The Nice F-Words for Children with Medical Complexity
For those of us working with medically fragile children we have our own set of F-words, and none of them unpleasant. Aligned in the framework of the International Classification of Functioning, Disability and Health (ICF), the F-words of Fitness, Function, Fun, Friends, and Family provide a lighthearted pathway to rehabilitation and a healthy future for children with disabilities.
Improving Rehabilitation Prospects with the E-Pacer
Individuals hospitalized due to stroke or brain injury have one over-arching goal: to return home and into the community again. Unfortunately, many individuals with lasting debility require placement in long-term care or assisted living instead. This isolation and loss of independence can be devastating to patients and families. Because independent walking is a primary predictor of whether a patient...
A patient with spinal cord injury recovers with the aid of an E-Pacer
Previously on our blog we shared a post about the use of Therabands with the TRAM from Linda Rusiecki, a physical therapist at Blodgett Hospital in Grand Rapids. In another post, Janette Tazzia and Linda Rusiecki tell about Janette’s recovery from a stroke. Now here’s a story of an individual impacted by a spinal cord injury who made remarkable gains with use of the Rifton E-Pacer in his...
A stroke patient recovers with the aid of a TRAM
In the summer we shared a blog post about the use of Therabands with the TRAM from Linda Rusiecki, a physical therapist at the Blodgett Hospital in Grand Rapids. Watch Janette Tazzia and Linda Rusiecki tell about Janette’s recovery from a stroke that left her partially paralyzed.
Seating and Wheeled Mobility
If you are involved with wheelchair evaluations and recommendations for your clients – whether experienced or new on the block – this comprehensive and readable book is for you. Michelle Lange and Jean Minkel are well-known clinicians in the seating and wheeled mobility world. They gathered respected contributors with wide-ranging expertise for this well-rounded, thoroughly referenced volume...
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...
Winning the Funding Battle for Standing Devices
For all of us, standing is an integral part of the developmental sequence. And particularly for people with motor impairments and physical disabilities it is one of the key building blocks that leads to exploratory mobility. (Bower, E.) A child who is unable to stand may be missing out on developmental learning and interaction with the environment. We know the many benefits of standing as well: improved...
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...
Evidence Based Practice
Evidence Update: Children's Perspectives on Robotic Gait Training
Gait training is a fundamental intervention in pediatric rehabilitation. At present, over-ground assistive devices and treadmills dominate the field, but we’re now seeing emerging robotic technologies that offer solutions to normalize and enhance the quality of gait mainly through the application of motor learning principles and the use of dynamic weight-bearing systems. We need to learn more about...
The Rifton TRAM vs. the Hoyer®
Why Worry about Lifting?
In the healthcare setting, manually lifting or transferring patients causes musculoskeletal injury for both staff and patients. As a result, many healthcare facilities have implemented “no-lift” or “zero-lift” safe patient handling (SPH) policies requiring the use of mechanical lifts for all patient transfer and positioning tasks. The results have been...