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...
A stroke patient recovers with the aid of a TRAM
In the summer we shared a blog post about the use of Therabands with the TRAM from Linda Rusiecki, a physical therapist at the Blodgett Hospital in Grand Rapids. Watch Janette Tazzia and Linda Rusiecki tell about Janette’s recovery from a stroke that left her partially paralyzed.
Using Thigh Straps in Sling Configuration for Toileting or Seat-to-Seat Transfers
At Desert Mountain SELPA in Apple Valley, California, we’ve discovered a creative solution for seated transfers with the TRAM. This method works really well, particularly for the more profoundly involved kids. Using the standard approach shown in the TRAM Quick Reference Guide (with a thigh strap placed separately under each leg) often results in the body support system riding up the student’s...
Homing in on Segmental Trunk Support for Better Control
While many in the therapy community have not heard (yet) about SATCo, it’s a valuable new assessment that looks at trunk control. SATCo stands for Segmental Assessment of Trunk Control and it is a specific method of determining the level at which an individual loses postural control. We speak of “segmental assessment” because during evaluation we progressively change the level of trunk support at seven distinct levels.
Getting Help for Infants and Toddlers with Disabilities
According to the National Early Intervention Longitudinal Study, only 4% of infants and toddlers receiving early intervention services have assistive technology and AT services listed on their Individualized Family Service Plan (IFSP.) ¹ No, that was not a typo. Only 4%. Think about what that means for the three-and-under children with disabilities you know.
The Individuals with Disabilities Education...
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...
Our Body, Gravity, and the New Discipline of Posture Care Management
Twenty-four-hour posture care management is quite new in North America, but its roots go back to the 1980s with foundational work occurring even earlier. Children and adults with dysfunctions of muscle tone, reflexes, muscle weakness and joint contracture have impaired movement and develop adverse postures as a direct consequence of their positioning relative to gravity. These can result in complications...
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...
Writing SMART Goals for Adaptive Equipment
When using adaptive equipment it is important to have high standards for goal writing and data collection. Adaptive equipment spans a huge range from gait trainers to pencil grips. How many times have you seen adaptive equipment that was recommended for a student not being used properly or to its full potential? It is important to establish SMART goals for adaptive equipment the moment it is put into use...
Tips and Tricks for Getting More Out of Your Rifton TRAM
The Rifton TRAM provides a lot of flexibility within our school setting for standing, walking, and transfers. Mostly it is used for safe transfers that would typically require a two-person lift. However, in one of my schools it has provided a great solution for two students who needed more flexibility in their standing and walking routines at school. Here are two examples:
Case 1: This...