Rehabilitation Medicine - James J. Peters VA Medical Center
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James J. Peters VA Medical Center

 

Rehabilitation Medicine

Heidi Klingbeil, MD, Chief, Physical Medicine and Rehabilitation“Thank you for considering the JJP Bronx VAMC CIIRP for your rehabilitation needs. We are dedicated to helping you attain the highest possible quality of life and look forward to serving you.”

-- Heidi Klingbeil, MD, Chief, Physical Medicine and Rehabilitation


Hours of Operation

  • Rehab Medicine: 8:30 AM to 5:00 PM
  • Physical Therapy: 7:00 AM to 5:00 PM
  • Occupational Therapy: 8:00 AM to 4:30 PM

Contact Information

  • Rehabilitation Medicine: 718-584-9000 x6581 or 5080
  • Chief of Rehabilitation: Dr. Heidi Klingbeil, MD
  • Practice Manager: Jean Ryan
  • Physical Therapy: Janice Hyman
  • Occupational Therapy: Teina Daley
  • Kinesiotherapy: Tisa Givens

Acupuncture

  • Description: Clinic primarily uses acupuncture for treatment of pain conditions of the musculoskeletal system (neck, shoulder wrist, low back, hip and knee). Four treatment sessions performed on a weekly basis to determine if they are effective. If effective may continue.
  • Process: Acupuncture Consult.

Amputee Services (Prosthetic and Orthotic Clinic)

  • Description: Our amputee program is committed to provide appropriate, timely, state of the art, holistic care for veterans and active duty service members with limb loss. Our program has also partnered with the Amputee Coalition to offer a certified peer visitor program.
The Amputee Care program features:
      
  • An interdisciplinary clinic team, including a physician, physical therapist, prosthetist, and wound care nurse, providing comprehensive patient evaluations.
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  • An acute rehabilitation program
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  • Comprehensive assistance for family caregivers available to the caregivers of eligible veterans
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  • A Veteran Peer support group, which meets every 3rd Friday of the month, which includes other VAs in our VISN via telehealth.  
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  • Telehealth clinics as needed
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  • PAVE program
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  • MOVE Program

Chiropractor Clinic

  • Description: Chiropractic care is provided for pain in the cervical, thoracic and lumbar spine. Contraindications for chiropractic care include: infection, cancer, fractures, instability or osteoporosis of the spine; spinal cord injury. Veterans will need to obtain x-ray of the spine (and in some instances MRI of the spine) before being approved for treatment. Patients can receive up to 12 treatments prior to re-evaluation by rehab physician for continuation of services.
  • Process: Rehab Medicine Consult. Veterans are referred from primary care to rehab medicine. Rehab Medicine physician then refers patient to chiropractor for manipulations of the spine.

Comprehensive Integrated Inpatient Rehab Unit (CIIRP)

  • Description: Inpatient rehabilitation is offered to veterans on the first floor of the Community Living Center facility adjacent to the medical center. The goal of CIIRP is to help individuals achieve the highest level of independence as possible, rebuild their lives and return back to their community as independently as possible. Most of our persons served return home within one to two weeks. We serve young adult through elderly patients with diagnoses such as hip and knee replacements, amputations and stoke. Common diagnoses treated include post knee and hip replacement surgeries, amputation, and stroke.
  • Services: Veterans receive 2 hours of physical therapy and 1 hour of occupational therapy per day along with recreational therapy, speech therapy, nutrition and psychological services under the direction of a physician.
  • Process: Referral from inside the medical center is made via the consultation service or by calling 718-584-9000 x3420. Consult for rehab unit transfer is located in the "rehab consult-inpatient" tab - "rehab unit transfer eval #17."
Referral from outside the facility can also be made by calling the rehab department.

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Driver Training Program

  • Description: This program is NOT meant to assess the existing abilities of a patient to continue driving. If clinician has a strong clinical suspicion that the patient should not be driving (e.g., dementia), then Department of Motor Vehicles should be contacted by the clinician. Individualized program for veterans with physical impairments (stroke, amputation, spinal cord injury, multiple sclerosis) who have a need to drive.
  • Criteria: Intact cognition (MMSE 30/30), clean driving record, current license, have a need to drive, can come to the Bronx. Veteran must be prepared to come for up to 10-12 sessions each lasting approximately 2 hours.
  • Process: SCI Driver Training Consult

Electrodiagnostic Services

  • Description: Electromyography, Nerve Conduction Studies and Quantitative Sensory Testing (for small nerve fiber disease) are tests used for the assessment of peripheral nerve injuries and muscle injuries. Common conditions that can be diagnosed with these tests include carpal tunnel syndrome, radiculopathies, peripheral neuropathies and myopathies. Tests typically last for 1-1.5 hours and consist of 2 parts. The first part involves stimulation of nerves with a brief electrical current and the second part involves the needling of muscles.
  • Process: Requests should be submitted through the "Procedures" section of the CPRS chart. Inpatient or outpatient should be specified.

Kinesiotherapy Section

  • Boot Camp
    • Description: Twice weekly high intensity functional fitness class designed to improve strength, endurance, health and well-being. Functional fitness exercises train your muscles to work together and prepare them for daily tasks.
    • Process: Needs referral from primary care or rehab
  • MOVE
    • Description: To provide MOVE participants with structured physical activity, twice weekly, to promote weight management, health and wellness.
    • Process: This is offered to individuals enrolled in MOVE. Let your VA Primary Care team know that you are interested in MOVE!
  • Pool Therapy Program
    • Description: Group Exercise program in pool on the premises for people with chronic musculoskeletal pain. The pool is open 4 days a week, Monday-Thursday. Individuals are scheduled to attend the pool program twice per week, two of those four days. Maximum duration is six months per year.
    • Criteria: Must have intact skin, no skin infections and full control of bowel/bladder. Must bring own bathing suit. Lockers available.
    • Process: Needs consult to rehab medicine.

Lokomat

Lokomat robotic ambulation training device
  • Description: The Lokomat is a robotic ambulation training device used to improve the strength and ambulation in patients with neurological injuries such as stroke, Parkinson's disease, Multiple Sclerosis and spinal cord injuries. Referred patients can be admitted to the inpatient rehab unit or be seen as outpatients. They should NOT have pressure ulcers in the buttock area or lower extremities, history of lower limb fractures, fixed contractures at the hips, knees or ankles, impaired cognition and must have the ability to stand/sit upright for 20 minutes without a drop in blood pressure.
  • Process: "Rehab-Lokomat" consult request tab in CPRS. Patient will need a Bone density study prior to referral. Patient will be seen in the rehab clinic prior to inception of program to ensure that patient is appropriate for this device.

Occupational Therapy

  • Description: Veterans are treated for various medical conditions including neuromuscular, orthopedic, and cardiopulmonary conditions. Specific treatment for the upper limbs may include shoulder pain, arthritis of the wrist, and weakness due to stroke. Exercise and physical modalities are used (ultrasound, electrical stimulation, fluidotherapy and paraffin baths). In addition splints of the upper extremity can be individually fabricated. Evaluations for adaptive equipment to maximize activities of daily living are also performed, as well as education on techniques to promote functional performance.
  • Process: Inpatient consult requests for bedside therapy in medical center, use inpatient rehab consults (#6). Outpatient consults are received from rehab medicine, orthopedics, neurology, rheumatology, and primary care physicians. The `Occupational Therapy’ consult under Rehab Consults (#34) should be used. Comfortable clothing should be used during therapy sessions.

Pain Management Clinic

  • Description: Veterans are evaluated for treatment of chronic pain that has not responded to other interventions. Treatment interventions include strong pain medications including the use of opiates as well as referral for psychological, psychiatric services and spine injections. Use of opiate medications on a regular basis requires that veteran come in on a monthly basis for medication renewals. Periodic urine drug tests and signing of a pain agreement are required. Spine injections are also offered on Tuesdays. They include epidural steroid injections and facet joint injections.
  • Process: Veterans need to be referred through rehab medicine or pain clinic.

Physical Therapy

  • Description: Veterans are evaluated for a wide variety of musculoskeletal disorders in the outpatient clinic and inpatient units. Treatment includes patient education, exercises, manual therapy, modalities, balance and ambulation training as needed. Specialty programs for patients with amputations, orthopedic injuries/surgeries, sports injuries, and back pain are provided.
  • Process: Requests for inpatient therapy at bedside in medical center can be made through rehab inpatient consult, #6 under inpatient rehab consults. Outpatient requests can be made for physical therapy under outpatient rehab consult #34. The outpatient clinic is available Monday through Friday with extended hours on Mondays.

Wheelchair Clinic

  • Description: Multidisciplinary team consisting of rehab medicine physician, therapist with seating and mobility experience and prosthetic representative. Evaluate need and generate prescription for motorized wheelchairs and scooters.
  • Criteria: Intact mental status and vision, significant impairment of heart, lung function or loss of use of one or more limbs, advanced osteoarthritis of the hips, knees, severe lumbar spinal stenosis. Patient must live in a wheelchair accessible home.
  • Process: Requests for new powered devices are requested with a consult titled `Rehab w/c to OT referral’. Consults are then reviewed by the rehab medicine physician that oversees wheelchair clinic for scheduling. In wheelchair clinic a plan of care is determined and patient is referred to an occupational therapist for evaluation and training. Once safe with appropriate device, patient is seen by occupational therapist with seating/mobility experience along with wheelchair vendor for fitting. Requests for replacement devices are also requested with the consult titled `Rehab w/c to OT referral’. Consults are then reviewed by the rehab medicine physician that oversees wheelchair clinic. Patient is scheduled for wheelchair clinic to determine whether the device has been condemned and to determine a plan of care. Custom manual wheelchairs are also seen by the occupational therapist with seating/mobility experience along with wheelchair vendor for fitting. Standard wheelchairs should be ordered through the rehab consult entitled "Rehab Equipment Training Outpatient". At time of consult, rehab medicine should be contacted at x5080 or x6581 and told that the patient needs to be trained in the safe use of a standard wheelchair. Staff will then direct the patient to the appropriate rehab therapist that same day, whom will train patient/family member and place order for prosthetics.

Wheelchair imageWheelchair Repairs
For repairs and replacements:
718-584-9000 x5396

Contact Info

Location

  • Room 3D14A-100
    Heidi Klingbeil, MD, Chief, Physical Medicine and Rehabilitation

Contact Number(s)

  • 718-584-9000 Ext. 5080/6581

Hours of Operation

  • 8:00 AM to 5:00 PM