Pediatric Physical Medicine and Rehabilitation

Spasticity evaluation and management; traumatic brain injury evaluation and management

Biography

Douglas Kinnett, MD, specializes in pediatric rehabilitation. Children with impairments resulting in restrictions in their ability to function in society are the primary interest of the pediatric rehabilitation physician. A majority of these children have injury to their brain from trauma or have cerebral palsy.

Dr. Kinnett has developed expertise in the treatment of spasticity that is often seen in these children. Because of his experience, Dr. Kinnett is frequently asked to lecture on spasticity management in this region of the country. Beyond this special interest, he works with other members of the Division of Physical Medicine and Rehabilitation to provide a comprehensive approach to develop the full potential of these children as they grow into adulthood.

Training of new physicians in this area is also a priority in the Division of Physical Medicine and Rehabilitation. Dr. Kinnett provides teaching experiences for these physicians in training along with other members of the division. He has twice been honored to receive a teaching award for his efforts in this training and was named Top Doctor in his field in 2015 by Cincinnati magazine. The Cincinnati Children's Hospital Medical Center Pediatric Rehabilitation Training Program is considered one of the top programs in the country.

Dr. Kinnett has been a faculty member at Cincinnati Children's within the University of Cincinnati College of Medicine since 1993. He accepted this position after being the first resident physician to complete the Pediatric Rehabilitation Training Program at Cincinnati Children's.

Dr. Kinnett attended medical school at the University of Cincinnati after working four years as a research assistant at Cincinnati Children's. Prior to this, he completed BS and MA degrees at Indiana State University.

MD: University of Cincinnati, Cincinnati, OH, 1988.

Residency: Pediatrics, Children's Hospital Medical Center, Cincinnati, OH; Physical Medicine and Rehabilitation, University of Cincinnati, Cincinnati, OH.

Certification: Physical Medicine and Rehabilitation, 1994 (re-certification, 2004); Pediatrics, 1997 (re-certification, 2004).

Kinnett DG. Pediatric critical illness neuropathy. PMR Knowledge NOW: AAPMR Website (http://me.aapmr.org/kn/article.html?id=295). 2014.

Dickey MP, Rice M, Lambert R, Kinnett DG, Gerber MA, Staat MA. Infectious Complications of Intrathecal Baclofen Pump Devices in a Pediatric Population. Pediatr Infect Dis J. 2013 Jul;32(7):715-722.

Schapiro A, Racadio JM, Kinnett DG, Maugans TA. Combined C-arm Fluoroscopy and C-arm Cone Beam Computed Tomography For the Evaluation of Patients With Possible Intrathecal Baclofen Delivery System Malfunctions. Neurosurgery. 2011;69(suppl):s27-33.

Talbert RJ, Michaud LJ, Mehlman CT, Kinnett DG, Laor T, Foad SL, Schnell B, Salisbury S. EMG and MRI are independently related to shoulder external rotation function in neonatal brachial plexus palsy. J Pediatr Orthop. 2011;31(2):194-204.

Burrows TA, Bailey L, Kinnett DG, Hopkin RJ. Acute progression of neuromuscular findings in a patient with infantile Pompe disease. Pediatric Neurol. 2010;42(6):455-458.

Vargus-Adams JN, Michaud LJ, Kinnett DG, McMahon MA, Cook EF. Effects of oral baclofen on children with cerebral palsy [letter]. Dev Med Child Neurol. 2004 Nov;46(11):787.

Kinnett DG. Botulinum Toxin A Injections in Children: Technique and Dosing Issues. Amer J Phys Med Rehabil. 2004 83:S59-S64.

Adams BB, Vargus-Adams JN, Franz DN, Kinnett DG. Hyperhidrosis in pediatric spinal cord injury: A case report and novel therapy. J Am Acad Dermatol. 2002;46:444-446.

Kinnett DG. Guillain–Barré Syndrome. In MR Nelson (ed): Rehabilitation Medicine Quick Reference: Pediatrics. Demos Medical Publishing Inc, New York, NY. 2011.

Kinnett DG, McMahon MA. Management of the Child with Spasticity. In CD Rudolph and AM Rudolph (eds): Rudolph’s Pediatrics 21st Ed, ch 6 Childhood Disability and Rehabilitation. McGraw-Hill Publishing Inc, New York, NY. 2002. pp 540-541.

Brad G. Kurowski, MD, MS

Brad G. Kurowski, MD, MS, is interested in evaluating the genetic influence on cognitive and behavioral recovery after pediatric traumatic brain injury. He is working to characterize how individual genes influence recovery and he is working to characterize how genes interact with environmental factors to ultimately influence recover.

513-636-7480 rehab@cchmc.org

High Res

Brad G. Kurowski, MD, MS

Academic Affiliations

Assistant Professor, UC Department of Pediatrics

Phone 513-636-7480

Email rehab@cchmc.org

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Clinical & Research Interests

Clinical

Traumatic brain injury, specifically mild TBI and concussion in children

Research

Genetic influence on cognitive and behavioral recovery after pediatric traumatic brain injury; improving evidence-based management of pediatric TBI

Biography

Brad Kurowski, MS, MD, holds a BS and MS in biochemistry and molecular biology at the University of Massachusetts, Amherst in 2000. Dr. Kurowski completed his medical school training at Case Western Reserve, University School of Medicine in 2004. Subsequently, Dr. Kurowski completed his residency at the University of Pittsburgh Medical Center in 2008 and his fellowship training in pediatric rehabilitation medicine at Cincinnati Children’s Hospital Medical Center in 2010. Dr. Kurowski joined the faculty of the Division of Physical Medicine and Rehabilitation at Cincinnati Children’s Hospital Medical Center within at the University of Cincinnati College of Medicine in July of 2010.

MD: Case Western Reserve, University School of Medicine, Cleveland, OH.

MS: University of Massachusetts, Amherst, MA.

Kurowski BG, Taylor HG, Yeates KO, Walz NC, Stancin T, Wade SL. Caregiver ratings of long-term executive dysfunction and attention problems after early childhood traumatic brain injury: family functioning is important. PM R. 2011 Sep;3(9):836-45.

Kurowski B, Michaud L Mild Traumatic Brain Injury. In: Nelson, M. (Ed): Pediatric Rehabilitation Review Book.

Kurowski B, Wade S, Cecil K, Walz N, Weihong Y, Rajagopal R, Holland S. Correlation of Diffusion Tensor Imaging with Executive Function Measures after Early Childhood Traumatic Brain Injury. Journal of Pediatric Rehabilitation Medicine. 2009 2(4):273-83.

Dicianno BE, Kurowski BG, Yang JM, Chancellor MB, Bejjani GK, Fairman AD, Lewis N, Sotirake J. Rehabilitation and medical management of the adult with spina bifida. Am J Phys Med Rehabil. 2008 Dec;87(12):1027-50. Review.

Andrea Paulson, MD, MPH

513-636-7480 andrea.paulson@cchmc.org

David W. Pruitt, MD Medical Director, Inpatient Pediatric Rehabilitation Unit

David W. Pruitt, MD, is interested in functional outcomes in children with brain tumors.

513-636-7480 david.pruitt@cchmc.org

High Res

David W. Pruitt, MD

Medical Director, Inpatient Pediatric Rehabilitation Unit

Director, Pediatric Rehabilitation Medicine Fellowship

Academic Affiliations

Associate Professor, UC Department of Pediatrics

UC Department of Neurology and Rehabilitation Medicine

Phone 513-636-7480

Fax 513-636-7360

Email david.pruitt@cchmc.org

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Clinical & Research Interests

Clinical

Inpatient pediatric rehabilitation; pediatric cancer rehabilitation; pediatric neuro-oncology

Research

Functional outcomes of children with brain tumors

BS: University of Notre Dame, Notre Dame, IN, 1994.

MD: Loyola University Stritch School of Medicine, Chicago, IL, 1998.

Residency: Pediatrics, Cincinnati Children's Hospital Medical Center; Physical Medicine and Rehabilitation, University of Cincinnati, Cincinnati, OH.

Certification: Physical Medicine and Rehabilitation, recertification 2014; Pediatric Rehabilitation Medicine, recertification 2014.

Visscher M, King A, Nie AM, Schaffer P, Taylor T, Pruitt D et al. A quality improvement collaborative project to reduce pressure ulcers in PICUs. Pediatrics. 2013: 131(6): e1950-60.

Pruitt DW, Ayyangar R, Craig K, White A, Neufeld JA. Pediatric brain tumor rehabilitation. J Pediatr Rehabil Med. 2011; 4(1): 59-70.

Pruitt DW, Tsai T. Common Comorbidities Associated With Cerebral Palsy. In: LJ Michaud (ed.): Physical Medicine and Rehabilitation Clinics of North America, 2009; 20(3):453-67.

Jilda N. Vargus-Adams, MD, MSc Attending Physician, Pediatric Rehabilitation, Division of Physical Medicine and Rehabilitation

Jilda N. Vargus-Adams, MD, MSc, is interested in outcome measurement and clinical effectiveness in cerebral palsy. Her research address the outcomes of various interventions in cerebral palsy including robotic gait training and electrical stimulation as well as the best methods to measure function and quality of life.

513-636-7480 rehab@cchmc.org

High Res

Jilda N. Vargus-Adams, MD, MSc

Attending Physician, Pediatric Rehabilitation, Division of Physical Medicine and Rehabilitation

Director, Cerebral Palsy Clinic

Academic Affiliations

Associate Professor, UC Department of Pediatrics

UC Department of Neurology and Rehabilitation Medicine

Phone 513-636-7480

Fax 513-636-7360

Email rehab@cchmc.org

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Clinical & Research Interests

Clinical

Cerebral palsy; epidemiology; evidence-based practice

Research

Use of medication for spasticity in cerebral palsy; health-related quality of life in cerebral palsy; outcomes research in cerebral palsy; clinical effectiveness in cerebral palsy

Biography

Jilda N. Vargus-Adams, MD, MSc, is a pediatric physiatrist at Cincinnati Children’s Hospital Medical Center, University of Cincinnati. She graduated from Brown University, the Yale School of Medicine, and the Harvard School of Public Health. Dr. Vargus-Adams completed both a combined residency in pediatrics and physical medicine & rehabilitation and a research fellowship in pediatric rehabilitation at the University of Cincinnati and Cincinnati Children’s.

She joined the faculty at Cincinnati in 2000 and contributes to the training and education of residents and fellows. Presently, she is involved in leading a comprehensive cerebral palsy program and serves as the director of the CP clinic. She has received career development awards from the NIH and CPIRF. Her research projects have included studies of therapy and pharmaceutical interventions for CP and work to evaluate and understand outcome measurement tools.

Dr. Vargus-Adams serves on the editorial board of Physical and Occupational Therapy in Pediatrics and the medical advisory board of Reaching for the Stars, a national parent advocacy group for cerebral palsy. She is active in leadership roles with the American Academy for Cerebral Palsy and Developmental Medicine and serves on the board of Stepping Stones (incorporating United Cerebral Palsy of Greater Cincinnati) locally.

BA: Brown University, Providence, RI, 1990.

MD: Yale University School of Medicine, New Haven, CT, 1995.

MS: Harvard School of Public Health, Epidemiology, Boston, MA, 2002.

Residency: Pediatrics / Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 1995-2000.

Fellowship: Pediatric Rehabilitation Medicine Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2000-2002

Certification: Pediatrics, 2000.

Sub-specialty: Physical Medicine and Rehabilitation, 2001; Pediatric Rehabilitation Medicine, 2007.

Vargus-Adams JN. Health-related quality of life in childhood cerebral palsy. Archives of Physical Medicine and Rehabilitation. 2005; 86:940-945.

Vargus-Adams JN. Longitudinal Use of the Child Health Questionnaire in childhood cerebral palsy. Developmental Medicine & Child Neurology. 2006; 48:343-7.

Vargus-Adams JN. Inconsistencies with Physical Functioning and the Child Health Questionnaire in Children with Cerebral Palsy. Journal of Pediatrics. 2008; 153:199-202.

McMahon MA, Vargus-Adams JN, Michaud LJ, Bean J. Effects of Amantadine in Children with Impaired Consciousness Due to Acquired Brain Injury: A Pilot Study. American Journal of Physical Medicine & Rehabilitation. 2009; 88:325-32.

Vargus-Adams JN, Martin LK. Measuring What Matters in Cerebral Palsy: A Breadth of Important Domains and Outcome Measures. Archives of Physical Medicine and Rehabilitation. 2009; 90:2089-2095.

Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society, Delgado MR, Hirtz D, Aisen M, Ashwal S, Fehlings DL, McLaughlin J, Morrison LA, Shrader MW, Tilton A, Vargus-Adams J. Practice Parameter: Pharmacological Treatment of Spasticity in Children and Adolescents with Cerebral Palsy (an evidence-based review). Neurology. 2010; 74:336-43.

Baozhong X, Jones S, Puffenberger E, Hinze C, Bright A, Tan H, Zhou A, Wu G, Vargus-Adams J, Agamanolis D, Wang H. A homozygous mutation in SAMHD 1 gene causes cerebral vasculopathy and early onset stroke. Proceedings of the National Academy of Science. 2011; 108:5372-7.

Vargus-Adams JN, Martin LK, Maignan SH, Klein AC, Salisbury S. The GMFM, PEDI, and CP-QOL and perspectives on functioning from children with CP, parents, and medical professionals. Journal of Pediatric Rehabilitation Medicine. 2011; 4:3-12.

Guo X, Xiang J, Mun-Bryce S, Bryce M, Huang S, Huo X, Wang Y, Rose D, Degrauw T, Gartner K, Song T, Schmit J, Vargus-Adams J. Aberrant high-gamma oscillations in the somatosensory cortex of children with cerebral palsy: A MEG study. Brain & Development. 2012; 34:576-83.

Vargus-Adams JN, Majnemer A. International Classification of Functioning, Disability and Health (ICF) as a framework for change: Revolutionizing rehabilitation. Journal of Child Neurology. 2014; 29:1030-1035.

Shari Wade, PhD Director of Research, Division of Physical Medicine and Rehabilitation

Shari Wade, PhD, is researching outcomes and effectiveness of interventions after pediatric traumatic brain injury.

513-636-7480 shari.wade@cchmc.org

High Res

Shari Wade, PhD

Director of Research, Division of Physical Medicine and Rehabilitation

Academic Affiliations

Professor, UC Department of Pediatrics

Phone 513-636-7480

Fax 513-636-7360

Email shari.wade@cchmc.org

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Clinical Interests

Psychological impact of chronic medical conditions on children and their families

PhD: Clinical Psychology, University of Pittsburgh, Pittsburgh, PA, 1988.

Fellowship: Clinical Psychology, Yale University, Department of Psychiatry, New Haven, Conn., 1987; Pediatric Psychology, Rainbow Babies and Children's Hospital, Cleveland, OH, 1989.