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Evidence Based Practice
Don’t Be Afraid of Early Mobilization in Acute Brain Injury
February 20, 2018 by Mary Beth Osborne, PT, DPT, NCS
This article was originally written for Medbridge and is shared here with permission. People who suffer brain injuries require extensive medical care to preserve vital organ functions and prevent secondary injury. Physical therapists are in a unique position to positively influence the ultimate outcome for these individuals by simply providing early mobilization. Two studies provide support for early...
Evidence Based Practice
Evidence Update: Adding Resistance to BWSTT
November 27, 2017 by Elena Noble, MPT
Although integrated into pediatric clinical practice for the last decade, body weight supported treadmill training (BWSTT) continues to be an area of research interest and an evolving intervention. We can see this reflected in a recent study examining effective motor learning strategies for treadmill training. For children with disabilities, the treadmill is a safe place where they can organize their...
Evidence Based Practice
Evidence Update: Dynamic Gait Training for Child with SCI
October 17, 2017 by Elena Noble, MPT
Because good clinical evidence on the benefits of gait training is so scarce, we celebrate every contribution we find. Here’s one that specifically explores the effect of dynamic gait training on a child with a spinal cord injury. After sustaining a complete T10 spinal cord injury (SCI) at 23 months old, this child began a walking program six months later. She initially started with a posterior...
Evidence Based Practice
Improving Gait in Chronic TBI with Motor Learning Strategies
July 25, 2017 by Elena Noble, MPT
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...
Evidence Based Practice
Evidence Update: Dynamic Seating for Children with Autism
May 30, 2017 by Elena Noble, MPT
Teachers and therapists working in inclusive classrooms continue to work to improve academic outcomes for students with autism spectrum disorder (ASD). One fascinating area of inquiry is seating modification to improve in-seat performance, as students may need to sit for five hours during a normal school day. In one recent article on the topic, researchers examined how dynamic seating options...
Evidence Based Practice
Evidence Update: The Relationship of Trunk Support to Head Stability
May 09, 2017 by Lori Potts, PT
Trunk and head control is a challenge for many children with cerebral palsy (CP). This fascinating recent study examines how providing varying levels of biomechanical trunk support affects neural control of head stability, specifically for children with CP in Gross Motor Function Classification System (GMFCS) Levels IV or V. By definition, GMFCS Level IV indicates children whose walking ability is severely...
Evidence Based Practice
Evidence Update: Task-Specific Gait Training Improves Gait Speed
January 05, 2017 by Elena Noble, MPT
Improving gait parameters is a primary goal of therapy intervention. One of these parameters is gait speed because we know there is a link between how fast we walk and how well we interact with our surroundings. (Just notice how frustrated your aging parents become as their gait slows them down.) Simply put, refining gait through therapy ultimately improves speed and boosts quality of life. There are a...
Evidence Based Practice
Evidence Update: Autism in the News
February 07, 2012 by Elena Noble, MPT
This evidence update is focused on autism. It is a topic that’s been in the news lately, and the Spring 2012 Pediatric Physical Therapy Journal features two great articles and one commentary on this subject which I summarize below. Additionally, it is timely for the Rifton autism chair which is now available. I have also included a remarkable (and provocative) ABC news video at the end which you...