P-PAS, Adaptive Equipment and You
The Posture and Postural Ability Scale or P-PAS is a tool that can be used to assess posture, postural ability and the quality of posture in prone, supine, sitting and standing positions. Posture, in this context, refers to the anatomical alignment of body parts in relationship to each other and the environment.
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...
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...
Six Features To Love About the Support Station
When we’re talking about activities of daily living, it doesn’t get more basic—and more personal—than toileting. But the process of toileting is also a valuable opportunity to teach transfer, standing and hygiene skills—all essential to building independence in self-care.
A successful and thoroughly dignified approach to incorporating these skills into the toileting routine is...
Features and Benefits of the Wave Bathing System
For people with significant support needs, bathing is essential to health and hygiene. However, transfer difficulties and the lack of appropriate supportive equipment often make it one of the most difficult tasks for families and caregivers.
If you care for someone who needs help with transfer and you don't have an accessible shower, your options for bathing aren't great – either bathroom...
Tips & Advice
Hygiene, Health and the Rifton Wave
When we make bathing easier, our clients are healthier. The new Rifton Wave, a thoroughly reimagined bath chair, improves the bathing and showering experience for both the client and the caregiver.
Here’s a great resource on the features, benefits and medical necessity of the Rifton Wave- a bath chair that can restore the dignity and yes, even the pleasure in the bathing experience.
Tips & Advice
Four Field-Tested Approaches For Toileting with the TRAM
The Rifton TRAM is a remarkably simple solution for toilet transfers, ensuring safety and dignity for both clients and caregivers. Here are four approaches developed by clinicians in the field to accommodate different body types and impairments.
Download the pdf
For client with good trunk tone and weak lower extremities
For clients with moderate weight bearing...
Toileting Initiative Produces Great Results
It all started when therapists from the three special day schools of Baltimore County Public Schools sat down to talk at one of our yearly meetings. The discussion turned from the mundane to the visionary, how to provide more functional, purposeful activities for our kiddos throughout the day. And, of all things, we talked about toileting. As a vital part of the student’s day, we wanted the toileting...
Tips & Advice
Toileting Transfer Tips for Individuals with Muscular Dystrophy
Transferring someone with low tone and little or no weight bearing to and from the toilet is challenging. Along with a dependent lift, a therapist must guard against the individual slipping down or sagging during the seat-to-seat transfer in addition to managing clothing. Even with lifting devices it is difficult to execute a smooth, dignified, safe transfer with an individual unable to maintain any...