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...
New Webinar on Standers
Last week, Rifton offered the first in a series of webinars. Standers: What does the research say? Watch the recording below to learn interesting research findings on tone, ROM, bone mineral density, and hip stability.
Packed into 30 minutes, this webinar includes interesting research findings on muscle tone and range of motion, bone mineral density, and the issue of hip displacement for children with...
The Sugar Rush Bakery
Action-packed days are the norm in the Meadowood Program,- a branch of the Red Clay School District that provides Special Education services. Our goal is to use every opportunity to teach by embedding IEP skills into daily activities. Our student-focused approach supported by our team of therapists, classroom teachers and paraprofessionals follows the Mobility Opportunities Via Education (MOVE&trade...
Using Adaptive Equipment to Foster Participation in Vocational Settings
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...
Busting that Persistent Myth about Adaptive Bikes and Recreation
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...
Tilt and Recline in Pediatric Mobility
We know that there are over fifteen body functions and body structures affected by the orientation of an adaptive seating system. So needless to say, when setting up such a seating system for a child with disabilities, it’s important to get it right. That task falls on the child’s therapist or ATP. Successful positioning and functional results depends on thoroughly understanding the...
Out in Front with Mechanical Lifts in Schools
Last week I attended the Combined Section Meeting of the American Physical Therapy Association. It was held in San Antonio (great choice, especially in February!) and included some excellent programming. I’d like to share highlights from one of the workshops which focused on using lift and transfer devices in schools. It was presented by therapists from four large school districts.
Benefits of Early Mobility
Early Gait Training: Positive Outcomes for the Long Term
Think about it. The more you practice, the better you get – at anything. As author Malcolm Gladwell explains in his book “Outliers,” the one point that distinguishes a violinist from a virtuoso is practice- at least 10,000 hours of it. This applies to any field regardless of nature or nurture. So with early gait training, a child...
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...