Evidence Based Practice Improving Gait in Chronic TBI with Motor Learning Strategies July 25, 2017 by Elena Noble, MPT
Long-term disability is a frequent sequel of traumatic brain injury (TBI) and takes the form of persisting motor impairments that impact walking and autonomous movement. So to improve environmental negotiation and basic care skills, independent gait is an essential therapy goal for TBI patients.    Literature shows that the best time for independent gait recovery occurs within the first few...
Evidence Based Practice Evidence Update: Selecting Gait Trainer Features September 23, 2016 by Elena Noble, MPT
Once again Ginny Paleg, DScPT, MPT and Roslyn Livingstone, MSc have delivered a valuable literature review, this one on the all-important topic of gait training. In the therapy community we’re well aware of the importance of mobility for the developing mind and body. Because children with cerebral palsy at GMFCS levels IV and V are not independently mobile, supportive gait trainers provide critical...
Evidence Based Practice Evidence Update: Children's Perspectives on Robotic Gait Training April 27, 2015 by Elena Noble, MPT
Gait training is a fundamental intervention in pediatric rehabilitation. At present, over-ground assistive devices and treadmills dominate the field, but we’re now seeing emerging robotic technologies that offer solutions to normalize and enhance the quality of gait mainly through the application of motor learning principles and the use of dynamic weight-bearing systems. We need to learn more about...
Evidence Based Practice Evidence Update: Using Gait Trainers for Motor Impairments February 16, 2015 by Elena Noble, MPT
As professionals who have worked with children with poor motor control, we have no doubt about the importance of a gait trainer. Using gait trainers for upright positioning and ambulation practice for children unable to walk independently has been a long-standing intervention in clinics, schools and homes. But we’ve all lamented the dearth of solid clinical research to support what we’ve...
Evidence Based Practice Adaptive Standers Kids with Disabilities and BMD: What's the Evidence? April 02, 2013 by Lori Potts, PT
Bone Mineral Density It’s widely recognized that non-ambulatory children with physical disabilities such as cerebral palsy are at risk for decreased bone mineral density (BMD). (1-3) Children with CP can also present with altered skeletal maturation and thinner, smaller bones. (4-6) As a consequence, these children are at an increased risk for fractures. (7-10) Research indicates that fracture risk...