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About the Clinical Center For Researchers and Physicians Participate in Clinical Studies

Back to: About the Clinical Center > Departments and Services > Rehabilitation Medicine
Rehabiliation Medicine
About Rehabilitation Medicine
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Specialized Programs

Specialized Programs
Lower Extremity Clinic / Orthotics Lab
The Lower Extremity Clinic provides multidisciplinary, comprehensive evaluations and treatment recommendations for patients with lower extremity impairments. All patients seen in the clinic have been, or are currently enrolled in a clinical trial of an NIH institute or center. The clinic provides orthopedic and podiatric surgical consultations as well as a detailed biomechanical-based musculoskeletal assessment. Interventions may include provisions of orthoses, prescription footwear, shoe modifications, therapeutic exercises, gait training, education, and more. The clinic provides an opportunity for experienced clinicians from different disciplines to share ideas about evaluation and treatment strategies. The clinic is open twice a month and includes representatives from Physical Medicine and Rehabilitation, Rheumatology, Physical Therapy, Biomechanics, Podiatry, Pedorthotics, Orthotics, and Orthopedic surgery.

Neurology Program
The Neurology program emphasizes an interdisciplinary approach in the management of patients with neurological disorders such as: Syringomyelia, Von-Hippel Lindau, Parkinson’s, and Gaucher’s disease. The program responds to the needs of the National Institutes of Neurological Disorders and Stroke intramural research agenda. Services vary as the research protocols fluctuate and intramural patients require rehabilitation relative to the protocols. Additionally, the team responds to NINDS needs for outcome measurement relative to impairments, functional limitations, and disabilities.

Oncology Program
The oncology program is designed to address the rehabilitation needs of cancer patients. Approximately 50 percent of the referrals to Physical Therapy are from the National Cancer Institute. Physicians and therapists treat patients involved in Phase 1 research studies, where scientists are determining the safety of medications and to Phase 4 research studies, where safety and efficacy of chemotherapeutic agents are established. Services are provided to reduce the impairments of cancer, improve patient function and minimize disability. These services improve quality of life as they relate to rehabilitation medicine and physical therapy.

Pediatric Program
The pediatric program emphasizes an interdisciplinary team approach in the management of children with disabilities and disease processes. The team evaluates patients with metabolic, neurological, rare genetic, infectious and oncologic diseases. The team assures proper contacts are made for home physical therapy, with the school systems and consults with the primary therapist. The team is involved with various NIH institutes or centers as collaborators on research studies. The main goal of the pediatric program is to minimize disability, and help the children get back to the activity they do best, play.

Oral Motor and Swallowing Rehabilitation Program
State-of-the-art assessments are utilized to establish the differential diagnosis of an oral motor deficit or a swallowing disorder. This program uses an innovative approach with standard oral motor assessments, feeding evaluations and new instrumentation assessments documenting anatomic and physiologic aspects of the swallowing. Video-fluoroscopy is performed to provide a delineation of the swallowing dysfunction for assessments, treatment planning and intervention. Individual therapeutic programs are designed and conducted utilizing both standard therapeutic approaches along with biofeedback instrumentation. This program is offered to a variety of neurological, neuromuscular, otolaryngologic, and craniofacial disorders including: stroke, Parkinson's disease, Nieman Pick disease, Gauche disease, juvenile dermatomyosits, inclusion body myositis, cystinosis, head and neck cancers, Beckwith Wiedeman syndrome, and Smith Magenis syndrome.

Rheumatic Diseases Program
The rheumatic diseases program addresses the rehabilitation needs of patients with rheumatic diseases such as rheumatoid arthritis, polymyositis, systemic lupus erythematosus, and spondyloarthopathies. Interdisciplinary team members representing physiatry, physical therapy, occupational therapy, and speech language pathology evaluate and treat patients in order to prevent and or decrease impairments and disabilities.  Patients may also need to be evaluated by other team members from recreation therapy, or a vocational rehabilitation counselor.  Many of the patients seen in this program are referred from NIAMS; however, other NIH institutes that have patients with rheumatic diseases on protocols are also referred to rehabilitation medicine.


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