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Pediatric Rehabilitation Therapies

Pediatric program

Pediatric conditions may present differently for each child. Signs your child may benefit from rehabilitative services include but are not limited to delayed milestones (i.e. rolling, sitting, standing, or walking), difficulty keeping up with their peers or family, clumsiness or frequent falls, delayed or difficulty with communication, feeding, or swallowing difficulties.

Common Diagnosis include but are not limited to:

  • Developmental conditions and birth-related injuries
  • Torticollis
  • Cerebral palsy
  • Stroke
  • Cardiac such as hypoplastic left heart syndrome and coarctation of the aorta
  • Neuropathies, such as Guillain-Barre syndrome
  • Trauma such as spinal cord injury, traumatic brain injury, and concussion
  • Burns
  • Oncologic conditions: leukemia, osteosarcoma, brain tumors, etc.
  • Pulmonary conditions such as cystic fibrosis
  • Spina bifida
  • Tethered spinal cord
  • Chiari Malformation
  • Toe walking
  • Tone management
  • Neurodegenerative conditions such as muscular dystrophy and Multiple Sclerosis
  • Genetic conditions
  • Functional movement disorder
  • Autism
  • Inherited and congenital limb conditions
  • Orthopedic conditions such as scoliosis, congenital hip dysplasia, Ehlers-Danlos syndrome
  • Sports-related injuries
  • Equipment solutions such as positioning equipment, wheelchairs, or other adaptive needs
  • Pre- and post-operative care for patients with complex medical needs
  • Feeding and swallowing management (FEES and Modified Barium Swallow)

The Physical Medicine and Rehabilitation Department at University Hospital strives to provide comprehensive pediatric therapy services for children with neuromuscular, cognitive, cardiopulmonary, integumentary, and musculoskeletal conditions. Our goal is to help improve your child’s function and quality of life, as well as maximize independence and participation.

 

Rehabilitation therapy services are offered in both inpatient and outpatient settings. Our trained and licensed therapists work in acute and intensive care units, inpatient rehabilitation, and outpatient settings at Upstate Medical University’s Main Campus, as well as in many of our specialty clinics and programs.

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Why is rehabilitation important?

The Physical Medicine and Rehabilitation Department at University Hospital strives to provide comprehensive pediatric therapy services for children with neuromuscular, cognitive, cardiopulmonary, integumentary, and musculoskeletal conditions. Our goal is to help improve your child’s function and quality of life, as well as maximize independence and participation.

Rehabilitation therapy services are offered in both inpatient and outpatient settings. Our trained and licensed therapists work in acute and intensive care units, inpatient rehabilitation, and outpatient settings at Upstate Medical University’s Main Campus, as well as in many of our specialty clinics and programs.

  • Acute Care
    Upstate Medical University is a large academic hospital designated as a Comprehensive Stroke Center.  You will receive excellent medical care at one of our two Campuses (University Hospital and Community Hospital).  You may find yourself in need of services from our skilled therapy staff that includes the following professionals:
    • Occupational Therapists: Occupational Therapists (OT) are medical professionals specially trained in evaluating and treating your current physical, cognitive (thinking), visual, social, and emotional status as it relates to returning to independence with your daily activities, leisure activities, school, or work.
    • Speech and Language Pathologists: Speech and Language Pathologists (SLP) are medical professionals specially trained in evaluating and treating difficulties with feeding and swallowing, speech, language, and cognition (thinking).
    • Physical Therapists: Physical Therapists (PT) are medical professionals specially trained in evaluating and treating difficulties with strength, balance, sensation, and coordination in relation to walking, and returning to optimal independence and safe mobility in your home and community.

      What can you expect from your stay?

    • The above therapy providers can/may be consulted by your medical provider (MD, NP, PA) during your stay in the hospital.
    • There are therapy providers from all three disciplines here 7 days a week to provide evaluation and treatment as needed.
    • You may receive all of the above services or only require 1 or 2 services during your stay.
    • Therapists are focused on evaluating and treating you during your stay, making patient-centered goals, and making appropriate discharge recommendations with you and your family.
    • Therapists can also make recommendations regarding equipment needs for discharge home.

  • Inpatient Acute Rehabilitation
    Upstate Medical University Hospital has offered expert acute inpatient rehabilitation for over 30 years. The 2 North Inpatient Rehabilitation Unit at Upstate University Hospital has 30 beds and admits Adult and Pediatric rehabilitation patients. Our patients receive specialized care by a highly skilled and dedicated team of rehabilitation professionals including nurses, therapists, case managers and board-certified physicians.
    • The goal of the Rehabilitation Team is to help patients become as independent as possible. We assist individuals with overcoming barriers presented by

      functional limitations in mobility, self-care, communication, swallowing, and cognition.

    • The rehabilitation team may include:

      • Occupational therapists

      • Physical therapists

      • Speech-language pathologists

      • Rehabilitation therapist

      • Recreational therapist

      • Board certified doctors

      • Case management

      • Rehabilitation psychologist

      • Social work

      • Registered Nurses/Nursing staff

      • Child life services

    • What can you expect from your stay?

      • A patient is admitted to the inpatient rehabilitation unit from the acute care setting.

      • Within 24 hours of admission to the inpatient rehabilitation unit, the patient will receive a physical therapy, occupational therapy, and speech therapy evaluation (if appropriate)

      • The patient will receive at least 3 hours of therapy a day for a minimum of 5 days a week

      • Patients may also receive therapy on the weekend

      • Patients are provided with 24-hour nursing care

      • Physicians are on call 24 hours a day

    • Preparing for your stay:

      • Patients can bring the following:

        • Loose-fitting, washable clothing

        • Comfortable walking shoes

        • Pajamas

        • If used: braces or orthotics, assistive devices such as walkers or crutches as needed, glasses

        • Any toiletries you would like to use

        • Photographs of family, friends and pets

      • Please leave valuables at home, including jewelry and other items of sentimental value

    • Family and Friends

      • We encourage family and patient caregivers to participate in therapy sessions and learn about your care

      • Therapy appointments may start as early as 7 am and may not end until 4 pm

      • Many patients need to rest in between appointments, so we ask that friends come after therapy ends at 4 pm

      • Visiting hours end at 9 pm

  • Outpatient Therapy Program
    • Our rehabilitation team has years of combined experience working with patients with pediatric conditions. We are dedicated to providing comprehensive and collaborative care for every patient. We utilize best practices, evidence, and your goals to guide your treatment.

    • Treatments may include functional mobility training, casting/splinting, therapeutic exercise, modalities, aquatics, cognitive retraining, augmentative communication device training, ADL training, and initiating home and community exercise programs.

      • Our rehabilitation team includes

        • Occupational Therapist: Occupational Therapists (OT) are medical professionals specially trained in evaluating and remediating your current physical, cognitive (thinking), visual, social, and emotional status as it relates to returning to independence with your daily activities, leisure activities, school, or work.

        • Speech Language Pathologist: Speech and Language Pathologists (SLP) are medical professionals specially trained in evaluating and remediating difficulties with feeding and swallowing, speech, language, and cognition (thinking).

        • Physical Therapist: Physical Therapists (PT) are medical professionals specially trained in evaluating and remediating difficulties with strength, balance, sensation, and coordination in relation to walking, and returning to optimal independence and safe mobility in your home and community.

    • Preparing for your visit:

      • Please plan to arrive 15 to 30 minutes before your appointment. This will allow for unplanned transportation delays and give you enough time to find parking and complete the registration process before the appointment. We need the full therapy session to meet the goals set by you and your child’s therapist. A typical therapy evaluation lasts approximately 1 hour.

        • If you are more than 15 minutes late for your appointment, you may need to reschedule for another time or day or with another therapist. Your appointment may also be canceled.

      • What to bring/wear:

        • Please wear comfortable loose-fitting clothing and sneakers to allow for proper assessment of mobility if needed.

        • Any braces or assistive devices that are frequently used

        • Any communication devices

        • If your child receives school-based or early intervention therapy services, please bring their most current IEP or 504 plan with goals to help best determine their plan of care.

    • A physician’s referral is required for examination and treatment within this program.

How does the Regional Rehabilitation Center treat individuals who have suffered a stroke?

Our rehabilitation team utilizes advanced play-based treatment techniques with state-of-the-art technology to maximize the patient’s overall functional mobility. Treatments may include but are not limited to the following:

  • Functional mobility training
  • Neurodevelopment techniques
  • Balance and gait training
  • ACC and Adaptive Equipment Evaluation (Walkers, Standing Frames, Wheelchairs)
  • Serial Casting
  • Splinting
  • Joint mobilization
  • State of the Art Equipment
  • Aquatic Therapy
  • Visual/Motor/Perceptual Development
  • Vocational services—return to work and school
  • Activities of daily living and independent living skills
  • Vision Testing and Retraining
  • Speech and swallowing training
  • Neuropsychology Testing
  • Tone Management
  • Cognitive retraining
  • Education for patients and caregivers, as well as home exercise program modifications

The Latest Technology for the Best Treatment

The Regional Rehabilitation Center has a variety of state-of-the-art equipment available as part of the treatment following a stroke.
This State of the Art Equipment includes:

  • The LOKOMAT® from Hocoma has a robotic-driven gait orthosis that guides the patient’s legs on a treadmill while supporting the patient’s body weight to promote a more functional walking pattern.
  • ARMEO® SPRING engages the patient in neuromuscular training. It simulates everyday activities while supporting the patient’s upper extremities. The Armeo® uses software to personalize activities helping patients to regain grasp and release function, as well as other movements of the arm.
  • WALKAIDE® system is a functional electrical stimulation treatment for foot-drop due to upper motor neuron injury aimed at improving the fluidity and efficiency of gait.
  • RT 300 STIM BIKE allows our therapists to provide functional electric stimulation to one or both upper extremities and/or one or both lower extremities while they cycle with hand or foot pedals. The stim bike has the potential to reduce spasticity, improve muscle strength, improve sensation, and increase awareness of the affected side.
  • BIONESS is a wireless hand orthosis that delivers mild stimulation to the nerves and muscles in the forearm and hand to maximize function after paralysis.
  • BITS The Bioness Integrated Therapy System (BITS) is an interactive touch screen therapy device to improve hand-eye coordination, reaction time, depth perception, and working memory for patients with a variety of neurological conditions. By playing interactive games and taking assessments, patients are able to improve their coordination and brain function in an engaging, fun way.

Helpful Links:

Providers

Kayla N Critser, PT, DPT, NCS
Kayla N Critser, PT, DPT, NCS
315 464-2282

Diseases/Specialties/Treatments

Physical Therapy; Neurology; Acute & Chronic Diseases and Conditions in Pediatric Patients; Brain Aneurysm; Brain Injury; Brain Tumor; more

Tania N Gardner, PT, DPT, LMT
Tania N Gardner, PT, DPT, LMT
315 464-6543

Education & Fellowships

  • DPT: SUNY Upstate Medical University, 2007

Diseases/Specialties/Treatments

Physical Therapy; Knee Pain; Low Back Pain; Pelvic Floor Disorders; Shoulder Injuries; Voiding Dysfunction; more

Clinical Interests

  • Orthopedic injuries, Pilates therapy, Manual Therapy, Women's health


Lori M Holmes, PT, DPT
Lori M Holmes, PT, DPT
315 464-6543

Education & Fellowships

  • DPT: Upstate University Hospital, 2016

Diseases/Specialties/Treatments

Physical Therapy; Acute & Chronic Diseases and Conditions in Pediatric Patients; Spinal Cord Injury; Stroke; Torticollis; Pediatric Physical Therapy; more

Melissa A Murphy, PT
Melissa A Murphy, PT
315 464-6543

Diseases/Specialties/Treatments

Certified Lymphedema Therapist; Lymphedema Management, Rehab Service; Pediatric Physical Therapy; Physical Therapy for Women's Health

Associations/Memberships

  • American Physical Therapy Association (APTA)

Emily S O'Toole, PT, MSPT, DPT, CBIS
Emily S O'Toole, PT, MSPT, DPT, CBIS
315 464-2282

Education & Fellowships

  • DPT: SUNY Upstate Medical University, 2011
  • PT: Nazareth College of Rochester, 2008, Master's of Physical Therapy

Diseases/Specialties/Treatments

Certified Brain Injury Specialist (CBIS); Physical Therapy; Acute & Chronic Diseases and Conditions in Adult Patients; Acute & Chronic Diseases and Conditions in Pediatric Patients; Bleeding Disorders; Cystic Fibrosis (CF); more

Nicole A Ramos, PT, DPT
Nicole A Ramos, PT, DPT
315 464-6543

Education & Fellowships

  • DPT: Upstate University Hospital, 2015

Diseases/Specialties/Treatments

Certified Brain Injury Specialist (CBIS); Certified Brain Injury Specialist (CBIS); Body Weight Support Treadmill Training, Physical Therapy; Pediatric Physical Therapy

Lynne Romeiser-Logan, PT, PhD, PCS
Lynne Romeiser-Logan, PT, PhD, PCS
315 464-5820

Education & Fellowships

  • PhD: Rocky Mountain University of Health Professions, 2009

Diseases/Specialties/Treatments

Certified Brain Injury Specialist (CBIS); Physical Therapy; Brachial Plexus Injury; Cerebral Palsy; Multiple Sclerosis (MS); Spasticity; more

Research Interests

  • Effectiveness of treatments for children and adults with neurological disorders.

Education Interests

  • Evidence based practice

Clinical Interests

  • Spasticity, developmental disabilities, brachial plexus injury, neurological disorders.


Erin S VerDow, PT, DPT

Upstate Regional Rehabilitation Centers at University Hospital
Upstate Regional Rehabilitation Centers at University Hospital
Upstate University Hospital
Google Maps & Directions
Rm. N2104
750 East Adams Street, Syracuse, NY 13210
Phone: 315 464-6543
Fax: 315 464-4753
Hours:Mon.-Fri. 7:30am-4:30pm
Clinic Details | Visit Website

Upstate Regional Rehabilitation Centers at Manlius
Upstate Regional Rehabilitation Centers at Manlius
Manlius Health Center
Google Maps & Directions
Suite 200
102 West Seneca Street, Manlius, NY 13104
Phone: 315 464-6543
Fax: 315 464-4753
Hours:Mon. Wed. Fri. - 8am-4:30pm; Tues. Thurs. - 7:30am-6pm
Clinic Details | Visit Website

Upstate Regional Rehabilitation Centers at Bone & Joint Center
Upstate Regional Rehabilitation Centers at Bone & Joint Center
Upstate Bone and Joint Center
Google Maps & Directions
Suite 201
6620 Fly Road, East Syracuse, NY 13057
Phone: 315 464-6543
Fax: 315 464-4753
Hours:Mon. Wed. Fri. - 8am-4:30pm; Tues. Thurs. - 8am-6pm
Clinic Details | Visit Website

Upstate Regional Rehabilitation Centers at IHP
Upstate Regional Rehabilitation Centers at IHP
Institute For Human Performance (IHP)
Google Maps & Directions
1st Fl.
505 Irving Avenue, Syracuse, NY 13210
Phone: 315 464-6543
Fax: 315 464-4753
Hours:Mon. Wed. Fri. - 7am-4:30pm; Tues. Thurs. - 7am-6pm
Clinic Details | Visit Website

Upstate Regional Rehabilitation Centers at Western Lights
Upstate Regional Rehabilitation Centers at Western Lights
Upstate Rehabilitation at Western Lights
Google Maps & Directions
Suite B-100
4671 Onondaga Boulevard, Syracuse, NY 13219
Phone: 315 464-6543
Fax: 315 464-4753
Hours:M, W: 8:00am - 4:30pm
Tues & Thurs: 8:00am - 6:00pm
Fri: 7:30am - 4pm
Clinic Details | Visit Website
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