Journal of Pediatric Rehabilitation Medicine - Volume 1, issue 1
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The Journal of Pediatric Rehabilitation Medicine (JPRM): An Interdisciplinary Approach is designed to parallel the multidisciplinary teams caring for children, adolescents and adults with childhood-onset physical disabilities and complex care needs worldwide. Published quarterly, topics include, and are not limited to, cerebral palsy, traumatic brain injury, spinal cord injury, spina bifida, limb deficiency, muscular dystrophy, stroke, cancer, developmental delays, and rare disorders. Furthermore, the journal welcomes papers dedicated to pediatric rehabilitation from a global health perspective.
The aim of JPRM is to engage a diverse group of international experts with the goal of providing readers with comprehensive information regarding children and adolescents requiring rehabilitation. JPRM brings together specialists from medicine, nursing, psychology, social work, nutrition, child life, family centered care, and occupational, physical, and speech therapy. For manuscript submissions, authorship involving at least two different specialties is encouraged, although not required, to facilitate a transdisciplinary and collaborative approach. Manuscripts are blinded and peer reviewed including biostatistical analysis. Authors are invited to submit original research, systematic and scoping reviews, guidelines, protocols, care pathways, case reports, book reviews, commentaries, editorials, and dates for future conferences.
Abstract: Continuous intrathecal baclofen (CITB) is considered a standard treatment for spasticity in patients with cerebral palsy (CP). This review summarizes the recent literature and assesses the evidence for the efficacy of ITB for spasticity and its related sequelae in patients with CP. The literature was searched using electronic databases and reference lists from March 2000 through April 2007. Studies included report treatment effects of ITB in patients with CP. The outcomes reported in the 29 studies…identified are classified using the International Classification of Functioning, Disability and Health model. The studies are graded for their level and, when appropriate, quality of evidence. The majority of the studies are case series which receive a Level IV grade of evidence. One study provides Level II evidence for the reduction of spasticity after administration of a bolus test dose of ITB as documented by changes in neurophysiologic reflexes. Longer term studies support the effectiveness of CITB for maintenance of muscle tone reduction as documented by clinical scales. Multiple studies suggest a linkage of CITB with improvements in function, ease of care, and quality of life. The evidence for improvements in dystonia and musculoskeletal problems is equivocal. Limitations of the research in this area and recommendations for improving its quality are discussed.
Abstract: This article describes the role of pediatric Physical Medicine and Rehabilitation (pediatric PM&R) in the Leadership Education in Neurodevelopmental Disabilities (LEND) program. It provides an overview of the LEND program and the field of pediatric rehabilitation, details the scope and resources of the national LEND network, and describes the role of pediatric PM&R within the Virginia LEND (Va-LEND) program. Emphasis is placed on the natural fit of pediatric rehabilitation within the LEND program in order to…encourage others in the field to become involved in their own state or regional LEND program.
Abstract: Pediatric neurosurgery is now a well-established subspecialty within neurosurgery with distinct training requirements and its own certification process. Currently there are over 180 diplomates of the American Board of Pediatric Neurological Surgery (ABPNS). Neurosurgeons in training get a limited and variable experience in pediatric neurosurgery over the course of their residency program. For those who decide to specialize in pediatric neurosurgery, a one year clinical fellowship following the completion of a general…neurosurgical residency is recommended. The American Board of Pediatric Neurological Surgeons oversees the certification process for pediatric neurosurgeons. Board certification extends for 10 years, after which time recertification is required. The Board is not under the auspices of the Accreditation Council of Graduate Medical Education (ACGME) but is widely recognized as the pediatric neurosurgery accrediting group.
Abstract: Pediatric rehabilitation nurses specialize in providing care and services to children and adolescents with disabilities. Although few formal education experiences exist, there are a myriad of opportunities to gain the knowledge, skills, and expertise to provide the care that yields the most benefit to this population. Certification recognizes the nurse's proficiency and excellence in a specialty practice area. Examples of certification options for pediatric rehabilitation nurses include Certified Rehabilitation Registered Nurse (CRRN),…Registered Nurse Certification in Developmental Disabilities (CDDN), Certified Pediatric Nurse (CPN), Clinical Nurse Specialist (CNS), and Certified Pediatric Nurse Practitioner (CPNP).
Abstract: The purpose of this article is to educate the reader regarding the training requirements and scope of practice for rehabilitation psychology and neuropsychology. As discussed below, subspeciality training in pediatric rehabilitation psychology and pediatric neuropsychology is not yet formalized. While the clinical services of rehabilitation psychologists largely involve providing treatment, most clinical neuropsychologists primarily are involved in diagnostic assessment [19,20]. In rehabilitation settings, it is not unusual for psychologists to draw upon…both rehabilitation psychology and neuropsychology expertise.