Pediatric aspects of physiatry and function

Abstract

As advances in medicine have significantly reduced mortality and ameliorated morbidity for children, thus increasing numbers of children are living with congenital or acquired physical disabilities and related special health care needs. The consequence of disability on function, independence, ease of care and personal comfort is a priority for this group of children and their families. Pediatric Physical Medicine and Rehabilitation, also known as pediatric physiatry, focuses on comprehensive care to optimize patient function and manage complex issues in collaboration with other health care professionals. Interventions occur via consultation in both inpatient and outpatient settings, or through ongoing management in structured care programs. Medical decisions and approaches are augmented by procedural interventions directed at improving diagnostic specificity and prognostic outcomes. Pediatric physiatrists fill a unique niche in the care of medically complex children who have historically been received less integrated and more fragmented care. This results in improved continuity of care, improved coordination across multiple providers, more efficient use of therapeutic and technological interventions, and better patient/family satisfaction.