Intervening Early for Better Mobility in CP
I recently attended the annual American Physical Therapy Association Combined Sections Meeting (APTA CSM) in New Orleans. Among the wealth of great programming, I chose a course looking at early intervention for children with cerebral palsy (CP), and I’d like to share a few points I took away.
For therapy purposes, early intervention means providing services to a child before two years of age...
Removing Limits, One Step at a Time
The Center for Neuro Recovery (CNR) in North Palm Beach, Florida, is not your traditional training and recovery center. It’s rated among the top training centers in the country with referrals from 54 national rehab hospitals and 17 international rehab hospitals, and it might be best described as a highly skilled comprehensive training facility for those willing to push the boundaries. CNR provides...
Body Weight Supported Treadmill Walking
At our Therafit Rehab clinics in Maryland and New Jersey we specialize in treating children and adults with neurological disabilities such as cerebral palsy, stroke, TBI and Parkinson’s disease. Time and again our patients tell us their number one goal for rehab is walking – whether for the first time, relearning to walk or just walking better. And it’s no wonder. Walking is an...
Are Good Body Mechanics Enough?
Whether assisting someone from a wheelchair to a mat table or the parallel bars, patient transfers are a routine part of all therapy interventions. But did you know that these transfers place a therapist at an extraordinary risk for work-related injury? Statistics show that caregivers engaging in manual patient lifting, transferring and repositioning activities beyond the 35-lb patient lifting maximum set...
The Clinical Progression: Treadmill to Overground Ambulation
Gait training is central in the rehabilitation of individuals with neuromotor disabilities. In clinical circles, there is considerable debate over whether gait training is best performed over a treadmill or over ground. Is one intervention more effective than the other? The research on this topic is inconclusive at best. What we do know, however, is that studies comparing the two gait training approaches...
Making Better Use of Arm Supports
Adaptive gait devices come with a wide range of positioning accessories for supporting upright and ambulatory postures. Of these, arm supports are frequently used to provide basic upper extremity placement and positioning. But when understood and used correctly, arm supports can do so much more, particularly when it comes to positioning in gait. Here they can assist with weight-bearing, stepping, head...
Gait Training and Dynamic Movement
Building off the foundational concepts of neuroplasticity and motor learning, clinical gait training is an advancing intervention. With the aim to provide independence in gait and a full recovery for those with developmental or acquired disabilities, this discipline continues to incorporate new research and approaches into existing intervention protocols.
In the last few years we’ve seen increased...
Which Should I Use For Gait Training?
Since our newest items, the Rifton TRAM and the New Pacer both have the capacity to support walking practice and have similar prompts, including arm prompts, trunk support, and walking saddle, therapists often wonder which to choose for ambulation or gait training.
Because the TRAM does a lot more than gait training – it’s a three-in-one device that combines sit-to-sit...
Giving the Gift of Mobility
Typically developing children reach most motor milestones in a fairly predictable manner. By six months babies are rolling; by eight months they are creeping on all fours and sitting on their own and by ten-twelve months they are standing and getting ready to take their first steps.
During this part of the first year of life, typically developing babies are exploring their environment, interacting with...