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...
Weight-bearing Assistance and Pelvic Positioning with the New Pacer Gait Trainer
Rifton’s new Pacer gait trainer has three options for weight-bearing assistance and positioning of the hip girdle:
1. the multi-positioning saddle
2. the hip positioner, and
3. the pelvic support
Here’s a brief description of each with our recommendations to help you choose the right one for your clients.
Tips & Advice
Lifespan Care for People with Disabilities
Providing activity and mobility interventions for young adults with disabilities after they leave the school system is important, particularly for maintaining quality of life. Unfortunately this outlook is not shared by everyone. A physical therapist working with young adults with developmental disabilities wrote this to me after her efforts to get adaptive equipment for her clients had been...
Benefits of Early Mobility
Early Gait Training: Positive Outcomes for the Long Term
Think about it. The more you practice, the better you get – at anything. As author Malcolm Gladwell explains in his book “Outliers,” the one point that distinguishes a violinist from a virtuoso is practice- at least 10,000 hours of it. This applies to any field regardless of nature or nurture. So with early gait training, a child...
Evidence Based Practice
Evidence Update: Selecting Gait Trainer Features
Once again Ginny Paleg, DScPT, MPT and Roslyn Livingstone, MSc have delivered a valuable literature review, this one on the all-important topic of gait training. In the therapy community we’re well aware of the importance of mobility for the developing mind and body. Because children with cerebral palsy at GMFCS levels IV and V are not independently mobile, supportive gait trainers provide critical...
Making Better Use of Arm Supports
Adaptive gait devices come with a wide range of positioning accessories for supporting upright and ambulatory postures. Of these, arm supports are frequently used to provide basic upper extremity placement and positioning. But when understood and used correctly, arm supports can do so much more, particularly when it comes to positioning in gait. Here they can assist with weight-bearing, stepping, head...
Tips & Advice
Ingenious Solutions from the Field: Creating a Pacer Hip Corral
A creative concept that came to us from the field is to use the Pacer Chest Prompt as a guide for hip positioning often referred to as a hip corral. This is achieved by flipping the chest prompt upside-down, so that the longer portion of the prompt faces downward. Having the chest prompt low around the hips can be an effective way to provide positioning for the student who has good trunk control but...
Giving the Gift of Mobility
Typically developing children reach most motor milestones in a fairly predictable manner. By six months babies are rolling; by eight months they are creeping on all fours and sitting on their own and by ten-twelve months they are standing and getting ready to take their first steps.
During this part of the first year of life, typically developing babies are exploring their environment, interacting with...
Activity-Based Curriculum in Action
Students at Woodland Developmental Center are on the move all day. The hallways are busy, the classrooms noisy and full of activity as the children practice important life skills that have been incorporated into their curriculum. And that’s what’s different about Woodland. Where students with disabilities in other schools may be seen two or three times a week in the therapy department, Woodland...
Full Inclusion Summer Camp
Inclusion is not easy. It takes commitment, creativity and time to help every student learn and participate. So congratulations to the wonderful teachers and staff at the Sacramento County Office of Education (SCOE) who realized that with summer just around the corner it was time to take inclusion outdoors as well. The result? A first ever inclusive Technology and Recreation camp at nearby Sly Park...