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.
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.
Evidence Based Practice Updates in Motor Learning February 14, 2022 by Lori Potts, PT
A girl walks in a Rifton Pacer gait trainer, accompanied by a caretaker
Research continues to increase knowledge in the field of motor learning. Understanding the mechanisms of motor learning can contribute to therapist interventions to further promote motor skills.
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.
Evidence Based Practice Evidence Update: The Effects of Inclination, Hip Abduction, Orientation and Tone on Weight-Bearing in Adaptive Standers September 06, 2021 by Elena Noble, MPT
A young girl wheeling down a hallway in a green Rifton Mobile Stander, with a caretaker next to her
This new exploratory and descriptive study is the first to measure weight-bearing during standing in different degrees of hip abduction, stander inclination and stander orientation.
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.
Evidence Based Practice State of the Evidence: Intervention Effectiveness in Children with Cerebral Palsy March 26, 2020 by Elena Noble, MPT
A therapist helps a young girl into a gait trainer
In 2013, Iona Novak and her team put together one of the most comprehensive evidence-based overviews of pediatric interventions. With over 200 systematic reviews performed since then, this evidence update adds strength and definition to recommended interventions for children with cerebral palsy.
Evidence Based Practice Evidence Update: Clinical Practice Guideline to Improve Locomotor Function in Neurorehab February 25, 2020 by Elena Noble, MPT
man walking in the Rifton E-Pacer
New evidence in neurorehab points to the importance of intensive overground walking opportunities for individuals recovering from chronic stroke, TBI and SCI.
Evidence Based Practice Evidence Update: Stretching and Resistance Exercise in Children with CP August 12, 2019 by Elena Noble, MPT
A girl in a green Rifton Pacer with a caretaker
Improved joint range of motion (ROM) and strength certainly contribute to better functional outcomes in children with cerebral palsy (CP), but is stretching and progressive resistance exercise an adequate intervention to achieve the end? Previous research shows that children with CP have shorter hamstring muscles than their peers. A short or spastic hamstring muscle contributes to gait deviations, and...
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