ABPMR Pediatric Rehab study materials
ABPMR Pediatric Rehab study resources

ABPMR Pediatric Rehab study plan

ABPMR Pediatric Rehab · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Pediatric Brain Injury

  • Build a one-page table of pediatric brain injury mechanisms by age band (infant, school-age, adolescent) with the mechanism-specific rehabilitation risk each one carries.

  • Derive the age-adjusted Glasgow Coma Scale scoring rules, then classify five written vignettes as mild, moderate, or severe without looking at reference aids.

  • Sketch the Rancho Los Amigos cognitive levels next to the expected rehabilitation and discharge milestones for children, noting where the adult timeline does not transfer.

  • Summarize tone-management options - botulinum toxin, intrathecal baclofen, selective dorsal rhizotomy, oral agents - and match each to a plausible pediatric candidacy scenario.

  • List the secondary complications to screen for after pediatric brain injury (heterotopic ossification, dysautonomia, pituitary dysfunction, post-traumatic seizures) with the surveillance window for each.

Your checkpoint

Closed-book 30-question self-quiz on Domain 1 scored at 80% or better, plus a written list of every missed concept with a one-line correction.

Week 2

Pediatric Brain Injury & Pediatric Spinal Cord Injury

  • Compare pediatric brain injury and pediatric spinal cord injury across four axes: mechanism, acute medical and surgical management, early rehabilitation priorities, and family education.

  • List age-specific causes of pediatric spinal cord injury and explain why SCIWORA predominates in children under about 8 years old.

  • Rehearse the ASIA International Standards examination sequence, then assign motor and sensory levels in three written cases.

  • Outline acute post-injury protocols for spinal cord injury: spinal precautions, neurogenic bladder and bowel programs, pressure injury prevention, and thromboprophylaxis.

  • Explain how pediatric brain injury affects school re-entry planning, and identify the documentation a rehabilitation physician must supply to the school team.

Your checkpoint

A two-column brain injury versus spinal cord injury comparison sheet plus 25 mixed items answered at 80% accuracy.

Week 3

Pediatric Spinal Cord Injury

  • Map functional expectations for feeding, transfers, mobility, and upper extremity function onto each cervical and thoracic injury level.

  • Construct a table of spinal cord injury complications - spasticity, heterotopic ossification, syringomyelia, scoliosis, hip subluxation, autonomic dysreflexia - with onset timing, detection method, and first-line management.

  • Differentiate autonomic dysreflexia triggers and pediatric-specific presentation, then write a stepwise acute response plan.

  • Select bracing and mobility equipment (TLSO, HKAFO or RGO, standing frame, power wheelchair) for three different injury levels and justify each choice.

  • Describe the musculoskeletal surveillance schedule for scoliosis and hip subluxation in a child with thoracic-level paraplegia.

Your checkpoint

A level-by-level function and equipment grid plus written answers to six case vignettes scored against a self-built checklist.

Week 4

Neuromuscular Disease and Electrodiagnosis

  • Explain how myelin maturation alters nerve conduction velocity, amplitude, and needle electromyography findings from infancy through adolescence, and state age-corrected normal values.

  • Distinguish myopathic from neuropathic patterns and axonal from demyelinating findings by working through a set of written electrodiagnostic worksheets.

  • Compare Duchenne, Becker, spinal muscular atrophy types, and congenital myopathies on inheritance, onset, examination findings, genetic testing, and disease-modifying therapy.

  • Outline respiratory and cardiac surveillance for Duchenne and spinal muscular atrophy, including pulmonary function timing, cough assist, noninvasive ventilation, and steroid side-effect monitoring.

  • Identify the electrodiagnostic pitfalls unique to children, including tolerance, electrode size, limb temperature, and sedation considerations.

Your checkpoint

A 40-item electrodiagnosis and neuromuscular quiz at 80% or better plus a one-page Duchenne care timeline.

Week 5

Neuromuscular Disease and Electrodiagnosis & Musculoskeletal and Orthopedic Rehabilitation

  • Contrast acquired demyelinating neuropathies (Guillain-Barre, CIDP) with hereditary ones (Charcot-Marie-Tooth) on presentation, electrodiagnostic findings, and treatment.

  • Review repetitive nerve stimulation and single-fiber principles as they apply to juvenile myasthenia gravis, including the limb-cooling maneuver.

  • Build a differential for the limping child by age group and name the key examination maneuver and imaging step for each diagnosis, including developmental dysplasia of the hip, Legg-Calve-Perthes, and slipped capital femoral epiphysis.

  • Explain the evaluation and bracing decisions in adolescent idiopathic scoliosis: Risser staging, Cobb angle measurement, bracing thresholds, and the evidence behind them.

  • Describe how cerebral palsy gait patterns are analyzed and which tone or orthopedic interventions target each pattern.

Your checkpoint

A limping-child decision tree and a 20-item quiz covering Domains 3 and 4 at 80% or better.

Week 6

Musculoskeletal and Orthopedic Rehabilitation & Developmental Disabilities and Congenital Conditions

  • Rank common cerebral palsy gait patterns (hemiplegic, diplegic, crouch) by their orthopedic consequences and pair each with orthotic, tone, and surgical options.

  • Apply the GMFCS and MACS to assign mobility and hand-function prognosis in five short cases.

  • List syndrome-specific surveillance requirements, including atlantoaxial instability screening in Down syndrome, and justify the timing of each.

  • Compare cerebral palsy, spina bifida, and Down syndrome on rehabilitation priorities and common secondary conditions.

  • Explain when serial casting, botulinum toxin, and surgery are each preferred for equinus or crouch gait in a growing child.

Your checkpoint

A case portfolio of five brief cases, each assigned a GMFCS or MACS level plus a therapy and orthotic plan, self-graded against published criteria.

Week 7

Cardiopulmonary, Chronic Illness, and Cancer Rehabilitation & Pediatric Rehabilitation Practice, Systems, and Transitions of Care

  • Outline pediatric cardiac rehabilitation phases for repaired congenital heart disease, including Fontan physiology, and state exercise prescription limits and red flags.

  • Describe exercise and pulmonary rehabilitation for cystic fibrosis and asthma, including airway clearance, contraindications, and monitoring.

  • Map rehabilitation for childhood leukemia and posterior fossa tumor, covering steroid myopathy, chemotherapy-induced peripheral neuropathy, radiation effects, and limb salvage.

  • Outline the six core elements of health care transition and apply them to a 16-year-old with spinal cord injury approaching adult care.

  • Compare IEP, Section 504, and early intervention services and specify the physician's role in documenting medical necessity for school-based therapy.

Your checkpoint

A transition-of-care checklist tailored to one patient archetype plus a 25-item quiz covering Domains 6 and 8 at 80% or better.

Week 8

Developmental Disabilities and Congenital Conditions & Assistive Technology, Orthotics, Prosthetics, and Mobility

  • Select seating and mobility systems - tilt-in-space, pressure mapping, power mobility - for three pediatric profiles and justify each configuration.

  • Compare AFO, KAFO, and RGO designs and match each to specific impairments such as equinus, genu recurvatum, crouch gait, and hip instability.

  • Explain prosthetic considerations in congenital limb deficiency, including terminal overgrowth, rotationplasty, and timing of first fitting.

  • Complete a full-length timed mock examination spanning all eight domains and convert every missed item into a written teaching point.

  • Consolidate a one-page rapid-review sheet for the five concepts still scoring weakest across the eight weeks.

Your checkpoint

A timed full-length mock examination scored at 75% or better, with a ranked remediation list of the ten weakest concepts.

Milestones

Week 2: Score 80% or better on the mixed brain injury and spinal cord injury quiz, and show a completed comparison sheet covering all four comparison axes.

Week 4: Score 80% or better on the 40-item neuromuscular and electrodiagnosis quiz, and show a finished Duchenne care timeline; log any domain still averaging below 70%.

Week 6: Re-take cumulative quizzes covering Domains 1 through 5 under spaced-repetition conditions and hold 80% or better on each.

Week 8: Score 75% or better on a timed full-length mock examination and submit a one-page review sheet covering the five weakest concepts identified across the plan.