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Ohio BPI Specialists/Clinics
Cincinnati Children's Hospital Medical Center
Brachial Plexus Center
Response to UBPN questionnaire:
NOTE: Only questions answered are included here
When was your Brachial Plexus Injury Clinic established?
August 2002.
Identify what specialties related to brachial plexus injuries are represented by practitioners working in your clinic including
physical/occupational therapists, if any.
Allison Allgier, OTR/L -- Clinical Coordinator, Pediatric Occupational Therapist
Mohab Foad, MD – Orthopaedic Surgeon
Charles Mehlman, DO, MPH -- Pediatric Orthopaedic Surgeon
Linda Michaud, MD, PT -- Pediatric Physical Medicine and Rehabilitation
Kevin Yakuboff, MD -- Plastic and Reconstructive Surgeon
What does your clinic specialize in treating?
- Neonatal brachial plexus injuries
- Trauma or other brachial plexus injuries
Indicate the total number of brachial plexus patients you/your clinic has evaluated since your establishment:
All members of the Brachial Plexus Team have had years of experience treating children with Brachial Plexus Injuries prior to the
development of the center. The Brachial Plexus Center at Cincinnati Children's was developed in 2002 to assist with improved coordination
of highly skilled, family-centered, comprehensive, team-structured, and culturally competent services.
State your philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in children.
The philosopy of the Cincinnati Children's Brachial Plexus Center is to provide comprehensive, evidence-based, up-to-date clinical management for the
evaluation and treatment of children with Brachial Plexus Injuries. Medical, rehabilitative, therapeutic, and surgical interventions are all utilized
in our multidisciplinary team approach to individualized care.
We use standardized scoring classifications, observations of functional movement, and family input to determine the best treatment approach for each child.
Microsurgical nerve repair may be undertaken as early as 3 months of age with use of EMG and MRI imaging to gather specific evidence of injury. Tendon transfers and
other secondary surgeries are completed as warranted.
Therapy may include home exercise programming, therapeutic e-stim, orthotic fabrication, aquatic therapy, and family education as the most important aspects of treatment.
State your philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in adults.
Dr. Yakuboff and Dr. Foad see adult patients separately in his clinic associated with the University of Cincinnati.
State your philosophy regarding evaluation, referral and treatment of trauma or other brachial plexus injuries in adults.
Dr. Yakuboff and Dr. Foad see adult patients separately in his clinic associated with the University of Cincinnati.
State your philosophy regarding pain management and brachial plexus injuries.
The Brachial Plexus Center's philosophy is to address pain in conjunction with our pediatric pain service. This allows us to design an
individualized approach to managing pain for each child. Both pharmacologic and non-pharmacologic approaches to pain management are embraced.
Indicate research efforts (include dates please) conducted by you specific to brachial plexus injuries.
Cincinnati Children's is actively participating in the multi-center study: "Prospective Study of the Treatment of Brachial Plexus Birth Palsy".
Mehlman, CT, Foad SL, Ying J. The Epidemiology of neonatal brachial plexus injury years 1997,2000, and 2003. XV International Symposium on Brachial Plexus Surgery Club A. Narakas, San Juan, Puerto Rico, January 15, 2007.
Prognosis Following Neonatal Brachial Plexus Palsy: An Evidence Based Review. Mehlman CT, Foad SL, Foad, MB, Yakuboff KP, Michaud LJ. XV International Symposium on Brachial Plexus Surgery Club A. Narakas, San Juan, Puerto Rico, January 15, 2007.
Michaud LJ, Mehlman CT, Foad SL, Yakuboff KP: Use of botulinum toxin A in birth brachial plexus palsy. XV International Symposium on Brachial Plexus Surgery Club A. Narakas, San Juan, Puerto Rico, January 15, 2007.
Indicate any other facts that you feel would help families and individuals understand your practice.
Cincinnati Children's Hospital Medical Center is nationally recognized as a leader in pediatric health care, with a reputation for excellence in patient care, research and
medical education. Nearly one-third of our patients travel to Cincinnati for the tertiary and quaternary care we provide. In addition, we provide care to children from 49 states and
32 countries. Pediatricians, family physicians and specialists from across the country and around the world refer patients to us for our expertise and innovative approach to care. Cincinnati
Children's is dedicated to serving the health care needs of infants, children and adolescents and to providing research and teaching programs that ensure delivery of the highest quality
pediatric care to our community, the nation, and the world. Cincinnati Children's seeks to be the leader in the improvement of child health.
Do you accept any national/governmental payment for services or are you enrolled in any state medicaid plans? Please provide information on these plans and include
which states you are enrolled in for medicaid services.
CCHMC accepts any state or federal insurance entity. Medicare, Medicaid, state health maintenance organizations, commercial insurance programs,
and additional funding source through State Health Departments (such as BCMH in Ohio) are all customary means of coverage.
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