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Missouri BPI Specialists/Clinics
Robert Rinaldi, MD
When was your Brachial Plexus Injury Clinic established? 1997 What do you/your clinic specialize in treating?
Indicate the total number of brachial plexus patients you/your clinic has evaluated since your establishment: Number of children (Obstetrical brachial plexus injuries): 1200 Number of children (Trauma or other brachial plexus injuries): 10 State your clinic philosophy regarding evaluation, referral and treatment of brachial plexus injuries in children. The mission of the Children's Mercy Hospital Brachial Plexus Injury Clinic is to provide comprehensive medical, therapeutic, surgical, and rehabilitation management for children and adolescents with brachial plexus injuries of all etiologies. This is accomplished through a multidisciplinary team approach. The Clinic team consists of a pediatric rehabilitation specialist, occupational therapists, a pediatric plastic surgeon, a pediatic orthopedic surgeon, a pediatric clinical nurse practitioner, and a pediatric social worker. All members of the team are committed to providing up-to-date clinical expertise in the management of brachial plexus injuries of all etiologies. Our approach to the management of brachial plexus injuries is one that combines medical/surgical evaluation and management with parental education and support. Present services provided include therapeutic evaluations and program development, electrodiagnostic evaluations, developmental assessments, medical evaluations, and surgical evaluations and management. Our outpatient therapy program incorporates land and pool based therapies, therapeutic electircal stimulation programming, orthotic development, and home exercise education/programming into the development of an individualized, comprehensive therapy plan tailored for each individual child. All services incorporate parent education as a key component. State your clinic philosophy regarding evaluation, referral and treatment of brachial plexus injuries in adults. We presently do not offer adult care. State your clinic philosophy regarding pain management and brachial plexus injuries. Acute and chronic pain are recognized as potential complications of brachial plexus injuries, regardless of cause. Each child is assessed for issues pertaining to pain and an appropriate intervention program is then developed based upon the presumed cause of his/her pain complaints. This program is then modified according to the child's response to the intervention. Indicate research efforts (include dates please) conducted by your clinic specific to brachial plexus injuries. Although our clinic has yet to publish original research results, we are actively involved in developing a number of research protocols that are scheduled to begin this year. These include:
Indicate complete bibliographic information related to publications/articles concerning brachial plexus injuries that your or members of your clinic have authored or co-authored. No original research has been submitted for publication to date. Indicate any other facts that you feel would help families and individuals understand our practice/clinic. The Children's Mercy Hospital Brachial Plexus Injury Clinic is a program developed on the belief that all children with brachial plexus injuries are entitled to the best, up-to-date medical, therapeutic, and surgical care possible through a compassionate and family-centered approach. 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. Our hospital and clinic accepts all insurance providers and most medicaid programs. This issue can be addressed upon appointment scheduling. |
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