Evidence Based Practice Evidence Update 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, 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...
Videos Introducing the Gait Tracker App
The TRAM and E-Pacer scales can connect with a phone or tablet via Bluetooth to display scale data on Rifton’s Gait Tracker app. Gait Tracker shows a running average of the weight  measured by the scale, and calculates average weight-bearing for a gait training session. A phone can also be mounted on the patient handgrip with a bicycle phone mount, making the scale visible to the client...
PT/OT Body Weight Supported Treadmill Walking May 02, 2017 by Justin Gilligan, PTA
At our Therafit Rehab clinics in Maryland and New Jersey we specialize in treating children and adults with neurological disabilities such as cerebral palsy, stroke, TBI and Parkinson’s disease.  Time and again our patients tell us their number one goal for rehab is walking -- whether for the first time, relearning to walk or just walking better. And it’s no wonder. Walking is an integral...
PT/OT Boxing and Balance Exercise April 25, 2017 by Elena Noble, MPT
Although on the market for over five years, the TRAM continues to surprise us. Here are some great ideas for using the TRAM in rehab, focusing on balance support and activity, from Jamie Haines, PT, DScPT, NCS at Central Michigan University. High-Intensity Boxing This patient has Parkinson's disease, Stage III. He was afraid to participate in an exercise class until he used the Rifton TRAM. What a...
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