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Pediatric Rehabilitation Medicine

Date post: 07-May-2015
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Pediatric rehabilitation medicine: scope of practice, hospital programs, advances and new technology
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Pediatric Rehabilitation Medicine Margarita Correa MD Improving Quality of Life
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Page 1: Pediatric Rehabilitation Medicine

Pediatric Rehabilitation MedicineMargarita Correa MD

Improving Quality of Life

Page 2: Pediatric Rehabilitation Medicine

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

Page 3: Pediatric Rehabilitation Medicine

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

Page 4: Pediatric Rehabilitation Medicine

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

Page 5: Pediatric Rehabilitation Medicine

Conditions Treated

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

Page 6: Pediatric Rehabilitation Medicine

Conditions Treated

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

Page 7: Pediatric Rehabilitation Medicine

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

Page 8: Pediatric Rehabilitation Medicine

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

Page 9: Pediatric Rehabilitation Medicine

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)

Page 10: Pediatric Rehabilitation Medicine

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)

Page 11: Pediatric Rehabilitation 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)

Page 12: Pediatric Rehabilitation Medicine

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)

Page 13: Pediatric Rehabilitation Medicine

Rainbow Babies and Children’s Hospital, Cleveland

Rehabilitation and Sports Medicine Spasticity clinic

Page 14: Pediatric Rehabilitation Medicine

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)

Page 15: Pediatric Rehabilitation Medicine

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

Page 16: Pediatric Rehabilitation Medicine

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)

Page 17: Pediatric Rehabilitation Medicine

Pediatric Lokomat

Page 18: Pediatric Rehabilitation Medicine

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

Page 19: Pediatric Rehabilitation Medicine

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

Page 20: Pediatric Rehabilitation Medicine

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

Page 21: Pediatric Rehabilitation Medicine

Control of Osteoporosis

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

Page 22: Pediatric Rehabilitation Medicine

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

Page 23: Pediatric Rehabilitation Medicine

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

Page 24: Pediatric Rehabilitation Medicine

THANKS


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