Therapy and Rehabilitation

boy looking out window

The Nemours Department of Therapy and Rehabilitation evaluates and treats children with any number of therapeutic needs, ranging from the relatively simple to the extremely complex.

We see children who have conditions that are present at birth (such as cerebral palsy, Down syndrome, and spina bifida); those that occur due to disease (such as muscular dystrophy, juvenile rheumatoid arthritis, or tumors); and those that are acquired through injury (such as traumatic brain or spinal cord injury). We also treat children who have sensory processing difficulties, which are commonly seen in children who have autism or other related disorders involving social, behavioral, and/or receptive and expressive language impairments, as well as deficits related to prematurity or developmental delay. Nemours also provides a specialized program for children with sports injuries at several of our locations.

Nemours programs include an inpatient rehabilitation unit at the Nemours/Alfred I. duPont Hospital, a comprehensive outpatient program, and a variety of outpatient clinics. Whatever your child’s reason for referral, we will provide a complete assessment of your child’s functional abilities and design a plan of care that addresses your child’s individual needs. Our services include:

 

Rehabilitation engineers (scientists who specialize in assistive technology and coordinate our department’s Wheelchair Seating and Mobility Clinic) are a core part of our team. We also work closely with other members of your child’s health care team, which may include specialists such as orthopedists, neurologists, audiologists, ophthalmologists, pulmonologists, behavioral health experts, orthotists (specialists who fit and fabricate braces and other supports), and prosthetists (specialists who fit all types of artificial limbs and body parts). Rehabilitation nurses and Child Life therapists also play an important role in your child’s care.

In addition to the professional degrees of our staff, there are many who’ve pursued other types of advanced training, including certificates in Neuro-Developmental Treatment (NDT), Certified Hand Therapy (CHT), Interactive Metronome Certification, Lymphedema Certification, and Therapeutic Listening Certification.

This allows our department to offer a variety of innovative therapies, including Interactive Metronome (which uses a laptop and a specialized software program to improve attention and coordination as well as fine motor skills); Therapeutic Listening (which uses headsets and a prescribed type of music and beat to improve attention and sensory processing issues); and the Astronaut Program (which combines music and vestibular function to improve coordination and attention)

All of your child’s caregivers (including his or her primary care doctor) will have access to the latest information about your child’s evaluations, medical management, and progress through an electronic medical record that spans all disciplines. This system allows your child’s team members to be “on the same page,” so to speak, and to review and revise treatment goals collaboratively to provide the best outcome for your child.  

Our care extends beyond Nemours as well, to your child’s siblings and family, teachers, and community-based therapists. Family is central to our process. We provide education and guidance about how to carry over the techniques your child learns in therapy to every setting. We also offer health and wellness programs that are specially tailored for children with special needs and their siblings (though all children are welcome). Some of these activities include adaptive karate, yoga, dance, and aquatics. Additionally, we facilitate communication and referrals with outside services so that your child has access to all the community and educational resources available to him or her.

In February 2009 we will be moving to a new and greatly expanded location within the hospital. This new space will include a rock climbing wall and state-of-the-art sports medicine, conditioning, and strengthening equipment. There will also be observation rooms, so parents can observe their child’s therapy sessions, as well as comfortable family consultation rooms. It is our belief that these improvements will allow us to further our goal, which has always been to help your child achieve his or her greatest potential and empower you to be your child’s best advocate.

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Therapy and Rehabilitation

Resources for Families

  • The Muscular Dystrophy Association Web site
    provides information about muscular dystrophy.
  • THE ROAD HOME - Produced by Nemours
    this video follows a young spinal cord injury patient’s progress through the rehabilitation process. The Physical Medicine and Rehabilitation Division shares this video with the families of all inpatient rehabilitation patients.
  • The National Spinal Cord Injury Hotline, Inc.
    Offers information to spinal cord injury patients and their families.
    Call (800) 526-3456
  • The Childhood Apraxia of Speech Association of North America
    This national nonprofit organization represents the needs and interests of children and families affected by apraxia. 
  • Autism Speaks
    Autism Speaks has grown into the nation's largest autism science and advocacy organization, dedicated to funding research into the causes, prevention, treatments and a cure for autism; increasing awareness of autism spectrum disorders; and advocating for the needs of individuals with autism and their families
  • The Rehabilitation Engineering and ResearchCenter on Communication Enhancement
    The AAC-RERC is a Rehabilitation Engineering Research Center that functions as a collaborative research group dedicated to the development of effective AAC technology. Augmentative and alternative communication (AAC) refers to ways (other than speech) that are used to send a message from one person to another.
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