Evidence Based Practice
Prospective cohort studies can inform pediatric physical therapy practice
The field of pediatric physical therapy has long recognized the difficulty of conducting high level research with the cerebral palsy population. Meeting the qualifications of a randomized controlled trial while implementing interventions with children with multiple physical disabilities – with all their varied daily realities – is extraordinarily difficult.
In turn, the systematic review that...
The Meadowood Program: A MOVE Model Site
You’ve heard us talk about MOVE for years, and there’s no question we’re unabashed boosters for this wonderful program. We first ran into Linda Bidabe, MOVE’s founder, in 1988 when her program was in its infancy and we’ve loved it ever since. If you’re not convinced, or if you just want to understand it better, set aside 20 minutes today, pour a cup of coffee, and watch...
Homing in on Segmental Trunk Support for Better Control
While many in the therapy community have not heard (yet) about SATCo, it’s a valuable new assessment that looks at trunk control. SATCo stands for Segmental Assessment of Trunk Control and it is a specific method of determining the level at which an individual loses postural control. We speak of “segmental assessment” because during evaluation we progressively change the level of trunk support at seven distinct levels.
It’s Called an Activity Chair for a Reason
Recently, Rifton hosted a 2-part webinar on adaptive seating.
Part 1: Sitting for Participation: What Does the Research Say?
This 30-minute webinar provides an overview of available research on adaptive seating as an intervention in pediatric practice. I summarize research evidence on adaptive seating outcomes including impact on postural control, the use of upper extremities while seated, and head...
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...
Advocacy for Cerebral Palsy
Recently, Rifton caught up with Michele Shusterman, mother of Maya and founder/president of CP NOW, a cerebral palsy nonprofit. CP NOW provides educational and support resources to the CP community and funds new research ideas. Although newly formed, CP NOW is gaining recognition and receiving accolades from families, professional organizations and CP centers throughout the US, particularly for their CP...
Treadmill Base: A Solution for Gait Practice
Body-weight-supported treadmill training (BWSTT) is widely recognized as a promising intervention to improve ambulation for individuals with neuromotor disability, with diagnoses including cerebral palsy¹, spinal cord...
Great Strides with the Dynamic Rifton Pacer and Treadmill Base
I have had great success with the dynamic Rifton Pacer gait trainer matched with Rifton’s treadmill base. Because my clients are completely supported, including their hands and arms, they are safe to work over a moving treadmill base.
Some of my clients even “run” on the treadmill at 2.0 and 2.5 mph as I have placed them up a bit higher and they learn how to move their feet quicker. This...
Tips and Tricks for Getting More Out of Your Rifton TRAM
The Rifton TRAM provides a lot of flexibility within our school setting for standing, walking, and transfers. Mostly it is used for safe transfers that would typically require a two-person lift. However, in one of my schools it has provided a great solution for two students who needed more flexibility in their standing and walking routines at school. Here are two examples:
Case 1: This...