Pediatric Rehabilitation Medicine

Pediatric Rehabilitation Medicine Margarita Correa MD Improving Quality of Life

Pediatric Rehabilitation Medicine
Is the sub-specialty that utilizes an interdisciplinary approach to address the prevention, diagnosis, treatment, and management of congenital and childhood-onset physical impairments

Pediatric Rehabilitation Medicine
Rehabilitation management of children with physical impairments requires identifying functional capabilities and selecting the best rehabilitation intervention strategies with an understanding of the life of course of the disability and the continuum of care

Conditions Treated
The Pediatric Physiatrist can provide hospital consultation, and as well as outpatient practice, including care of newborns, infants, children and adolescents with, but not limited to:
Cerebral palsy
Developmental delay, developmental disabilities
Spina bifida and other neural tube defects

Conditions Treated
Brain injury
Spinal cord injury
Neuromuscular disease
Genetic syndromes
Metabolic Disorders
Brachial plexus palsy
Congenital, hereditary Lymphedema

Conditions Treated
Musculoskeletal injuries
Rheumatic disease
Chronic pain syndrome
Peripheral neuropathy
Myopathies
Limb deficiency, amputee

Tests and Procedures
Electromyography (EMG) & Nerve Conduction Studies (NCS) aid in the diagnosis of conditions or diseases related to muscles, nerves, motor neuron and neuromuscular junction
Botulinum toxin ( BOTOX ) injections for spasticity reduction and pain relief

Top 5 Rated Best Children’s Hospitals
Children’s Hospital of Philadelphia
Children’s Hospital of Boston
Johns Hopkins Hospital
Children’s Hospital Denver
Rainbow Babies and Children’s Hospital, Cleveland

The Children’s Hospital of Philadelphia
Division of Child Development and Rehabilitation Medicine
Therapies: Audiology, OT, PT, SLP
Inpatient Rehabilitation Unit, 18 beds: SCI, TBI, MSK disease, chronic pain and other chronic illness
Outpatient Rehabilitation Service: focused cerebral palsy, MSK disease and spasticity
Fellowship Training Program (Pediatrics, Genetics, Gastroenterology and Nutrition, Psychology, Social Worker. Adjunctive Faculty: Neurology, Psychiatry)

Children’s Hospital of Boston
Pediatric Pain Rehabilitation Program
Psychology, PT, OT, Hydrotherapy, Tutoring and Medical Management
Several fellowships (Developmental and Behavioral Pediatrics, Neurodevelopmental Disabilities,Orthopedics/Pediatrics Sports Medicine)

Johns Hopkins Children’s Center
Kennedy Krieger Institute
Clinical Departments (Audiology, Behavioral Psychology, Recreation, Neuropsychology, Nursing, Nutrition, OT, PT, Psychiatry, Social Work, Special Education, Speech and Language)
Outpatient Programs – 47 programs
Inpatient Programs (Neurobehavioral, Feeding and Pediatric Rehabilitation – BI, SCI, chronic pain, developmental disabilities and recovery from orthopedic surgery)

Children’s Hospital Denver
Inpatient Rehabilitation Program
Neurotrauma Rehabilitation Team
Rehabilitation Clinics, Sports Program
Neuropsychology in the Department of Rehabilitation
Brain STARS (Strategies for Teams and Re-education for students with acquired brain injury)

Rainbow Babies and Children’s Hospital, Cleveland
Rehabilitation and Sports Medicine
Spasticity clinic

Cincinnati Children’s Hospital
Inpatient Rehabilitation Unit
Outpatient Rehabilitation Services
Specialty Clinics (General Pediatric Rehabilitation, Spasticity Clinic, W/C/Seating, EMG, Spinal Cord, MSK Oncology, Neuro-Oncology, Muscular Dystrophy Association, Limb Reconstruction, Brachial Plexus, Stroke, Cerebral Palsy, Myelomeningocele)

Nemours/Alfred I duPont Hospital for Children
Rehabilitation (Brain Injury Program, Comprehensive Inpatient Program, Day Program, Outpatient Therapy – PT, OT, SLP, Cognitive Remediation, Neuropsychology.
Outpatient Evaluations: PMR, PT, OT, SLP, Neuropsychology
Diagnosis: Brain Injury, SCI, Stroke, Near-Drowning, Anoxia, NMD, Amputations, Burns, RSD, Post-Orthopedic surgeries

Rehabilitation Institute of Chicago
Pediatric Rehabilitation Services (cerebral palsy management, pediatric Lokomat walking therapy, pediatric feeding support services, adolescent pain management program)
LIFE Center (Living with Pediatric Disability Resources)

Pediatric Lokomat

New Technology
Neurorehabilitation and Robotics
Dynamic stander to control osteoporosis
Wheelchair-Mounted Manipulator
Virtual Reality Rehabilitation and Recreation
Sensory Motor Enhancement
A Body Powered Hand for Toddlers : Easy Feed Hands for the Growing Child

Children with cerebral palsy suffering from sensory and motor impairments that affect their upper extremity function
Current studies show that robotically-facilitated repetitive movement training might be an effective stimulus for normalizing upper extremity motor control

When Virtual Reality simulations are interfaced with robotic devices, movement tracking and sensing, and haptic glove systems, they can provide an engaging, motivating, and adaptable environment

Control of Osteoporosis
Dynamic stander to apply reciprocating forces that mimic the walking gait to the lower limbs of immobilized children

Wheelchair-Mounted Manipulator
The use of robotic manipulators to augment upper extremity function has been limited by the availability of a means to control multiple degrees of freedom simultaneously to generate smooth and efficient movements

A Body Powered Hand for Toddlers: Easy Feed Hands for the Growing Child
The design builds on observations of children's natural hand use patterns and their cognitive skills. Young children frequently transfer objects from hand to hand. The Easy-Feed Hand takes advantage of this hand use pattern as children transfer objects to the prosthesis with the sound hand

THANKS

Pediatric Rehabilitation Medicine

by mcorreamd on Jul 12, 2010

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Pediatric Rehabilitation Medicine — Presentation Transcript