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Physical Medicine and Rehabilitation


Physical Medicine and Rehabilitation

The Division of Pediatric Rehabilitation is comprised of a highly trained, interdisciplinary team that specializes in the care of physically disabled children and adolescents. Your child’s primary care physician is also an important member of the rehabilitation team and is regularly updated on your child’s progress. Because the Division of Pediatric Rehabilitation is located within Cohen Children’s Medical Center, other pediatric specialists are available for consultation when needed.

Inpatient Services

Inpatient services are available to children admitted to Cohen Children’s Medical Center on various medical and surgical units. Consultations provide defined objectives for physical and occupational therapy services, if indicated. The therapy programs are individualized to your child's needs and provided at bedside or in the therapeutic gym area as the child tolerates increasing intervention. Each child’s management includes pre-discharge planning and post-discharge follow-up, if indicated.

Physician Services

A wide range of medical conditions result in diagnoses that identify physically disabling disorders. Our mission is to help children become as independent as possible. Emphasis is placed not only on normalization of the child's physical function, but also on enhancement of his/her self-image.

  • Management of cerebral palsy, spasticity, and hypotonia (low muscle tone)
  • Management of Erb's palsy
  • Aerobic exercise/conditioning for children with chronic illness
  • Neonatal follow-up
  • Orthotics, splinting and prosthetics
  • Adaptive seating and equipment
  • Management of disability related to neuromuscular disorders such as spinal muscular atrophy and muscular dystrophy
  • Management of torticollis and positional plagiocephaly

Pediatric Rehabilitation

Children are evaluated and treated both on an inpatient and outpatient basis. After obtaining medical and other information from the patient's physician and family, the team assesses the extent of the patient's abilities and disabilities and an individual treatment plan is designed.

The treatment goal of pediatric rehabilitation is to help children achieve their maximum level of function and development. The team will develop home exercise programs and goals with the children and their families. As the child proceeds through the program, the team meets regularly to review the child's progress and revise treatment goals. This coordination of treatment is critical for achieving the best possible outcome.

The team approach facilitates communication with the child's local providers of pediatric, social, educational services to assist the family in obtaining entry into appropriate community services.

Physical Therapy

Physical therapy promotes mobility, gross motor function, cardiovascular fitness and independence.
Types of treatment include:

  • Intervention adapted to age and developmental stage
  • Pulmonary drainage and breathing exercises
  • Postural training
  • Gait training
  • Prosthetic training
  • Muscle strengthening and endurance training
  • Joint range of motion and flexibility exercises
  • Aerobic conditioning
  • Positioning for muscular relaxation and elongation
  • Therapeutic modalities

Occupational Therapy

Occupational therapy encourages fine motor skills, psychosocial and sensory development in order to achieve functional independence. Areas of intervention include:

  • Sensory integration
  • Visual perceptual evaluation and training
  • Activities of daily living
  • Splinting
  • Upper extremity prosthetic training
  • Equipment fabrication
  • Fine motor training
  • Cognitive training
  • Intervention adapted to age and developmental stage
  • Provision of equipment to train self care skills
  • Handwriting training

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