of a task or action) and impairment (i.e. at the level of body structure and function.) For a number of reasons we find that student goals that address participation within the context of school routines...
The Meadowood Program: A MOVE™ Model Site
You’ve heard us talk about MOVE™ for years, and there’s no question we’re unabashed boosters for this wonderful program. We first ran into Linda Bidabe, MOVE’s founder, in 1988 when her program was in its infancy and we’ve loved it ever since. If you’re not convinced, or if you just want to understand it better, set aside 20 minutes today, pour a cup of coffee, and...
It’s Called an Activity Chair for a Reason
Recently, Rifton hosted a 2-part webinar on adaptive seating.
Part 1: Sitting for Participation: What Does the Research Say?
This 30-minute webinar provides an overview of available research on adaptive seating as an intervention in pediatric practice. I summarize research evidence on adaptive seating outcomes including impact on postural control, the use of upper extremities while seated, and head...
Treadmill Base: A Solution for Gait Practice
Body-weight-supported treadmill training (BWSTT) is widely recognized as a promising intervention to improve ambulation for individuals with neuromotor disability, with diagnoses including cerebral palsy¹, spinal cord...
New Webinar on Motor Learning
On April 12, we hosted a webinar, Progressive Gait Training: Motor Learning Strategies and the Research, discussing motor skill acquisition through practice, feedback and prompt reduction. It concluded with a demonstration of the Rifton Pacer and tips for therapeutic and functional use of the Pacer emphasizing the benefits of dynamic support and the reduction of physical assistance to increase...
The Great Bike Giveaway
With spring in the air we’re talking bikes today – or rather, adaptive tricycles. Kids with disabilities want to ride just as much as any child, and with a little bit of extra support they too can navigate those inviting sidewalks. Sadly, adaptive trikes are far too rarely covered by Medicaid or insurance, even with a strong case for the therapeutic benefits of cycling...
Evidence Based Practice
Don’t Skimp on Good Design and Quality
Does the quality of an individual’s mobility device influence their participation? Common sense tells us it would, but do we find research to back that up? Thankfully, yes. Today’s post highlights the work of a research team that implemented a two-day assessment with 604 community-dwelling adults with spinal cord injury, traumatic brain injury, and stroke.
Of these, 250 people (41%) self...