Pediatric Rehabilitation Medicine
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Transcript of Pediatric Rehabilitation Medicine
Pediatric Rehabilitation MedicineMargarita 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 BrainSTARS (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
Neurorehabilitation and Robotics
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
Neurorehabilitation and Robotics
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
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