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Rehabilitation services

Rehabilitation services

Physical and occupational therapy

The rehabilitation department at the Greenville Shriners Hospital is composed of physical therapists (PTs) and occupational therapists (OTs). Although they are two unique disciplines, they work together with a common goal: to help children reach their full potential.

PTs and OTs help children who are experiencing illness, injury or congenital conditions which limit their ability to move or function during their daily lives. They collaborate with the families and caregivers to provide services to promote a child’s ability to participate actively in home, school and the community. A one-week program is available for children with more intensive needs.

Common conditions treated by our rehabilitation department staff:

  • Cerebral palsy
  • Spina bifida
  • Traumatic brain injury
  • Developmental delay
  • Juvenile rheumatoid arthritis
  • Toe walking
  • Muscular dystrophy
  • Balance problems or adolescent injury
  • Torticollis
  • Scoliosis
  • Arthrogryposis multiplex congenita (AMC)
  • Amputations

Evaluation and treatment

Initial evaluation

An initial evaluation may include assessments of mobility, neuromotor development, posture and balance, muscle strength, joint function and endurance. The ability to care for oneself and participate in childhood activities is also determined during the evaluation.

Treatment options:

  • Positioning during daily routines and activities. Custom splints may be molded to hold a hand in a certain position after surgery, or a specialized seat cushion may be created to provide support for a child to be able to sit and eat at a table.
  • Expanding walking or wheelchair mobility for freedom of movement. Our pediatric therapists are familiar with the multiple equipment options available for children to use, such as gait trainers or specialized custom wheelchairs.
  • Assess and recommend equipment for use at home or the community for effective care, such as dressing sticks to help with activities of daily living or a stander to help promote standing for flexibility and strong bones.
  • Consultation with the Greenville Shriners Hospital doctors to assist with developing an optimal plan of care. These consults may be with orthopaedic surgeons to help improve a child’s body alignment, a physiatrist to help reduce spasticity, or a neurosurgeon who may perform a baclofen trial to determine if a child is an appropriate candidate for an intrathecal baclofen pump, thus allowing a child to move easier secondary to decreased tone.
  • Smoothing transitions from early childhood to school to adult life. As children grow older, they strive to become more self-sufficient and independent in their self-care. Therapists can assist with identifying each child’s unique needs, and then provide support to promote independence.
  • Researching and integrating the use of evidenced-based medicine. This includes ongoing studies conducted on-site, or investigating new and innovative treatment techniques to provide alternative care for children and families.

Specialized services include:

  • Partial weight bearing treadmill training
  • Modified constraint induced movement therapy
  • Serial casting for ankle/foot
  • Standardized developmental testing
  • French taping for clubfoot
  • Functional electrical stimulation (FES)

Pediatric functional electrical stimulation (FES)

The Greenville Shriners Hospital has the only pediatric functional electrical stimulation (FES) ergometer in South Carolina.

  • Can be used on both upper and lower extremities.
  • Allows therapists to stimulate up to 12 different muscle groups simultaneously.
  • Patient performs repetitive activity (such as cycling) while the FES sends low-level electrical pulses through surface electrodes to the leg muscles, causing contractions.