Tips & Advice
Beyond the Stander
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.
Positioning for Functional Seating
Active sitting promotes trunk and head control and can improve a child’s posture and functional use of the arms and head. Learn how to position and adjust an adaptive chair to encourage active sitting.
Toileting Concepts for a Child with Special Needs
For many parents and teachers of children with special needs, toilet training can seem like an unattainable goal. Each child has unique health issues, physical disabilities, emotional/behavioral challenges, cognitive and learning disabilities as well as communication barriers. Nevertheless, an individualized, consistent toileting routine can have great positive impact on quality of life.
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.
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...
Evidence Based Practice
Evidence Update: Children with CP and Home-based Treadmill Programs
Motor learning suggests that practice, repetition and task specificity are instrumental to task improvement. Sometimes extending the practice of therapeutic activities beyond the clinical environment and into the home is a great way to apply these principles and reinforce the gains made in the clinic.
Knowing this, I was interested to read a recent study looking at children with cerebral palsy and the...
Improving Functional Mobility in Home Care
As a physical therapist in the home care setting, I am always looking for new and innovative ways to improve a patient’s ability to perform functional mobility and activities of daily living (ADL). Improving mobility and ADL performance helps prevent bodily deterioration, reduces caregiver stress, and enables the patient to stay at home longer before requiring institutionalized care.
One of my most...
New Mobility Magazine Discusses Rifton TRAM
Word is spreading about the unique functionality of the Rifton TRAM for gait training, standing, and transfers. New Mobility has just published a great piece pointing those suffering from paralysis to the benefits available from this new device. (New Mobility is the publication of United Spinal Association.) Take a moment to read it and then share it with others who are looking for better gait training and...
Letters of Medical Necessity
Rifton TRAM Sample LMN: Adult homecare
Components of a Letter of Medical Necessity for use in the homecare of an adult.
Note: Every reasonable effort has been made to verify the accuracy of the information. However, sample letters of medical necessity are not intended to provide specific guidance on how to apply for funding for any product or service. Health care providers should make the ultimate determination as to when to use a specific...
Rifton TRAM Aids Post Stroke Rehabilitation A Testimonial
Contributed by Rachel LeBlanc.
Our Dad, Grandpa Jim, suffered a stroke at age 85 and lost most of the use and control of his left side, especially his left arm and leg. We soon faced the fact that he was no longer able to walk or stand, and began learning how to move him from his bed to a wheelchair or the commode, and back. The toll this took on our backs and shoulders was immediately apparent. Right at...