• Physical Medicine and Rehabilitation
  • Providing rehabilitation therapies for a range of conditions

    The Physical Medicine and Rehabilitation (PM&R) Clinics share physician specialists that assist with formulating a comprehensive rehabilitation plan for patients with a variety of diagnoses that result in functional limitations including developmental delay, acute or chronic neuromuscular problems, genetic disorders, torticollis and limb deficiency/amputees.  Chronic medical conditions that affect endurance, joint flexibility and rheumatologic disorders can potentially benefit from a PM&R consultation.

    Spasticity Management Clinic

    Texas Children’s Spasticity Management Clinic evaluates children with spasticity associated with central nervous system disorders including cerebral palsy, traumatic brain injury, spinal cord injury, stroke, Rett syndrome and multiple sclerosis/transverse myelitis.  Patients are assessed by a pediatric physical medicine and rehabilitation physician (physiatrist) and physical therapist with recommendations and prescriptions provided for spasticity medications; upper and/or lower extremity bracing; spinal bracing; ; wheelchair evaluations and positioning devices; goal-directed physical, occupational and speech therapies; assistive technology/augmentative communication devices; neurolytic procedures such as botulinum toxin injections; evaluation for intrathecal backlofen pump therapy/selective dorsal rhizotomy and orthopedic surgery with referral to neurosurgery and orthopedics for surgical consultation.

    Electrodiagnosis Clinic (EMG/Nerve Conduction Studies)

    Pediatric physiatrists board certified in Electrodiagnostic Medicine have appointments for diagnostic EMG and Nerve conduction Studies. Testing provides information about muscle and nerve functions.

    Cerebal Palsy (CP) Clinic

    Combined appointments provided by Physical Medicine and Rehabilitation and Neurology specialists including comprehensive diagnostic assessments and therapeutic recommendations.

    Music Therapy

    Music Therapy is provided by a board-certified music therapist and uses evidenced-based music interventions to address a variety of goals for children in the hospital. Our sessions are individualized to meet patient needs and may include instrument playing, singing, song writing, improvisation and group sessions.

    Music Therapy goals may include:

    • Helping pain
    • Decreasing stress and anxiety
    • Physical rehabilitation
    • Improving memory
    • Infant stimulation or de-stimulation

    Major Types of Referrals to PM&R

    • Assessment and management of patients with neuromuscular and musculoskeletal conditions including cerebral palsy, traumatic brain injury, spinal cord injury, stroke, Rett syndrome, multiple sclerosis/transverse myelitis, torticollis and limb deficiency/amputation
    • Spasticity management using oral medications, neurolytic procedures including Botox; evaluations for surgical interventions such as intratecal baclofen pump therapy/selective dorsal rhizotomy as well as orthopedic surgery with referral to Neurosurgery and Orthopedics departments for surgical consultation
    • Consultations on medications, orthotic and prosthetic devices, therapy prescriptions and adaptive equipment/assistive technology
    • Inpatient consultations for rehabilitative management of patients with post-trauma, post-surgical, or disease related rehabilitative needs.

    Key Clinical Information Needed

    • Copies of recent diagnostic test results are requested but not required to make an initial appointment.
    • Indication for electrodiagnostic study and pertinent records should be forwarded to EMG/NCS appointments.

    Appointments

    • New patient appointments: 832-826-6106. It is not necessary to complete a referral form in advance. Information will be collected during the initial phone call.
    • Return patient appointments: 832-826-6106. Return patient appointments may also be made during clinic checkout.
    • Patients are seen in the Clinical Care Center, West Tower, and West Campus locations of Texas Children’s Hospital.  Appointments may also be made at Sugar Land, Cy Fair, and the Woodlands Health Centers.
    Clinic PhysiciansTalia Collier, MD
    Rochelle Dy, MD
    Christian Niedzwecki, DO
    Aloysia Schwabe, MD
    Barabara Wechsler, MD
    Suzanne L. Woodbury, MD 
    Nurse PractitionerFrankie Erwin, NP
    Heidi Keele, NP
    Nurse CoordinatorDeborah Mallory, RN, BSN
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