PT/OT Six Features To Love About the Support Station December 19, 2017 by Elena Noble, MPT
When we’re talking about activities of daily living, it doesn’t get more basic—and more personal—than toileting. But the process of toileting is also a valuable opportunity to teach transfer, standing and hygiene skills—all essential to building independence in self-care. A successful and thoroughly dignified approach to incorporating these skills into the toileting routine is...
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: 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...
PT/OT Workers’ Compensation Providers and the Rifton TRAM October 03, 2017 by Elena Noble, MPT
Lifting and repositioning patients is a big part of healthcare, particularly for nurses and therapists. But how we do this is changing, based on the many studies that show how lifting patients manually without assistive equipment is causing staff injuries, lost days from work and decrease in care quality. The safe patient handling and mobility (SPHM) approach advocates for patient lifts and mobility...
PT/OT Removing Limits, One Step at a Time September 14, 2017 by Kevin Mullin, CNR Managing Consultant
The Center for Neuro Recovery (CNR) in North Palm Beach, Florida, is not your traditional training and recovery center. It’s rated among the top training centers in the country with referrals from 54 national rehab hospitals and 17 international rehab hospitals, and it might be best described as a highly skilled comprehensive training facility for those willing to push the boundaries. CNR provides...
Tips & Advice Comparing Rifton’s Three Gait Training Devices August 09, 2017 by Elena Noble, MPT
Since gait training is a focal rehabilitation activity, we’ve done our best to design gait trainers that meet all needs. In addition to our pediatric line of gait trainers we have three devices that can be used by heavier, larger clients: the TRAM, the XL Pacer and the E-Pacer. While the TRAM is good for tight spaces or if you need a device that can double as a toileting or transfer aid, for full...
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...
PT/OT Creative Mobility Technology for Improved Outcomes July 03, 2017 by Elena Noble, MPT
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 June 27, 2017 by Elena Noble, MPT
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...
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