Evidence Based Practice
Improving Gait in Chronic TBI with Motor Learning Strategies
Long-term disability is a frequent sequel of traumatic brain injury (TBI) and takes the form of persisting motor impairments that impact walking and autonomous movement. So to improve environmental negotiation and basic care skills, independent gait is an essential therapy goal for TBI patients.
Literature shows that the best time for independent gait recovery occurs within the first few...
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 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...
The New Rifton Dynamic Pacer Gait Trainer, So Much More Than a Walker
Often parents of children with disabilities – and adults who have incurred serious injuries – seek out walkers to enable better mobility and walking practice. While walkers have their place in rehabilitation, these very basic support devices offer very little when compared to gait trainers – and even less when compared to the new Dynamic Rifton Pacer gait trainer.
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...
Great Strides with the Rifton TRAM
A few years ago we welcomed a non-traditional student—we’ll call him Jay—at Lincoln Developmental Center (LDC) where we work. Most of our students have had a development disorder since birth; most are undersized and fit well into traditional equipment, but Jay sustained a traumatic brain injury at the age of 14 and arrived at LDC at the age of 17, fully grown, with limited positioning...
The Rifton TRAM vs the Standard Four-Wheeled Walker
For those of us concerned with rehab following central nervous system lesions, the last ten years have been exciting. There has been extensive research focused on the brain and its neuroplastic properties, and it’s changing the way we think about treatment.
Specifically, recent research has encouraged gait rehabilitation—task-specific and repetitive. We all recognize now that ambulation...
TRAM Still Turning Heads
In a profile published this month in the influential trade publication Mobility Management, staff writer Laurie Watanabe highlights the multi-tasking capabilities of the Rifton TRAM, citing its role as a gait trainer, a lift, and a transfer device. She quotes therapist Margaret Arnold on how the TRAM is helping people with a multitude of disorders or conditions, and tells the story of a brain injury...
New Mobility Magazine Discusses Rifton TRAM
Word is spreading about the unique functionality of the Rifton TRAM for gait training, standing, and transfers. New Mobility has just published a great piece pointing those suffering from paralysis to the benefits available from this new device. (New Mobility is the publication of United Spinal Association.) Take a moment to read it and then share it with others who are looking for better gait training and...
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...