Journal of Pediatric Rehabilitation Medicine - Volume 1, issue 1
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Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach is an international journal designed to parallel the multi-disciplinary team approach of caring for a child with an acute or chronic disease. The issues will primarily be themed and broad in scope including, but not be limited to cerebral palsy, traumatic brain injury, spinal cord injury, spina-bifida, amputation, muscular dystrophies of all types, stroke, cancer, mental retardation, developmental delays, and others.
The aim is to include a wide range of experts who care for children with the above diagnosis. Authorship by two different disciplines is requested though not required to encourage an interdisciplinary and collaborative approach. The goal is for the reader to obtain not just the medical perspective, but also nursing, occupational, physical and speech therapy, psychology, home care, etc., in providing the most comprehensive care for children. Manuscripts will be blinded and peer reviewed with appropriate feedback. Statistical analysis will be reviewed by the biostatistician. Readers are encouraged to submit and or suggest case reviews, commentaries, editorials, original research, conference schedules, or reviews.
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.