PRM Fellowship Overview

Outpatient Pediatric Rehabilitation Programs and Clinics


Cerebral Palsy-Related Disorders Clinic: This weekly multidisciplinary clinic serves several hundred infants, children and youth with cerebral palsy and other similar conditions.  The team, lead by Drs. Edinger and Patterson, includes speech, occupational and physical therapy, orthopaedics, rehabilitation nursing, case management and social work. Case conferences are held after each clinic to assure that the comprehensive needs of the patients are addressed. A special focus on transition helps patients transition seamlessly to adult care in our Department of PM&R.

Spina Bifida Clinic: This weekly multidisciplinary clinic provides comprehensive care for infants, children and youth with spina bifida and other spinal cord disorders such as traumatic spinal cord injury, transverse myelitis, and spinal cord tumors. This clinic partners directly with the adult spina bifida clinic to assure a smooth transition to adulthood. Team members, lead by Dr. Houtrow,  include neurosurgeons, urologists, orthopaedic surgeons, physical therapists, occupational therapists, rehabilitation nurses, a social worker, and a transition nurse coordinator. Several hundred children are served by this clinic annually and many of these children are part of the spina bifida registry project funded by the CDC. 

Linkage Outreach Clinics: The Division of Pediatric Rehabilitation Medicine serves 4 multidisciplinary outreach clinics staffed by public health nurses, physical therapists, occupational therapists and speech therapists. These clinics help address a clinical need for care in more rural communities.

The Cerebral Palsy, Spina Bifida, and Linkage PRM clinics are state funded


Brain Injury Follow-up Clinic: This multidisciplinary clinic under the direction of Dr. Edinger serves children and youth with a history of acquired moderate to severe brain injury. The team (physical therapy, occupational therapy, speech therapy, social work, behavioral psychology and neuropsychology) develop comprehensive treatment plans for children after brain injury.  This clinic is part of the Brain Care Institute.

Concussion Clinic: Children and youth with persistent cognitive and physical symptoms after concussion receive care from members of the Pediatric Rehabilitation Medicine clinic in conjunction with the concussion specialists from UPMC Sports Medicine.

to top of page Brachial Plexus Clinic: This multidisciplinary clinic run by plastic surgery, evaluates, treats and monitors children with peripheral nerve injury from birth brachial plexus and other traumatic causes.

Pain Management Clinic: The Division of Pediatric Rehabilitation Medicine collaborates with our Pediatric Pain services to provide chronic pain management with a focus on functioning. Other team members include physical therapy and behavioral psychology.

Muscular Dystrophy Clinic: The Muscular Dystrophy clinic is held every Friday afternoon in conjunction with neurology, PRM and physical therapy. This clinic serves to maximize the health and function of children affected with muscular dystrophy, including Duchenne muscular dystrophy, spinal muscular atrophy and Charcot-Marie-Tooth disease. This multidisciplinary clinic is run by CHP's neuromuscular neurologist, Dr. Hoda Abdel-Hamid, in collaboration with the Division of Pediatric Rehabilitation with funding through the Muscular Dystrophy Association.

Spasticity/Movement Disorders Clinic: This multidisciplinary clinic run by Dr. Elizabeth Tyler-Kabara from Pediatric Neurosurgery focuses on providing comprehensive assessments and management plans for spasticity management. The team includes PRM physicians, therapists and orthopaedic physicians. Many children who receive evaluations in this clinic also attend the CP clinic or our general rehabilitation clinics. This clinic is part of the Brain Care Institute.


PRM Procedures Clinic: We are currently performing botulinum toxin injections for spasticity/dystonia management and NCS/EMG at the main campus of Children’s Hospital of Pittsburgh of UPMC. Our procedures at the main campus are always done with direct assistance by one of Pediatric Rehabilitation Medicine outpatient nurses and usually with a Child Life specialist to help distract the child and provide emotional support for the child/family as our procedures are done without sedation. We do offer some topical options for pain relief. In addition to these procedures, Dr. Angie Garcia also performs a number of procedures including trigger point injections, nerve blocks and botulinum toxin injections for pain and headaches while working closely with the Pain Clinic at Children’s Hospital of Pittsburgh-Pine Center. Also, Dr. Amit Sinha has also started offering prolotherapy as an option for chronic enthesopathy.

to top of page PRM General Rehabilitation Clinic: Members of the Division also run their own continuity clinics. Some attendings have special clinical foci that allow for the fellow to be exposed to a broad range of conditions from musculoskeletal complaints to medical complexity to severe disabling conditions.

PRM Fellow Continuity Clinic: Each fellow develops a panel of their own patients to follow longitudinally. The clinic is staffed by different attendings from the division giving a breadth of exposure to the practice styles of the attendings while developing strong relationships with the patients and families they serve.

PRM Transition program: We have robust transition services for youth with disabilities including a dedicated clinic for teens and young adults, a seamless transition from child to adult spina bifida care and a "Meet your new rehabilitation physician for youth with CP" program with Beth Stepanczuk, MD.

 

for more information contact:
Stacey Snead-Peterson,MS
GME Academic Manager
Department of PM&R
Building B, Suite 11522
1400 Locust Street
Pittsburgh, PA 15219
sneadpetersons@upmc.edu