Evidence Based Practice
Don’t Skimp on Good Design and Quality
Does the quality of an individual’s mobility device influence their participation? Common sense tells us it would, but do we find research to back that up? Thankfully, yes. Today’s post highlights the work of a research team that implemented a two-day assessment with 604 community-dwelling adults with spinal cord injury, traumatic brain injury, and stroke.
Of these, 250 people (41%) self...
Winning the Funding Battle for Standing Devices
For all of us, standing is an integral part of the developmental sequence. And particularly for people with motor impairments and physical disabilities it is one of the key building blocks that leads to exploratory mobility. (Bower, E.) A child who is unable to stand may be missing out on developmental learning and interaction with the environment. We know the many benefits of standing as well: improved...
Great Outcomes for Adults Who Need Gait Assistance
For children with complex disabilities the transition from school to adult services can be brutal: therapy and equipment that is considered standard in the school suddenly disappears, funding evaporates, and families struggle to bridge the gap. But this is slowly changing. Many healthcare facilities now try to provide a seamless transition into this new stage of life with specialized and comprehensive...
Evidence Based Practice
Evidence Update: Children's Perspectives on Robotic Gait Training
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...
The Rifton TRAM vs the Hoyer®
Why Worry about Lifting?
In the healthcare setting, manually lifting or transferring patients causes musculoskeletal injury for both staff and patients. As a result, many healthcare facilities have implemented “no-lift” or “zero-lift” safe patient handling (SPH) policies requiring the use of mechanical lifts for all patient transfer and positioning tasks. The results have been...
Personal Energy Transportation (PET)
Complex Rehab Technology (CRT) is just that: complex. Everything about it: what it does, how it’s made, the industry that regulates it, and most of all, the processes required to get it paid for. At the other end of the spectrum: PET International. In every way the antithesis of CRT, this organization has commanded the attention of retirees, students, church members and corporate partners from all...
Safe Patient Handling and Movement: Effectively Using Gait Training Equipment
It is an exciting time in the field of rehabilitation. For people who have sustained a neurological injury such as a stroke, incomplete spinal cord injury or traumatic brain injury there is now hope for regaining the ability to ambulate and sometimes even achieving a full recovery. In the past, a neurological injury was viewed as irreversible, and rehabilitation was focused on helping patients adapt and...
Safe Patient Handling and Movement: Early Mobility in the ICU
Early Mobility in the ICU and the Role of Therapists
Early mobility in the intensive care unit is a hot topic for therapists working in acute care. Recently, with help from the ICU nursing staff, therapists have been assisting patients out of bed and in exercise and mobility routines earlier during their recovery than previously thought possible. Why? Because a growing body of evidence is pointing to the...
Tips & Advice
Tips from a TRAM Advocate
Recently Rifton had a conversation with a complex rehab provider (who wishes to remain anonymous) serving clients in a mid-western state. Because he and his staff have been buying so many Rifton TRAMs for their customers, we wanted to find out who these people were and what needs the TRAM was filling for them. Following are excerpts from our conversation:
Rifton: What have you found is unique about...
Compensation and Recovery
Should PTs train for compensation or recovery? Clinicians today are debating whether interventions should focus on teaching whatever is required to accomplish a task (compensation) or promote the neuroplasticity needed to allow the task to be accomplished “normally” (recovery).There is a great dialogue on this topic posted on the Journal of Neurologic PT (JNPT) discussions page which I highly...