Pediatric Trauma Service PT/OT/ST Consultation

Original Date: 02/2024 | Supersedes: NA | Last Review Date: 02/2024

Physical therapy (PT) and occupational therapy (OT) are both vitally important to the care of our pediatric trauma patients. While there may be overlap in their therapies, they each serve a unique role in the post-injury rehabilitation process. They provide education and resources for our patients and families on safe mobility, developmental milestones, and recommendations for DME, outpatient rehab needs.

Physical Therapy / Occupational Therapy Focuses on improving mobility and function while reducing pain following injury
Focuses on helping to regain the ability and independence to complete activities of daily living

PT and OT consultation are not essential for every trauma patient and should be based on the specific needs of each patient. Please remember that both PT and OT are finite resources and should be used thoughtfully on the trauma service to ensure they can focus their efforts on the patients who will derive benefit from their expertise.

Speech therapy also is essential for some trauma patients particularly with severe TBI, feeding difficulty (dysphagia) and post concussive- neuro/cognitive evaluation.

General recommendations for consulting PT and OT on the trauma service:

Combined PT & OT Consultation Recommended

    • Weight >40lbs (88kg)
    • Cognitive impairment/traumatic brain injury/DAI
    • Spinal cord injury
    • Frailty
      • Trouble getting out of bed/chair independently
      • Trouble with ADLs-dressing, bathing etc.
    • Disposition to inpatient rehab

 

PT Consultation Recommended

  • Lower extremity injuries (function limiting)
  • Spine fracture/injury
  • LSO/TLSO brace fitting and teaching
  • Spica cast teaching
  • Disposition to IPR

OT Consultation Recommended

  • Upper extremity injuries (function limiting)
  • Cervical spine injuries with sensory and/or motor deficits
  • Hand splinting

*** For patient’s not meeting the above criteria, exceptions may be made for PT/OT consultation on a case-by-case basis based on clinical concerns.

PT & OT consultation are not recommended for the following patients:

  • Bed bound at baseline
  • Following laparotomy who are mobilizing with nursing
  • Hospital re-admission with no new injuries or status changes
  • Patients who are intubated and unable to tolerate sedation holidays for assessment/therapy

Additional Helpful Information: PT/OT/ST Therapy Hours: 8am – 4:30pm every day (713) 704-6263