Adaptive equipment use

Evidence Based Practice Evidence Update October 17, 2017 by Elena Noble, MPT
Because good clinical evidence on the benefits of gait training is so scarce, we celebrate every contribution we find. Here’s one that specifically explores the effect of dynamic gait training on a child with a spinal cord injury. After sustaining a complete T10 spinal cord injury (SCI) at 23 months old, this child began a walking program six months later. She initially started with a posterior...
Tips & Advice TRAM Tip September 12, 2017 by Elena Noble, MPT
The Rifton TRAM is a versatile transfer and mobility device that can  safely support people of varying abilities and sizes. To do this effectively it’s important to position the body support low enough on the trunk, but for people with shorter trunks or larger thighs this may be made easier by reversing the arm support post mounts so they don’t dig into the thighs as the body support is...
Stories In Praise of the Athlete August 25, 2017 by Elena Noble, MPT
Johnny Agar never considered himself an athlete. Born with cerebral palsy, he used a wheelchair, depended on others to care for him and took his first steps—23 total—at 11 years old. But sports was always part of his life—after all his dad had been a pitcher for the Detroit Tigers. But father and son did not bond on the baseball diamond. Inspired by My Team Triumph, a program where able...
PT/OT Getting Better Seat Positioning for the Child with Cerebral Palsy August 22, 2017 by Lori Potts, PT
Cerebral Palsy is a result of early damage to the parts of the brain that control muscle movements. Coordination and posture will be affected to varying degrees and symptoms can range from mild to severe physical disability (1). Some children with cerebral palsy can have mental retardation, seizures, or speech/hearing deficits as well. Although it is not progressive, cerebral palsy is a permanent condition...
Tips & Advice Comparing Rifton’s Three Gait Training Devices August 09, 2017 by Elena Noble, MPT
Since gait training is a focal rehabilitation activity, we’ve done our best to design gait trainers that meet all needs. In addition to our pediatric line of gait trainers we have three devices that can be used by heavier, larger clients: the TRAM, the XL Pacer and the E-Pacer. While the TRAM is good for tight spaces or if you need a device that can double as a toileting or transfer aid, for full...
PT/OT Using Adaptive Equipment to Foster Participation in Vocational Settings August 04, 2017 by Connie Johnson, PT, DScPT
Physical therapists have long advocated for the use of standers and gait trainers to support the mobility, accessibility and health needs of youth and adults with mobility impairments including education of families/school teams and use of equipment in activity programs. Use of gait trainers, standers and other mobility devices allow individuals mobility they would not be able to achieve due to...
Therapeutic Benefits 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...
How To's Arm Prompt Positioning Tutorial
The arm supports of Rifton's Pacer gait trainer offer a wide variety of positioning options for upper extremity stability, comfort, steering, and assistance with head control, weight-bearing and weight-shifting. Use this tutorial as a guide for great positioning outcomes. Clamp Placement The clamp is the foundation for arm...
PT/OT Busting that Persistent Myth about Adaptive Bikes and Recreation July 18, 2017 by Codi Andersen, DPT
I love the adaptive tricycle and the opportunities it affords many of my students. But how often have insurance companies denied requests for adaptive tricycles because they only see the recreational purpose? For my students with the most severe disabilities, the tricycle is a life-saver, and often the only piece of adaptive equipment that will help them achieve functional gains and participation. I&rsquo...
Tips & Advice Five Fabulous Features of the New Pacer Caster July 11, 2017 by Lori Potts, PT
While redesigning the new and dynamic Pacer we took the opportunity not only to improve the existing functions, but to add an odometer to encourage data collection and record progress. For gait training, there’s nothing else like our caster. These are the five key functions on the new caster:           1. Brake       ...
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