Home > Randall Children's Services > Children's Health Services > Rehabilitation - Outpatient

When a child faces a medical or therapeutic issue, Randall Children’s Hospital is here to provide outstanding care in a child-friendly environment.  

As a regional leader in children's development and rehabilitation, we offer services to children in both in the hospital, as well as clinics. We provide outpatient children's therapy throughout  Portland and Washington: Randall Children's Hospital, Legacy Meridian Park and Legacy Salmon Creek.  We treat all ages, from the youngest babies — even those born prematurely — up to 18 years old.  

Our child focused centers provide evaluation and therapy in occupational, physical and speech. We’ve designed our clinics for babies, children and their families, and kid-friendly waiting rooms and size appropriate equipment. 

We believe that parents, caregivers and families are the most important members of the child’s care team, playing a vital part in their healing. This is at the heart of our care.  

Please see your primary care provider to be referred.  

Occupational therapy 

Occupational therapy helps kids work through the potential physiological, emotional and social impact of an injury or illness. Our therapists work with patients of all ages to help improve their functioning and participation in everyday activities, whether that includes personal care and independence, play, work or school.  

Occupational therapy services include:  

  • Calming and regulation in babies and children 
  • Home-based health occupational therapy (select sites) 
  • Fine motor skills and use of hands and arms  
  • Developmental skills, such as self- feeding, writing, grooming, dressing and toileting.  
  • Post-concussion and head injury cognitive needs 
  • Sensory processing and integration 
  • Sensory feeding 
  • Skilled aquatic therapy (at select sites) 
  • Social and play skills 
  • Strengthening and conditioning of weak muscle groups  
  • Visual perception and balance 

Physiatry

The pediatric physiatrist is a physician with specialized training and certification in rehabilitation medicine. The physiatrist manages medical problems and prescribes treatment, tests and medication, as appropriate.

Our physiatrists work with children and their families to determine the best treatment plan for conditions, including, not limited to:

  • Brachial Plexus Injury
  • Cerebral Palsy
  • Neuropathy
  • Neurotrauma
  • Peripheral Nerve Disorders
  • Spasticity Management
  • Spinal Cord Injury
  • Stroke
  • Toe Walking
  • Delayed walking
  • Concussion and Head injuries
  • Traumatic brain injury
  • Reflex Neurovascular Dystrophy/Amplified Pain
  • Sports Medicine/musculoskeletal pain
  • Spinal Cord/Tethered Cord Injury
  • Torticollis
  • Spina Bifida
  • Foot drop
  • Dystonia
  • Drooling
  • Arthrogryposis

Our Physiatry team also perform procedures:

  • Baclofen pump management
  • Botulinum (Botox) neurolysis (Ultrasound and/or electrical stimulation guided)
  • Phenol neurolysis (Ultrasound and/or electrical stimulation guided)
  • Electrodiagnosis

Physical therapy  

Our physical therapists work on improving movement, strength and mobility. This might include strengthening, endurance, balance or coordination exercises.  

Therapists work with each patient individually to develop a plan that helps them play and move independently to the best of their ability.   

Physical therapy services include:  

  • Management of complex pain 
  • Balance and gait retraining, to help with walking and movement   
  • Casting and splinting 
  • Early motor development and walking 
  • Cerebral palsy and other neuromuscular conditions 
  • Orthopedic therapy - post fracture and other injury 
  • Skilled aquatic therapy (at select sites) 
  • In-home physical therapy (at select sites) 
  • Sports rehabilitation including post-concussive disorder 
  • Bowel and bladder incontinence 
  • Wheelchair safety and management 

Speech therapy 

The ability to communicate is critical to a child’s learning and emotional and social development. It can be frustrating for both kids and caregivers if the child is unable to express themselves or connect with others. Speech therapists evaluate and treat children struggling with communication, language or swallowing. 

Our team offers expert and comprehensive speech-language pathology evaluations and therapy. After our speech-language pathologist evaluates your child’s communication abilities, we'll design a personalized treatment plan. 

Speech therapy may focus on helping a patient speak clearly, understand language or eat and swallow independently.  

Speech therapy services include helping children with:  

  • Use and understanding of language 
  • Articulation and other speech disorders  
  • Stuttering 
  • Augmentative communication and use of assistive devices 
  • Feeding and swallowing  
  • Cognition (attention, concentration, memory, and problem solving) 
  • Social and play skills 
  • In-home SLP therapy (select sites) 
  • Voice and nasality 

We require referral from a primary care provider:

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Refer to Randall Children's Hospital Specialty Care 

 


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