Evidence Based Practice

Evidence Update: Long-Term Benefits of Abducted Standing in Children with Cerebral Palsy

April 12, 2021 by Elena Noble, MPT
A girl standing in a Rifton Supine Stander, playing a game with her caretaker

Children with CP who do not walk are at risk for hip displacement. This recent study contributes new insights into the preventative benefits of standing in hip abduction.

PT/OT Physical Activity Disability and Health November 30, 2020 by Elena Noble, MPT
Creative mobility initiatives and activity-based strategies can improve health and foster inclusion for children with disabilities.
Tips & Advice Beyond the Stander May 28, 2020 by Elena Noble, MPT
Encouraging standing development means thinking creatively. In the home, we can teach standing skills during routine sit-to-stand transfers or toileting breaks. Here’s how to get started.
PT/OT New Webinar on Standers January 22, 2018 by Lori Potts, PT
Last week, Rifton offered the first in a series of webinars. Standers: What does the research say? Watch the recording below to learn interesting research findings on tone, ROM, bone mineral density, and hip stability. Packed into 30 minutes, this webinar includes interesting research findings on muscle tone and range of motion, bone mineral density, and the issue of hip displacement for children with...
Tips & Advice Ingenious Solutions from the Field: Increasing Abduction Range on the Small Prone Stander November 01, 2016 by Elena Noble, MPT
Supported standing for children with disabilities has many health benefits, among them maintaining hip integrity for the prevention of hip dislocations. To achieve optimal hip stability through adapted standing routines, lower extremity abduction is important. A recent literature review indicated that standing to improve hip  stability should be in 30 to 60 degrees abduction for 60 minutes daily...
PT/OT Winning the Funding Battle for Standing Devices March 24, 2016 by Melissa K. Tally, PT, MPT, ATP and Erin M. Pope, PT, MPT, ATP
For all of us, standing is an integral part of the developmental sequence. And particularly for people with motor impairments and physical disabilities it is one of the key building blocks that leads to exploratory mobility. (Bower, E.) A child who is unable to stand may be missing out on developmental learning and interaction with the environment. We know the many benefits of standing as well: improved...
PT/OT Evidence Update: Supported Standing Protocols December 07, 2015 by Elena Noble, MPT
For decades already we’ve seen standing programs used as a therapeutic intervention for adults with neurological conditions. We’ve known that without such intervention, patients with spinal cord injuries, strokes, traumatic brain injuries or multiple sclerosis spend hours and hours each day in sedentary postures—with devastating results. Sitting for upwards of eight hours a day leads to...
Evidence Based Practice Evidence Update: Standing Programs for Hip Flexibility July 27, 2015 by Elena Noble, MPT
Secondary to the motor disorders which affect their physical development, children with spastic cerebral palsy tend to lose lower limb range of motion between infancy and adolescence. Researchers have measured hip abduction decreases of nine degrees in this population. Since loss of hip abduction makes balance and walking difficult, maintaining hip abduction becomes a crucial intervention. Because of...
Stories Heads Up! February 20, 2015 by Lori Potts, PT
Robert Welton Clement arrived on March 25, 2014, fourth son to the family of my sister Jean and her husband Reuel. The birth was unexpectedly difficult, and Robert arrived looking like he might not survive – might, in fact, already be no longer living. But his heartbeat was there, even though he was not breathing. Eighteen agonizing minutes of emergency intervention and innumerable prayers followed...
PT/OT Choosing Between Adaptive Standers July 01, 2014 by Elena Noble, MPT
Many people with compromised musculoskeletal systems can benefit from adapted standing programs. Ranging from diagnosis of cerebral palsy to spinal cord injury or muscular dystrophy, research shows that standing can help improve pulmonary function, musculoskeletal development, postural control, intestinal motility and reduce tone. Rifton produces a line of adaptive standers which are known for their simple...
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