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...
Creative Mobility Technology for Improved Outcomes
I recently attended the APTA Next Conference in Boston. A new component to this conference is the experience zone—an education space in the exhibit hall allowing presenters to draw on resources from the show floor as part of their presentations. A great idea. I attended a course called “Creative Mobility Technology for Improved Outcomes” in the zone.
Here we learned to get the most...
Evidence Based Practice
Evidence Update: Rehab Gait Training with BWS
Gait rehabilitation uses both body weight supported treadmill training and over-ground training to help a client reach their maximum walking potential. With no established clinical indications, choosing between the approaches is a research-based and experience-based decision which factors in the nature of a client’s injury, timing and scope of intervention and projected outcomes. Here are two recent...
Evidence Update: Supported Standing Protocols
For decades already we’ve seen standing programs used as a therapeutic intervention for adults with neurological conditions. We’ve known that without such intervention, patients with spinal cord injuries, strokes, traumatic brain injuries or multiple sclerosis spend hours and hours each day in sedentary postures—with devastating results. Sitting for upwards of eight hours a day leads to...
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...
Improved Rehab Intervention with the TRAM
The Rifton TRAM is a great addition to our skilled rehabilitation department, especially for those patients with neurological deficits. One therapist can safely assist a patient in the TRAM through a functional mobility progression starting with sitting balance on the edge of the bed, standing tolerance, posture and then gait normalization. In the past, many of these therapeutic activities needed multiple...