PM&R Residency Program Manual
PM&R Resident Rotation Descriptions

PM&R Program Pediatric Rehabilitation Rotations: Inpatient and Outpatient  – KCRC
This rotation provides PM&R residents with the opportunity to learn to care for acute and chronically ill pediatric patients with common rehabilitation diagnoses who are both inpatients and outpatients.

Goals and Objectives:

  • Learn the development milestones and patterns of infantile reflex development. 
  • Become familiar with the rehabilitative management and complications associated with myelomeningocele.
  • Learn the inheritance patterns and clinical features and prognosis of the more common neuromuscular diseases in children including:
    • Spinal Muscular Atrophy:  Infantile SMA I or Werdnig-Hoffman Disease, Intermediate SMA II, and
      Kugelberg0Welander Disease (SMA III).
    • The hereditary motor-sensory neuropathies (Charcot Marie Tooth (HSMN I & II), Dejerine-sotas
      (HSMN III), Refsum’s Disease (HSMN IV), and Familial Spastic Paraplegia (HSMN V)
    • Congenital Myopathies (Central Core disease, Nemalin Myopathy, Centronuclear Myopathy,
      Mitochondrial Myopathies)
    • Myotonic Syndromes
    • Muscular Dystrophy (Duchenne type, Becker, facio-scapulo-humeral, limb girdle, etc.)
    • Other Myopathies (metabolic, endocrine, toxic, inflammatory)
  • Learn the differential diagnosis of “floppy baby” or hypotonia at birth.
  • Describe the etiologies, clinical patterns, and rehabilitative issues for persons with cerebral palsy.
  • Learn how to assess prognosis for ambulation in children with cerebral palsy.
  • Become familiar with approaches toward the care amid rehabilitation of children with Duchenne’s Muscular Dystrophy at various stages of severity.
  • Learn how to evaluate scoliosis, indications and options for bracing, and indications for surgical referral.
  • Review the demographics and epidemiology, complications, assessment tools, rehabilitation management, and predictors of outcome following pediatric head injury and spinal cord injury.
  • Review the diagnosis and management of joint and connective tissue diseases in children. 
  • Review the congenital limb deficiencies and prostheses options.
  • Review common pediatric orthopedic conditions and management (e.g., Osgood-Schlatter, chondromalacia patellae, recurrent Patellar dislocation, Legg-Perthes Disease).